How do you decide on head-of-bed positioning after mechanical thrombectomy for acute stroke?

Reference: https://pubmed.ncbi.nlm.nih.gov/42624516/

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What is your standard head-of-bed recommendation post thrombectomy?

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Neurology · University of Calgary

Answered on

First, there is some evidence that HOB positioning is related to deterioration/improvement before endovascular thrombectomy (EVT) from the ZODIAC trial (See Alexandrov et al JAMA Neurol. 2025;82(9):905–914. doi:10.1001/jamaneurol.2025.2253)

Second, safety comes first. Follow your ABCs. If the airway ...

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