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Abstract Introduction: Stroke is a major cause of serious, long-term disability. According to the World Health Organization, 15 million people suffer a stroke worldwide annually. Of those, one third do not survive and another third is left with a significant neurological deficit. The majority of these events are ischemic (87%), as opposed to intracerebral (10%) and subarachnoid hemorrhages (3%). Aim of the work: This essay aims to focus on the anesthetic management in patients with acute ischemic stroke (AIS) including the anesthetic techniques, the effect of the anesthetic technique on the state of reperfusion and their neurological outcomes . Summary: Stroke is a major cause of serious, long-term disability. The majority of stroke cases are ischemic (87%). The initial treatment of patients with acute ischemic stroke (AIS) focuses on rapid recanalization, which often includes the use of endovascular therapies. Endovascular treatment depends upon micronavigation of catheters and devices into the cerebral vasculature, which is easier and safer with a motionless patient. Recommendations: It is recommended that patients should go to a dedicated ICU specializing in neurovascular care or a stroke unit after the procedure. It is also recommended that continuous hemodynamic monitoring should be continued in the ICU or stroke unit . Patients who meet standard extubation criteria after the procedure should be extubated. |