You are called to the Emergency Department at 12pm to assess a 75-year-old female with an acute anterior cerebral circulation ischaemic stroke. She has facial paresis, arm weakness and abnormal speech.
Her past history includes atrial fibrillation, type 2 diabetes and hypertension.
Her medications are:
- irbesartan 150 mg daily
- dabigatran 150 mg bd
- dapagliflozin 10 mg daily
The onset of symptoms was 2 hours prior to admission. Her GCS is 15 and she is compliant with instructions. She has been scheduled for urgent clot retrieval.
Sections covered in this viva
Preoperative evaluation and planSedation versus GA and intraoperative managementLeg pain in recovery from arterial puncture site complications