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CAS Pinnacle Rounds - Time is Brain: Stroke Management and Review of Nova Scotia EVT Process Times From an Anesthesia Perspective

April 15, 2026

8:00 pm - 9:00 pm

More than 97,000 strokes occur in Canada every year, with incidence increasing over time. Anesthesiologists in Canada are typically involved in endovascular thrombectomy (EVT) management, albeit in varying degrees across the country. In this talk, we will review community and perioperative stroke management guidelines and typical anesthetic considerations. We will then cover Nova Scotia's current institutional standards, practices, and performance using data from our provincial stroke registry, before reflecting on the broader impacts of international clinical trials on EVT practices and the role of anesthesiologists in the care of stroke patients.

Upon completion of this session, participants should be able to:

  1. Describe the management of acute ischemic stroke and key anesthesia considerations that impact stroke outcomes.
  2. Outline perioperative stroke management and the process for in hospital stroke activations within Nova Scotia.
  3. Appraise the standard stroke activation timeline within Nova Scotia, current institutional performance for both in and outpatient activations, and present limitations; and discuss potential improvements from an anesthesia perspective.