Bed Position Matters in Care After Acute Ischemic Stroke

Share this content:
Bed Position Matters in Care After Acute Ischemic Stroke
Bed Position Matters in Care After Acute Ischemic Stroke

FRIDAY, Nov. 7, 2014 (HealthDay News) -- Hospital bed positioning can be critical in the first 24 hours after a person suffers an ischemic stroke, according to a report published recently in MedLink Neurology.

"The period immediately following an acute ischemic stroke is a time of significant risk," neurologists from the Loyola University Medical Center in Maywood, Ill., said in a university news release. "Meticulous attention to the care of the stroke patient during this time can prevent further neurologic injury and minimize common complications, optimizing the chance of functional recovery."

Sitting upright can harm ischemic stroke patients because it decreases blood flow to the brain when it needs more blood, the researchers explained. This would suggest that it's best to keep these patients lying as flat as possible, but strokes can also cause brain swelling. Keeping patients sitting upright helps improve blood drainage and reduces swelling. "There are few data to guide decision making in this difficult situation," wrote Murray Flaster, M.D., Ph.D., and colleagues in the news release. Another complicating factor is that some stroke patients have difficulty breathing while lying flat. In such cases, the head of the bed should be at the lowest elevation the patient can tolerate.

The report also examines many other issues in stroke care, such as: glycemic control; blood pressure management; use of statin drugs; complications such as pneumonia and sepsis; heart attack and other heart problems; deep vein thrombosis; infection; seizures; further strokes; brain swelling and bleeding; and malnutrition and aspiration. Research has shown that patients treated at hospital units that specialize in stroke care are less likely to die, more likely to be able to return home, and have better functioning and quality of life, the report said.

Full Article
Press Release
Full Text (subscription or payment may be required)

Share this content:

is free, fast, and customized just for you!

Already a member?

Sign In Now »

Drug Lookup

Browse drugs by: BrandGenericDisease

Trending Activities

All Professions



Sign up for myCME e-newsletters


More in Home

Surveillance Frequency Doesn't Cut Mortality in Colorectal Cancer

Surveillance Frequency Doesn't Cut Mortality in Colorectal Cancer

And, intensity of imaging surveillance not linked to time to detection of colorectal cancer recurrence

Procalcitonin Assay Doesn't Cut Antibiotic Use in Lower RTI

Procalcitonin Assay Doesn't Cut Antibiotic Use in Lower ...

Provision of assay doesn't result in less antibiotic use for suspected lower respiratory tract infection

Preventing Child Maltreatment Not Yet Feasible in Primary Care

Preventing Child Maltreatment Not Yet Feasible in Primary ...

USPSTF says evidence inadequate for primary care interventions to prevent child maltreatment

is free, fast, and customized just for you!

Already a member?

Sign In Now »