2008ESO卒中指南英文版演示幻灯片.ppt

23.01.08 PAR 23.01.08 PAR 23.01.08 PAR 23.01.08 PAR 23.01.2008: In 2006 the EUSI decided that a larger group of authors should prepare the next update. In the meantime, a new European Stroke Society, the European Stroke Organization (ESO), was established and took over the task of updating the guidelines. Accordingly, the new recommendations have been prepared by both members of the former EUSI Recommendations Writing Committee and the ESO (see appendix). The members of the Writing Group met in Heidelberg, Germany for 3 days in December 2007 to finalize the new recommendations. The members of the Writing Committee were assigned to six groups covering different topics. Each group was co-chaired by two colleagues, and included up to five further experts. 24.01.08 26.01.08: The term “general treatment” refers to treatment strategies aimed at stabilizing the critically ill patient in order to control systemic problems that may impair stroke recovery; the management of such problems is a central part of stroke treatment {The European Stroke Initiative Executive Committee and the EUSI Writing Committee, 2003 #456;Leys, 2007 #773}. General treatment includes respiratory and cardiac care, fluid and metabolic management, blood pressure control, the prevention and treatment of conditions such as seizures, venous thromboembolism, dysphagia, aspiration pneumonia, other infections, or pressure ulceration, and occasionally management of elevated intracranial pressure. However, many aspects of general stroke treatment have not been adequately assessed in randomized clinical trials. 26.01.08: Normal respiratory function with adequate blood oxygenation is believed to be important in the acute stroke period to preserve ischaemic brain tissue. However, there is no convincing evidence that routine provision of oxygen at low flow rates to all acute stroke patients is effective {Ronning, 1999 #147}. Identification and treatment of hypoxia is believed to be important in individuals wit