Nowadays, strokes have become more frequent than before. Many factors contribute to it, including changes in lifestyle, increased stress, less physical activities, bad food habits, and more. To ease you and offer the best stroke management services, the team of experts at CARE Hospitals is ready to serve you.
Stroke management by our team begins with emergency medical services and sometimes the patient has to be hospitalised immediately. We have a multidisciplinary team for managing strokes and offering acute stroke care in the emergency department along with a defined stroke unit.
Our specialists offer acute medical services for the patients who come with strokes and help them stabilise to complete the initial assessment and evaluation of their health. This includes laboratory studies and imaging that too within a short time frame. Critical cases are offered immediate care considering the need for blood pressure control, intubation, and determining the benefit/risks of thrombolytic intervention. Patients who are measured 8 or less on the coma scale are offered immediate airway control using intubation.
When do we opt for emergency stroke management?
There are varied reasons for going for emergency stroke management, including:-
Restoring cerebral circulation
Supporting vital functions
Preventing progression and cell death
Reducing neurological defects
Restoring the patient to a good level of the pre-stroke function
Different methods we use to check strokes before management
Brain imaging is recommended for the patients who have regular neurological symptoms in case the following symptoms are noticed:
Suffering from the bleeding tendency
A depressed feeling of consciousness
The severity of headache at the beginning of stroke symptoms
Neck stiffness, fever, or papilledema
If the patient has the above-mentioned indications, then he is advised with immediate scanning and brain imaging that our team performs within 24 hours of the symptoms’ onset.
If we receive a patient with ischemic stroke, then we work on restoring the blood rapidly and this is likely to offer improved recovery and lesser brain cell death. Our primary treatment is more focused on breaking the clots down via medications (thrombolytic) or (thrombectomy) which is the mechanical removal of these clots. We also offer other treatments for minimising the clot that may become larger and we also work on preventing new clot formation by using anticoagulant medicines. Our experts also focus on managing other conditions such as oxygen level, blood sugar and providing ample hydration.
Each patient with acute ischemic stroke should be treated within 3 to 4 hours once the symptoms are evaluated. We ensure that no delay is there in any treatment.
Offering Thrombolysis [medication name]
Thrombolysis, also known as tPA (tissue plasminogen activator), is a medicine which is able to dissolve blood clots. It is also known as a thrombolytic agent or called clot buster. This is an intravenous or also referred to as IV medication that is generally provided via a catheter by inserting into the arm's vein. This treatment proves to be a saviour for the patient if offered on time. The patients are the mainstay of the initial treatment of severe ischemic stroke. If it is offered within the best time (till 4 hours) then it provides functional outcomes within 3 to 6 months. During this treatment, we also keep a close watch on the patient to administer faster recovery with the best benefits.
We use this treatment for stroke management by removing the blood clot via a physical removal. This therapy is performed either via a mechanical thrombectomy or a catheter-based drug to remove or dissolve the clot. We certainly do not pick this therapy randomly but we opt for it only after a careful and detailed examination of the stroke a patient had. Recent studies also show that this therapy brought the best result for the patients with proximal arterial occlusion as recanalisation was attained within six hours of the onset of stroke symptoms.
If a patient has a Haemorrhagic stroke, then our first focus is to stop his/her bleeding as fast as possible. Often, it requires Neurosurgical intervention. For this stroke, our doctors and surgeons decide the treatment according to the use of anticoagulant medications, blood pressure, malformation of blood vessels, and head trauma. We monitor the patients in intensive care. The initial care comprises varied components:
Blood pressure control
Determining bleeding cause
Stopping any such medicine that may cause or increase bleeding.
Controlling and measuring the pressure in the brain
In case, the patient's life tends to be threatened due to the pressure impact of a brain clot, our team of specialists may opt for the procedure of skull opening and removing the clot from it. This depends on the haemorrhage location and size, age of the patient, or his medical condition. Whichever decision we take is especially for the recovery of the patient.
Why CARE Hospitals for stroke management?
We aim to provide the best assessment and long-term management to our patients who have faced a stroke. For this, we opt for physical therapy as well as testing for determining the exact aetiology of the stroke to prevent its recurrence. Management differs from case to case such as it is for medical complications, brain injury, stress or other related symptoms of the patient. After a thorough check-up, we offer the best management with the most experienced team of doctors and surgeons. Thus, you can get immediate care for stroke management from the best team of specialists at CARE Hospitals.
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