- Clinical Impact of Ventilation Duration in Patients with Stroke Undergoing Interventional Treatment under General Anesthesia: The Shorter the Better?
The authors investigated the impact of early extubation and ventilation duration in a cohort of 103 patients that underwent thrombectomy under general anesthesia. Prolonged ventilation was associated with pneumonia during hospitalization and unfavorable functional outcome (mRS greater than or equal to 3) and death at follow-up. According to ROC analysis, a cutoff after 24 hours predicted unfavorable functional outcome with a sensitivity and specificity of 60% and 78%, respectively. The authors conclude that short ventilation times are associated with a lower pneumonia rate and more favorable clinical outcome.