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Journal of Neurology and Clinical Neuroscience | Volume: 03
8
th
International Conference on
NEUROLOGICAL DISORDERS,
CENTRAL NERVOUS SYSTEM AND STROKE
&
International Conference on
NEUROLOGY AND NEUROSURGERY
December 04-05, Dubai, UAE
Joint event on
J Neurol Clin Neurosci, Volume: 03
Blood pressure optimization in different types of Stroke
Birendra Kumar Bista
NeuroCardio and Multispecialty Hospital, Nepal
S
troke alters the cerebral autoregulation as a result blood
pressure is elevated in most of the stroke patients.
Different stroke types namely, intracerebal hemorrhage,
ischemic infarct and SAH (subarachnoid hemorrhage) each
require different ranges of BP blood pressure optimization
to maintain CPP and MAP. Inappropriate ranges of BP
result as rebleed, infarct evolution and cerebral edema.
The stroke types require different MAP(mean arterial
pressure), CPP (cerebral perfusion pressure), Systolic
Blood Pressure (SBP) and Diastolic Blood Pressure (DBP)
to maintain adequate cerebral perfusion. Blood pressure
optimization is among one of the most important steps in
neuroprotection. This systemic review presents the latest
updates in BPmanagement in acute stroke. It also stipulates
recommended ranges of CPP, MAP, ICP (Intracranial
Pressure), SBP and DBP, for acute stroke management.
Emphasis on, injectible antihypertensives only in acute
stroke is given and commonly used IV (Intravenous) agents
are also listed.
Biography
Birendra Kumar Bista, is one of the first neurologists of Nepal. He has
been pioneering in field of neuroscience in Nepal and established the
first neuroscience center of eastern Nepal. Through years the work of
this neuroscience center has been recognized home and abroad. He
shows keen interest in medical management and providing state of art
services to this impoverished region of Nepal. Recently he added the
first stroke center of Nepal. He firmly believes in continuous updated
education and its implementation in hospital practices.
e:
drbkbista@gmail.com