General anesthesia for intra-arterial stroke treatment (endovascular mechanical thrombectomy): Still needed or a thing of the past?

Abstract

A 74-year-old female presents with right-sided hemiplegia and aphasia. She was last seen well by her family 1 h before arrival in the emergency room (ER). They report a history of hypertension, type II diabetes, and paroxysmal atrial fibrillation. She is taking lisinopril, hydrochlorothiazide, metformin, and metoprolol. She has no known allergies and last ate 3 h ago. Height: 5'2" and weight: 220 lbs. Vital signs: blood pressure (BP) 180/105 mm Hg, heart rate (HR) 120, respiratory rate (RR) 18, and temperature 36.7°C.