A Study on the Effects of Different Positions on the Clinical Prognosis of Patients with Acute Ischemic Stroke


Cite item

Full Text

Abstract

:The key to treating Acute Ischemic Stroke (AIS) is to rapidly reopen occluded blood vessels, restore blood flow, and rescue the ischemic penumbra. Treatment methods mainly include thrombolysis, endovascular intervention, etc. However, these treatments are limited by strict time windows and technical conditions. Simpler and more feasible methods to improve cerebral blood flow are currently a hot topic in clinical research. In recent years, several studies have shown that changes in body position can effectively improve cerebral blood flow in patients. However, the effect on the neurological functional prognosis of AIS remains inconclusive. This review has examined the effects of changes in body position on the clinical prognosis of AIS, combining relevant guidelines and the latest research. The study has provided evidence of an improvement in the clinical prognosis of AIS.

About the authors

Qinqin Dai

, Nursing School of Zhengzhou University

Email: info@benthamscience.net

Mengmeng Zhang

, Nursing School of Zhengzhou University

Email: info@benthamscience.net

Yuanli Guo

, Nursing School of Zhengzhou University

Email: info@benthamscience.net

Qilan Tang

, Nursing School of Zhengzhou University

Email: info@benthamscience.net

Aixia Wang

Department of Neurology, The First Affiliated Hospital of Zhengzhou University

Email: info@benthamscience.net

Yuming Xu

Department of Neurology, The First Affiliated Hospital of Zhengzhou University

Email: info@benthamscience.net

Kai Liu

, Nursing School of Zhengzhou University

Author for correspondence.
Email: info@benthamscience.net

References

  1. Qian Y, Ye D, Huang H, et al. Coffee consumption and risk of stroke: A mendelian randomization study. Ann Neurol 2020; 87(4): 525-32. doi: 10.1002/ana.25693 PMID: 32034791
  2. Fang H, Liu W, Zhang L, et al. A bidirectional mendelian randomization study of selenium levels and ischemic stroke. Front Genet 2022; 13782691 doi: 10.3389/fgene.2022.782691 PMID: 35495125
  3. Menon BK, Goyal M. Clots, collaterals, and the intracranial arterial tree. Stroke 2016; 47(8): 1972-3. doi: 10.1161/STROKEAHA.116.013829 PMID: 27338927
  4. Shuaib A, Butcher K, Mohammad AA, Saqqur M, Liebeskind DS. Collateral blood vessels in acute ischaemic stroke: A potential therapeutic target. Lancet Neurol 2011; 10(10): 909-21. doi: 10.1016/S1474-4422(11)70195-8 PMID: 21939900
  5. Bang OY, Saver JL, Kim SJ, et al. Collateral flow predicts response to endovascular therapy for acute ischemic stroke. Stroke 2011; 42(3): 693-9. doi: 10.1161/STROKEAHA.110.595256 PMID: 21233472
  6. Azeli Y, Bardají A, Barbería E, et al. Clinical outcomes and safety of passive leg raising in out-of-hospital cardiac arrest: A randomized controlled trial. Crit Care 2021; 25(1): 176. doi: 10.1186/s13054-021-03593-7 PMID: 34034775
  7. Beretta S, Versace A, Martini B, et al. Head down tilt 15° in experimental intracerebral hemorrhage: A randomized noninferiority safety trial. Eur J Neurol 2021; 28(2): 525-31. doi: 10.1111/ene.14560 PMID: 32986293
  8. Ginsberg M D. The cerebral collateral circulation: Relevance to pathophysiology and treatment of stroke. Neuropharmacology 2018; 134(Pt B): 280-92.
  9. Lin E, Kamel H, Gupta A. RoyChoudhury A, Girgis P, Glodzik L. Incomplete circle of Willis variants and stroke outcome. Eur J Radiol 2022; 153110383 doi: 10.1016/j.ejrad.2022.110383 PMID: 35661459
  10. Ginsberg MD. Expanding the concept of neuroprotection for acute ischemic stroke: The pivotal roles of reperfusion and the collateral circulation. Prog Neurobiol 2016; 145-146: 46-77. doi: 10.1016/j.pneurobio.2016.09.002 PMID: 27637159
  11. Ishibashi S, Iwasawa E, Ichijo M, Yokota T. Acute development of collateral circulation and therapeutic prospects in ischemic stroke. Neural Regen Res 2016; 11(3): 368-71. doi: 10.4103/1673-5374.179033 PMID: 27127459
  12. Han M, Kwon I, Ha J, et al. Collateral augmentation treatment with a combination of acetazolamide and head-down tilt in a rat ischemic stroke model. J Clin Neurosci 2020; 73: 252-8. doi: 10.1016/j.jocn.2020.01.079 PMID: 32037062
  13. Zhao ZA, Zhang NN, Cui Y, Chen HS. The effect of head‐down tilt in experimental acute ischemic stroke. Eur J Neurol 2023; 30(1): 155-61. doi: 10.1111/ene.15597 PMID: 36256506
  14. Benarroch EE. The arterial baroreflex. Neurology 2008; 71(21): 1733-8. doi: 10.1212/01.wnl.0000335246.93495.92 PMID: 19015490
  15. Nasr N, Czosnyka M, Pavy-Le Traon A, et al. Baroreflex and cerebral autoregulation are inversely correlated. Circ J 2014; 78(10): 2460-7. doi: 10.1253/circj.CJ-14-0445 PMID: 25187067
  16. Claassen JAHR, Meel-van den Abeelen ASS, Simpson DM, Panerai RB. Transfer function analysis of dynamic cerebral autoregulation: A white paper from the international cerebral autoregulation research network. J Cereb Blood Flow Metab 2016; 36(4): 665-80. doi: 10.1177/0271678X15626425 PMID: 26782760
  17. Dilenge D, Perey B. An angiographic study of the meningorachidian venous system. Radiology 1973; 108(2): 333-7. doi: 10.1148/108.2.333 PMID: 4198121
  18. Ciuti G, Righi D, Forzoni L, Fabbri A, Pignone AM. Differences between internal jugular vein and vertebral vein flow examined in real time with the use of multigate ultrasound color Doppler. AJNR Am J Neuroradiol 2013; 34(10): 2000-4. doi: 10.3174/ajnr.A3557 PMID: 23721896
  19. Doepp F, Schreiber SJ, von Münster T, Rademacher J, Klingebiel R, Valdueza JM. How does the blood leave the brain? A systematic ultrasound analysis of cerebral venous drainage patterns. Neuroradiology 2004; 46(7): 565-70. doi: 10.1007/s00234-004-1213-3 PMID: 15258709
  20. Qvarlander S, Sundström N, Malm J. Postural effects on intracranial pressure: Modeling and clinical evaluation. J Appl Physiol 2013; 115(10): 1474-80.
  21. Sagirov AF, Sergeev TV, Shabrov AV, Yurov AY, Guseva NL, Agapova EA. Postural influence on intracranial fluid dynamics: An overview. J Physiol Anthropol 2023; 42(1): 5. doi: 10.1186/s40101-023-00323-6 PMID: 37055862
  22. Wojner-Alexander AW, Garami Z, Chernyshev OY, Alexandrov AV. Heads down. Neurology 2005; 64(8): 1354-7. doi: 10.1212/01.WNL.0000158284.41705.A5 PMID: 15851722
  23. Emberson J, Lees KR, Lyden P, et al. Effect of treatment delay, age, and stroke severity on the effects of intravenous thrombolysis with alteplase for acute ischaemic stroke: A meta-analysis of individual patient data from randomised trials. Lancet 2014; 384(9958): 1929-35. doi: 10.1016/S0140-6736(14)60584-5 PMID: 25106063
  24. Alexandrov AW, Tsivgoulis G, Hill MD, et al. Headpost. Neurology 2018; 90(19): 885-9. doi: 10.1212/WNL.0000000000005481 PMID: 29643083
  25. Mariani J, Beretta S, Diamanti S, et al. Head down tilt 15° in acute ischemic stroke with poor collaterals: A randomized preclinical trial. Neuroscience 2023; 523: 1-6. doi: 10.1016/j.neuroscience.2023.05.011 PMID: 37211082
  26. Gauthier A, Gérardin P, Renou P, et al. Trendelenburg positioning in large vessel ischaemic stroke: A pre-post observational study using propensity score matching. Cerebrovasc Dis 2018; 46(1-2): 24-32. doi: 10.1159/000490423 PMID: 30056454
  27. Chen HS, Zhang NN, Cui Y, et al. A randomized trial of Trendelenburg position for acute moderate ischemic stroke. Nat Commun 2023; 14(1): 2592. doi: 10.1038/s41467-023-38313-y PMID: 37147320
  28. Beretta S, Versace A, Carone D, et al. Cerebral collateral therapeutics in acute ischemic stroke: A randomized preclinical trial of four modulation strategies. J Cereb Blood Flow Metab 2017; 37(10): 3344-54. doi: 10.1177/0271678X16688705 PMID: 28112023
  29. Monnet X, Rienzo M, Osman D, et al. Passive leg raising predicts fluid responsiveness in the critically ill. Crit Care Med 2006; 34(5): 1402-7. doi: 10.1097/01.CCM.0000215453.11735.06 PMID: 16540963
  30. Reuter DA, Kirchner A, Felbinger TW, et al. Usefulness of left ventricular stroke volume variation to assess fluid responsiveness in patients with reduced cardiac function. Crit Care Med 2003; 31(5): 1399-404. doi: 10.1097/01.CCM.0000059442.37548.E1 PMID: 12771609
  31. Ryu HH, Moore JC, Yannopoulos D, et al. The effect of head up cardiopulmonary resuscitation on cerebral and systemic hemodynamics. Resuscitation 2016; 102: 29-34. doi: 10.1016/j.resuscitation.2016.01.033 PMID: 26905388
  32. Holmén J, Herlitz J, Jimenez-Herrera M, Karlsson T, Axelsson C. Passive leg raising in out-of-hospital cardiac arrest. Resuscitation 2019; 137: 94-101. doi: 10.1016/j.resuscitation.2019.02.017 PMID: 30790693
  33. Anderson CS, Arima H, Lavados P, et al. Cluster-randomized, crossover trial of head positioning in acute stroke. N Engl J Med 2017; 376(25): 2437-47. doi: 10.1056/NEJMoa1615715 PMID: 28636854
  34. Dragoumanos V, Iacovidou N, Chalkias A, et al. Passive leg raising during cardiopulmonary resuscitation results in improved neurological outcome in a swine model of prolonged ventricular fibrillation. Am J Emerg Med 2012; 30(9): 1935-42. doi: 10.1016/j.ajem.2012.04.014 PMID: 22795422
  35. Zhang Y, Jiménez-Herrera M, Axelsson C, Cheng Y. Not bad: Passive leg raising in cardiopulmonary resuscitation-a new modeling study. Front Physiol 2017; 7: 665. doi: 10.3389/fphys.2016.00665 PMID: 28119619
  36. Shin DA, Park J, Lee JC, Shin SD, Kim HC. Computational simulation of passive leg-raising effects on hemodynamics during cardiopulmonary resuscitation. Comput Methods Programs Biomed 2017; 140: 195-200. doi: 10.1016/j.cmpb.2016.12.011 PMID: 28254076
  37. Lorensini S, Prakash S, McNeill D, Spencer N, Bihari S. A pilot study to examine the effect of passive straight leg raise performed during cardiopulmonary resuscitation on cerebral perfusion measured by noninvasive cerebral oximetry. Crit Care Explor 2023; 5(4)e0880 doi: 10.1097/CCE.0000000000000880 PMID: 36998526
  38. Monnet X, Teboul JL. Passive leg raising: Five rules, not a drop of fluid! Crit Care 2015; 19(1): 18. doi: 10.1186/s13054-014-0708-5 PMID: 25658678
  39. Bauer M, Basic D, Riedmann M, et al. Passive leg raising in brain injury patients within the neurointensive care unit. A prospective trial. Anaesthesiol Intensive Ther 2021; 53(3): 200-6. doi: 10.5114/ait.2021.108361 PMID: 35164482
  40. Paelinck B, van Eck JW, De Hert SG, Gillebert TC. Effects of postural changes on cardiac function in healthy subjects. Eur J Echocardiogr 2003; 4(3): 196-201. doi: 10.1016/S1525-2167(02)00167-1 PMID: 12928023
  41. Gillebert TC. Leg lifting in HFrEF, Frank-starling, and mitral regurgitation. JACC Cardiovasc Imaging 2017; 10(6): 619-21. doi: 10.1016/j.jcmg.2016.08.006 PMID: 27865724
  42. Thiel SW, Kollef MH, Isakow W. Non-invasive stroke volume measurement and passive leg raising predict volume responsiveness in medical ICU patients: An observational cohort study. Crit Care 2009; 13(4): R111. doi: 10.1186/cc7955 PMID: 19586543
  43. Préau S, Saulnier F, Dewavrin F, Durocher A, Chagnon JL. Passive leg raising is predictive of fluid responsiveness in spontaneously breathing patients with severe sepsis or acute pancreatitis. Crit Care Med 2010; 38(3): 819-25. doi: 10.1097/CCM.0b013e3181c8fe7a PMID: 20016380

Supplementary files

Supplementary Files
Action
1. JATS XML
Download

Copyright (c) 2024 Bentham Science Publishers