Acute Blood Pressure Management After Intracerebral Hemorrhage

2016 ◽  
pp. 179-196
Author(s):  
Venkatesh Aiyagari
Keyword(s):  
Blood Pressure ◽  
Intracerebral Hemorrhage ◽  
Pressure Management ◽  
Blood Pressure Management

Abstract W MP12: Changing Policies for Blood Pressure Management in Spontaneous Intracerebral Hemorrhage

Stroke ◽  
2014 ◽  
Vol 45 (suppl_1) ◽  
Author(s):  
Jill Slater ◽  
Holly Morhaim ◽  
Steven Rudolph
Keyword(s):  
Blood Pressure ◽  
Intracerebral Hemorrhage ◽  
Heart Association ◽  
Teaching Hospitals ◽  
Spontaneous Intracerebral Hemorrhage ◽  
Pressure Management ◽  
Practice Nurses ◽  
Program Coordinators ◽  
Blood Pressure Management ◽  
Stroke Center

Background: Current American Heart Association guidelines for targeted blood pressure management in spontaneous intracerebral hemorrhage (ICH), published in 2010, suggest a target mean arterial pressure of less than 110 or a blood pressure of less than 160/90 in patients without elevated intracranial pressure. These guidelines acknowledge that these recommendations have been based on incomplete efficacy evidence. A lower level recommendation was given for reducing target blood pressure to a systolic of 140, based on the INTERACT trial published in 2008. The INTERACT2 trial, published in May 2013, has been interpreted to establish the safety of rapid blood pressure lowering to 140 systolic. Purpose: To determine the current level of adoption by stroke centers of lower targets for blood pressure in patients with spontaneous intracerebral hemorrhage, and whether these targets have changed in 2013. Methods: We developed a web-based survey that was distributed via email and professional groups to stroke advanced practice nurses and stroke program coordinators. The survey asked specific questions regarding changes in clinical practice and stroke center policies on blood pressure management in spontaneous ICH. The survey was anonymous, and the survey software was able to exclude multiple entries from the same computer. Results: Responses were obtained from academic medical centers, community teaching hospitals, and community non-teaching hospitals. Awareness of the results of INTERACT2 was known by 65%, 50%, and 31% of stroke nurses at these hospitals, respectively. Targets for systolic blood pressure were changed in 2013 at 46%, 44%, and 11% of hospitals by group. A time target to lower blood pressure of less than one hour was adopted by 57%, 46%, and 28% respectively. Conclusion: Stroke centers have rapidly adopted changes in blood pressure management in intracerebral hemorrhage in advance of guideline revisions. Non-teaching hospitals were less likely to adopt these changes.

Blood pressure management in acute intracerebral hemorrhage

2015 ◽  
Vol 21 (2) ◽  
pp. 99-106 ◽  
Author(s):  
Laura C. Gioia ◽  
Mahesh Kate ◽  
Dar Dowlatshahi ◽  
Michael D. Hill ◽  
Ken Butcher
Keyword(s):  
Blood Pressure ◽  
Intracerebral Hemorrhage ◽  
Pressure Management ◽  
Blood Pressure Management ◽  
Acute Intracerebral Hemorrhage

Blood Pressure Management After Intracerebral Hemorrhage

2015 ◽  
Vol 17 (12) ◽  
Author(s):  
Shoichiro Sato ◽  
Cheryl Carcel ◽  
Craig S. Anderson
Keyword(s):  
Blood Pressure ◽  
Intracerebral Hemorrhage ◽  
Pressure Management ◽  
Blood Pressure Management

Blood pressure management in emergency department patients with spontaneous intracerebral hemorrhage

2020 ◽  
Vol 25 (6) ◽  
pp. 318-323
Author(s):  
Diane Kuhn ◽  
Laura Tiffany ◽  
Richa Beher ◽  
Sharon Boswell ◽  
Diego Giraldo ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Emergency Department ◽  
Intracerebral Hemorrhage ◽  
Spontaneous Intracerebral Hemorrhage ◽  
Pressure Management ◽  
Blood Pressure Management ◽  
Emergency Department Patients

scholarly journals Improving Blood Pressure Management and Disease Severity Documentation in Patients With Acute Intracerebral Hemorrhage

2017 ◽  
Vol 1 (3) ◽  
pp. 219-225
Author(s):  
Oana M. Dumitrascu ◽  
Cumara B. O'Carroll ◽  
Vanesa Vanderhye ◽  
Bart M. Demaerschalk ◽  
Maria I. Aguilar
Keyword(s):  
Blood Pressure ◽  
Intracerebral Hemorrhage ◽  
Disease Severity ◽  
Pressure Management ◽  
Blood Pressure Management ◽  
Acute Intracerebral Hemorrhage

scholarly journals Blood Pressure Management in Acute Intracerebral Hemorrhage

Stroke ◽  
2004 ◽  
Vol 35 (6) ◽  
pp. 1364-1367 ◽  
Author(s):  
Kazuhiro Ohwaki ◽  
Eiji Yano ◽  
Hiroshi Nagashima ◽  
Masafumi Hirata ◽  
Tadayoshi Nakagomi ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Intracerebral Hemorrhage ◽  
Pressure Management ◽  
Blood Pressure Management ◽  
Acute Intracerebral Hemorrhage

scholarly journals Acute Blood Pressure Management in Intracerebral Hemorrhage

Stroke ◽  
2016 ◽  
Vol 47 (12) ◽  
pp. 3065-3066 ◽  
Author(s):  
Kenneth Butcher ◽  
Magdy Selim
Keyword(s):  
Blood Pressure ◽  
Intracerebral Hemorrhage ◽  
Pressure Management ◽  
Blood Pressure Management
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