5.5 Medical replacement
When considering a suspect aortic dissection, it is important to provide
haemodynamic support. While this resuscitation protocol may vary
locally, medications such as noradrenaline and dobutamine, often
administered intravenously, have been indicated in the treatment of
aortic dissections (Feldman, Shah and Elefteriades, 2009). Carino et al.
includes studies focusing on medical treatment of non-A non-B
dissections which show admission to intensive care units for monitoring
of blood pressure, analgesia and antihypertensive therapy to be
indicated as a method of medical treatment (Carino et al. , 2019).
Their analysis showed that the proportion of medically treated patients
ranged from 5 to 54% of patients (Carino et al. , 2019). The
30-day mortality rate for these patients was recorded as 14% in
comparison to 3.6% in patients who had undergone intervention (Carinoet al. , 2019).