Tzu Chi Medical Journal
Volume 21, Issue 4 , Pages 345-347, December 2009

Perioperative Stroke Following General Surgery

  • Chia-Chun Huang

      Affiliations

    • Department of Anesthesiology, Buddhist Tzu Chi General Hospital, Hualien, Taiwan
    • Department of Anesthesiology, Tzu Chi University, Hualien, Taiwan
    • Graduate Institute of Clinical Medicine, Tzu Chi University, Hualien, Taiwan
  • ,
  • Jimmy Ong

      Affiliations

    • Department of Anesthesiology, Buddhist Tzu Chi General Hospital, Hualien, Taiwan
    • Department of Anesthesiology, Tzu Chi University, Hualien, Taiwan
  • ,
  • Chia-Ling Lee

      Affiliations

    • Department of Anesthesiology, Buddhist Tzu Chi General Hospital, Hualien, Taiwan
    • Department of Anesthesiology, Tzu Chi University, Hualien, Taiwan
  • ,
  • Tsung-Ying Chen

      Affiliations

    • Department of Anesthesiology, Buddhist Tzu Chi General Hospital, Hualien, Taiwan
    • Department of Anesthesiology, Tzu Chi University, Hualien, Taiwan
    • Graduate Institute of Clinical Medicine, Tzu Chi University, Hualien, Taiwan
    • Corresponding Author InformationCorresponding author. Department of Anesthesiology, Buddhist Tzu Chi General Hospital, 707, Section 3, Chung-Yang Road, Hualien, Taiwan

Received 3 October 2008; received in revised form 10 November 2008; accepted 10 December 2008.

Abstract 

Perioperative stroke is rare; however, patients undergoing cardiovascular surgery are considered to be at high risk for perioperative stroke. Here, we outline a case where perioperative stroke occurred following total hip replacement surgery. The risk factors and possible causes of the stroke in this patient are discussed. In addition, we reiterate the appropriate management approaches needed to prevent perioperative stroke. Briefly, the importance of precise preoperative evaluation and of proper intraoperative and postoperative management should not be overlooked. Finally, it is important to realize that decreasing perioperative strokes and the disabilities associated with them will lower the financial burden on families and the community.

Keywords:  General surgery , Ischemic , Perioperative stroke , Risk factors

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PII: S1016-3190(09)60069-0

doi:10.1016/S1016-3190(09)60069-0

Tzu Chi Medical Journal
Volume 21, Issue 4 , Pages 345-347, December 2009