What is the role of sedation and paralysis in the treatment of basilar artery thrombosis?

Updated: Jan 11, 2019
  • Author: Salvador Cruz-Flores, MD, MPH, FAHA, FCCM, FAAN, FACP, FANA; Chief Editor: Helmi L Lutsep, MD  more...
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Answer

Sedation and paralysis should be avoided because they interfere with neurologic assessment of the patient. However, sedation alone can and should be used to maintain comfort. Under certain circumstances, such as the occurrence of neurogenic hyperventilation, the use of sedation and paralysis may be required to avoid hypocarbia, which can worsen the ischemic process.


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