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Correspondence
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Volume 356:2325-2327 May 31, 2007 Number 22
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Perioperative Stroke

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 by Selim, M.
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To the Editor: In his review of perioperative stroke, Selim (Feb. 15 issue)1 states that regional anesthesia may pose less risk of perioperative complications than general anesthesia and that "isoflurane and thiopentone may provide neuroprotection." However, the references that he cites2,3 do not provide support for these contentions. Breen and Park's2 review of the literature showed that no conclusions could be drawn about the risk of stroke associated with general as compared with regional anesthesia for carotid endarterectomy. In fact, the results of the randomized trials reviewed indicated that postoperative hypotension was more likely after regional anesthesia. The differences that . . . [Full Text of this Article]




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