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Dr. Hinkle, Thank you for your recent article, "Acute Ischemic Stroke Review," in the Journal of Neuroscience Nursing, Oct. 2007. We have a physician at our institution who would like to amend our stroke order set to include MAP monitoring parameters rather than BP parameters for acute ischemic stroke patients on our designated Stroke Unit (not a critical care unit). Are there benefits to MAP monitoring for stroke patients who are not in the critical care setting? If so what are the guidelines? Can you provide references regarding this?

  

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We are the Stroke Coordinators for Washington County Hospital, a community hospital in Western Maryland (U.S.A.).

 

We appreciate your help.

 

References

Adams, H. P., del Zoppo, G., Alberts, M. J., Bhatt, D. L., Brass, L., Furlan, A., et al. (2007). Guidelines for the early management of adults with ischemic stroke: A guideline from the American Heart Association/American Stroke Association Stroke Council, Clinical Cardiology Council, Cardiovascular Radiology and Intervention Council, and the Atherosclerotic Peripheral Vascular Disease and Quality of Care Outcomes in Research Interdisciplinary Working Groups: The American Academy of Neurology affirms the value of this guideline as an educational tool for neurologists. Stroke, 38(5), 1655-1711.

Ropper, A. H., Gress, D. R., Diringer, M. N., Green, D. M., Mayer, S. A., & Bleck, T. P. (2004). Neurological and neurosurgical intensive care (4th ed.). Philadelphia: Lippincott Williams and Wilkins.