Perioperative Stroke Following General Surgery

Chia-Chun Huang ^{a, b, c}, Jimmy Ong ^{a, b}, Chia-Ling Lee ^{a, b}, Tsung-Ying Chen ^{a, b, c}

^aDepartment of Anesthesiology, Buddhist Tzu Chi General Hospital, Hualien, Taiwan
^bDepartment of Anesthesiology, Tzu Chi University, Hualien, Taiwan
^cGraduate Institute of Clinical Medicine, Tzu Chi University, Hualien, Taiwan

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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