Clot retrieval

 

Aims:

·        SBP 140-180 before recanalization (collateral perfusion)

·        DBP <110 (don’t want bleed)

·        SpO2 >92% (don’t want hypoxia or hyperoxia)

·        PaCO2 35-45mmHg and probably higher (don’t want cerebral vasoconstriction)

 

Sedation if:

·        Conscious state ok (beware posterior circulation)

·        Airway ok

·        Can lie flat

·        Can co-operate