![]() If it is caused by a blood clot (ischemic stroke), clot-busting medication can help reduce long-term effects if you are treated in time. ![]() He said doctors at regional hospitals needed to be trained to administer the traditional clot-busting drug, Alteplase, to the patient and then get them on a plane to Royal Melbourne Hospital within six hours to give patients their best chance at recovery. If you experience a stroke, you will likely be initially admitted to an emergency department to stabilize your condition and determine the type of stroke. Clot buster drugs, also known as thrombolytic therapy, are a type of heart medication given in the hospital through an IV to break up blood clots. "It's all well and good if you live in Parkville but this treatment needs to be provided equitably to everybody and it can't be provided at every single hospital, it's just not possible, there aren't people to do it and it's too expensive," Professor Barber said. It is understood that the Royal Melbourne Hospital, Monash and the Austin Hospital are all able to administer the treatment to major stroke patients. A Johns Hopkins study of patients with ischemic stroke suggests that many of those who receive prompt hospital treatment with 'clot-busting' tissue plasminogen activator (tPA) therapy can avoid lengthy, restrictive monitoring in an intensive care unit (ICU). On average, six in every 100 patients treated with a clot-busting medication, such as TNK, will develop symptoms from bleeding into their brain. ![]() It requires specially trained radiologists, stroke doctors and anaesthetists to be ready to operate within six hours. The stroke team will review the patient’s medical history and brain scans in detail to decrease any risk of bleeding from TNK. But for every five people you treat with clot retrieval, one more will go home able to function as an independent person, and there is one less person who is left severely dependent," Professor Barber said, speaking before he addressed the Australian and New Zealand College of Anaesthetists annual meeting in Auckland on Sunday.īut the technique is resource intensive and must be performed soon after the stroke.
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