Summary of best evidence for emergency target blood pressure management of acute aortic dissection
10.3760/cma.j.cn211501-20211020-02912
- VernacularTitle:急性主动脉夹层急诊目标血压管理的最佳证据总结
- Author:
Wei XU
1
;
Xiaoli CHEN
;
Congying NIU
;
Wenfeng LIN
;
Baozhen CHENG
;
Liqin SUN
Author Information
1. 中国科学技术大学附属第一医院急诊医学科，合肥 230000
- Keywords:
Emergency treatment;
Acute aortic dissection;
Target blood pressure;
Summary of evidence;
Evidence-based nursing
- From:
Chinese Journal of Practical Nursing
2022;38(34):2703-2710
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate and summary the relevant evidence of emergency target blood pressure management in acute aortic dissection, so as to provide guidance for the evidence-based practice of emergency target blood pressure management.Methods:According to the "6S" evidence pyramid model, the evidence about emergency target blood pressure management of acute aortic dissection in various databases and professional association websites at home and abroad was retrieved, including clinical decision, guidelines, expert consensus, systematic evaluation, randomized controlled trial, cohort study, case series, etc. Two researchers used corresponding literature quality evaluation tools to evaluate the quality of the included literature, extracted and summarized the evidence of the literature above grade B.Results:A total of 22 articles were included in this study, including 6 clinical decisions, 5 guidelines, 7 expert consensus, 1 systematic evaluation, 1 randomized controlled trial, 1 cohort study and 1 case series, forming 37 best evidences, including 9 topics such as target value setting, management strategies, disease observation, medical history collection, monitoring methods, vasoactive drugs, non vasoactive drugs, auxiliary examination, health education.Conclusions:The summarized best evidence provides a reference for emergency medical staff to manage the emergency target blood pressure of acute aortic dissection. It is recommended that emergency medical staff follow the summarized best evidence to formulate an individualized target blood pressure management scheme for patients.
