CE: The Use of Resuscitative Endovascular Balloon Occlusion of the Aorta in Treating Hemorrhagic Shock from Severe Trauma

Cheema, Fareed; Garcia, Carrie; Rivera, Aksim; Chao, Edward

doi:10.1097/01.naj.0000546376.73926.5b

Cited by 8 publications

(1 citation statement)

References 24 publications

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“…The inclusion and exclusion criteria for REBOA candidacy were chosen based on suggested REBOA protocols published in the literature [37][38][39][40] and the indications published in the 2018 and 2019 American College of Surgeons and American College of Emergency Physicians guidelines. 28,29 Cases must have had one of the following inclusion criteria to be considered a REBOA candidate:…”

Section: Inclusion and Exclusion Criteriamentioning

confidence: 99%

Assessing the need for resuscitative endovascular balloon occlusion of the aorta (REBOA) for management of non-compressible hemorrhage at a Canadian urban trauma centre: a retrospective chart review.

Patrick

Haegert

Ivkov

et al. 2021

Preprint

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Background Resuscitative endovascular balloon occlusion of the aorta (REBOA) is a less invasive alternative to resuscitative thoracotomy (RT) for life threatening, infra-diaphragmatic, non-compressible hemorrhage from trauma. Existing evidence surrounding the efficacy of REBOA is conflicting; nevertheless, expert consensus suggests that REBOA should be considered in select trauma patients. There has been a paucity of studies that evaluate the potential utility of REBOA in the Canadian setting. The study objective was to evaluate the percentage of trauma patients presenting to a Level 1 Canadian trauma centre that would have met criteria for REBOA. Methods We conducted a retrospective chart review of patients recorded in the British Columbia Trauma Registry who warranted a trauma team activation (TTA) at our institution. We identified REBOA candidates using pre-defined criteria based on published guidelines. Each TTA case was screened by a reviewer, and then each Potential Candidate was reviewed by a panel of trauma physicians for determination of final candidacy. Results Fourteen patients were classified as Likely REBOA Candidates (2.2% of TTAs, median age 46.1 years, 64.3% female). These patients had a median Injury Severity Score of 31.5 (IQR 26.8). The main sources of hemorrhage in these patients were from abdominal injuries (71.4%) and pelvic fractures (42.9%). Conclusion The percentage of patients who met criteria for REBOA is similar to that of RTs performed at our Canadian institution. While REBOA would be performed infrequently, it is a less-invasive alternative to RT, which could be a potentially life-saving procedure in a small group of the most severely injured trauma patients.

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Section: Inclusion and Exclusion Criteriamentioning

confidence: 99%