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An Evidenced-Based Review of Emergency Target Blood Pressure Management for Acute Aortic Dissection

Hankui Hu1, Zhoupeng Wu1

  • 1Department of Vascular Surgery, West China Hospital, 37 Guoxue Alley, Chengdu 610041, Sichuan, China.

Emergency Medicine International
|July 31, 2023
PubMed

Insights

This study summarizes best evidence for emergency blood pressure management in acute aortic dissection. It guides healthcare professionals in developing individualized patient care plans for better outcomes.

Area of Science:

  • Emergency Medicine
  • Cardiovascular Research
  • Evidence-Based Practice

Background:

  • Acute aortic dissection requires prompt and precise emergency target blood pressure management.
  • Optimal management strategies are crucial for improving patient outcomes and reducing mortality.
  • Existing evidence needs synthesis to guide clinical practice effectively.

Purpose of the Study:

  • To consolidate the highest quality evidence for emergency target blood pressure management in acute aortic dissection.
  • To provide practical guidance for healthcare professionals in emergency settings.
  • To support evidence-based decision-making in managing this critical condition.

Main Methods:

  • A systematic search of multiple databases and professional association websites was conducted (2010-2022).
  • The "6S" evidence pyramid model guided the retrieval of diverse study types (guidelines, RCTs, etc.).
  • Evidence rated grade B or higher was evaluated and summarized by two independent researchers.

Main Results:

  • Seventeen articles were included, yielding 36 key evidence points across nine topics.
  • Key topics covered include target value setting, management strategies, and pharmacological interventions (vasoactive and nonvasoactive drugs).
  • Evidence synthesis addressed disease observation, medical history, monitoring, examinations, and patient education.

Conclusions:

  • The summarized evidence serves as a vital reference for emergency department physicians and nurses.
  • Individualized target blood pressure management plans are recommended for patients with acute aortic dissection.
  • Adherence to best evidence is encouraged for optimizing emergency care and patient management.
Abstract

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