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Scripta Medica
2019, vol. 50, br. 2, str. 102-105
jezik rada: engleski
vrsta rada: naučni članak
objavljeno: 13/08/2019
doi: 10.5937/scriptamed50-21282
Prehospital management of aortic dissection
(naslov ne postoji na srpskom)
aUniverzitet u Novom Sadu, Medicinski fakultet + Univerzitet u Novom Sadu, Medicinski fakultet, Institut za kardiovaskularne bolesti
bUniverzitet u Novom Sadu, Medicinski fakultet, Institut za kardiovaskularne bolesti

e-adresa: andrej.preveden@mf.uns.ac.rs

Sažetak

(ne postoji na srpskom)
Medical staff that makes the initial contact with patient with aortic dissection has a goal to rise a suspicion and recognize aortic dissection, as well as to safely transport the patient to a health center capable of providing the definite treatment. First step in the prehospital management is providing oxygen support via breathing mask to prevent organ damage. It is important to monitor all vital functions during transport, including heart rhythm and diuresis, in order to have a continuous insight into the patient's current state and in case of a deterioration react appropriately. Blood pressure control is the main goal of the medical treatment in aortic dissection. Systolic blood pressure should be kept between 100-120 mmHg, whereas the target heart rate is 60 beats per minute. Therapy should be started with intravenous administration of beta-blocker or non-dihydropyridine calcium channel blocker, followed by a vasodilator infusion. For pain management intravenous administration of opiates is recommended. In case of shock, intravenous fluid replacement with crystalloids should be initiated immediately, along with vasopressor therapy with noradrenalin or phenylephrine. In case of shock, the patient should be intubated and mechanically ventilated with the appropriate sedation.

Ključne reči

Reference

Caroline, N.L., Macdonald, R.D., Burgess, R.J. (2010) Nancy Caroline's emergency care in the streets. Sudbury: Jones and Bartlett
Crawford, E.S. (1990) The Diagnosis and Management of Aortic Dissection. JAMA: The Journal of the American Medical Association, 264(19): 2537-2537
Dixon, M. (2014) Aortic Dissection or MI? It could be both. Emergency Medicine: Open Access, 04(04): 199-199
Greaves, I., Porter, K. (2007) Oxford handbook of pre-hospital care. Oxford: Oxford University Press
Hagan, P.G., Nienaber, C.A., Isselbacher, E.M., Bruckman, D., Karavite, D.J., Russman, P.L., Evangelista, A., Fattori, R., Suzuki, T., Oh, J.K. (2000) The International Registry of Acute Aortic Dissection (IRAD): New insights into an old disease. JAMA, 283(7): 897-903
Henry, M.C., Stapleton, E.R., Edgerly, D. (2010) EMT prehospital care. St. Louis: Mosby Jems-Elsevier
Hiratzka, L.F., Bakris, G.L., Beckman, J.A., Bersin, R.M., Carr, V.F., Casey, D.E., Eagle, K.A., Hermann, L.K., Isselbacher, E.M., Kazerooni, E.A., Kouchoukos, N.T., Lytle, B.W., Milewicz, D.M., Reich, D.L. (2010) 2010 ACCF/AHA/AATS/ACR/ ASA/SCA/SCAI/SIR/STS/SVM guidelines for the diagnosis and management of patients with thoracic aortic disease. Circulation, 121(13): e266-369
Jameson, J.L., Fauci, A.S., Kasper, D.L., Hauser, S.L., Longo, D.L., Loscalzo, J., eds. (2018) Harrison's principles of internal medicine. New York: McGraw-Hill Education, 20th ed
Li, J.Z., Eagle, K.A., Vaishnava, P. (2013) Hypertensive and Acute Aortic Syndromes. Cardiology Clinics, 31(4): 493-501
Long, B., Koyfman, A. (2017) Vascular Causes of Syncope: An Emergency Medicine Review. Journal of Emergency Medicine, 53(3): 322-332
Mészáros, I., Mórocz, J., Szlávi, J., Schmidt, J., Tornóci, L., Nagy, L., Szép, L. (2000) Epidemiology and Clinicopathology of Aortic Dissection. Chest, 117(5): 1271-1278
Nienaber, C.A., Clough, R.E. (2015) Management of acute aortic dissection. Lancet, 385(9970): 800-811
Pons, P.T., Markovchick, V.J., eds. (2012) Prehospital care pearls and pitfalls. Shelton, CT, USA: People's Medical Publishing House
Suzuki, T., Eagle, K.A., Bossone, E., Ballotta, A., Froehlich, J.B., Isselbacher, E.M. (2014) Medical management in type B aortic dissection. Ann Cardiothorac Surg, 3(4): 413-420
Task Force for the Diagnosis and Treatment of Aortic Diseases of the European Society of Cardiology (ESC) (2014) 2014 ESC Guidelines on he diagnosis and treatment of aortic diseases. European Heart Journal, Dostupno na: www.escardio.org/guidelines http://www.escardio.org/guidelines
Wittels, K. (2011) Aortic Emergencies. Emergency Medicine Clinics of North America, 29(4): 789-800
Zhan, S., Hong, S., Shan-shan, L., Chen-ling, Y., Lai, W., Dong-wei, S., Chao-yang, T., Xian-hong, S., Chun-Sheng, W. (2012) Misdiagnosis of Aortic Dissection: Experience of 361 Patients. Journal of Clinical Hypertension, 14(4): 256-260