cns-2019-scientifictracks

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June 10-11, 2019 | Edinburgh, Scotland

Central Nervous System and Therapeutics

International Conference on

Journal of Neurology and Neurorehabilitation Research | Volume 4

allied

academies

Blood Pressure management in different types of Stroke - A systemic review

Birendra Kumar Bista

NeuroCardio and Multispeciality Hospital, Nepal

troke alters the cerebral autoregulation as a result blood

pressure is elevated in most of the stroke patients.

Different stroke types namely, intracerebal hemorrhage,

ischemic infarct and SAH (subarachnoid hemorrhage) each

require different ranges of BP blood pressure optimization

to maintain CPP and MAP. Inappropriate ranges of BP result

as rebleed, infarct evolution and cerebral edema. The stroke

types require different MAP (mean arterial pressure), CPP

(cerebral perfusion pressure), systolic blood pressure (SBP)

and diastolic blood pressure (DBP) to maintain adequate

cerebral perfusion. Blood pressure optimization is among one

of themost important steps in neuroprotection. This systemic

review presents the latest updates in BP management in

acute stroke. It also stipulates recommended ranges of CPP,

MAP, ICP (Intracranial Pressure), SBP and DBP, for acute stroke

management. Emphasis on, injectible antihypertensives only

in acute stroke is given and commonly used IV (Intravenous)

agents are also listed.

Speaker Biography

Birendra Kumar Bista, is one of the first neurologists of Nepal. He has

been pioneering in field of neuroscience in Nepal and established the

first neuroscience center of eastern Nepal. Through years the work of this

neuroscience center has been recognized home and abroad. He shows

keen interest in medical management and providing state of art services

to this impoverished region of Nepal. Recently he added the first stroke

center of Nepal. He firmly believes in continuous updated education and its

implementation in hospital practices.