Clinical Nursing
Summary of best evidence for emergency target blood pressure management of acute aortic dissection
Xu Wei, Chen Xiaoli, Niu Congying, Lin Wenfeng, Cheng Baozhen, Sun Liqin
Published 2022-12-01
Cite as Chin J Prac Nurs, 2022, 38(34): 2703-2710. DOI: 10.3760/cma.j.cn211501-20211020-02912
Abstract
ObjectiveTo 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.
MethodsAccording 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.
ResultsA 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.
ConclusionsThe 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.
Key words:
Emergency treatment; Acute aortic dissection; Target blood pressure; Summary of evidence; Evidence-based nursing
Contributor Information
Xu Wei
Department of Emergency, the First Affiliated Hospital of University of Science and Technology of China, Hefei 230000, China
Chen Xiaoli
School of Nursing, Wuhan University, Wuhan 430071, China
Niu Congying
School of Nursing, Anhui University of Chinese Medicine, Hefei 230000, China
Lin Wenfeng
Department of Emergency, the First Affiliated Hospital of University of Science and Technology of China, Hefei 230000, China
Cheng Baozhen
Department of Emergency, the First Affiliated Hospital of University of Science and Technology of China, Hefei 230000, China
Sun Liqin
Department of Emergency, the First Affiliated Hospital of University of Science and Technology of China, Hefei 230000, China