Critical and Medical Management in Acute Stage of Ischemic Stroke

Patients with acute ischemic stroke may have different prognosis based on the ischemic lesion burden, the reperfusion status after thrombolytic therapy or endovascular thrombectomy. In addition, the quality of neurocritical care has a different effect on clinical outcome, according to the appropriateness of diagnosis and treatment of neurologic worsening. Here, we will mainly focus on general medical care, such as intravenous fluid therapy, glucose control, and hemodynamic optimization. In the latter part, we will briefly discuss the specific issues on neurocritical care in treating patients with large ischemic burden, especially on managing brain edema and elevated intracranial pressure.