Consensus on resuscitative endovascular balloon occlusion of the Aorta: A first consensus paper using a Delphi method

Feasibility study for implementation of resuscitative balloon occlusion of the aorta in peri‐arrest, exsanguinating trauma at an adult level 1 Australian trauma centre

“…This view has been supported by a Delphi panel consensus on REBOA and in centres adopting such a threshold, would result in more patients having the procedure. However, the panel also agreed that decisions should be individualised …”

REBOA – Resuscitative Endovascular Balloon Occlusion of the Aorta

“…Idealerweise sollte die bei Okklusion in Zone I unter 45 Minuten liegen [8]. Konsens besteht darüber, dass in Zone I Okklusionszeiten bis 30 Minuten als sicher gelten [9]. Längere Okklusionszeiten (60 Minuten) sind in Zone III, bei partieller REBOA oder intermittierender Reperfusion möglich [10].…”

“…Tab. 1 fasst den aktuellen Konsens hinsichtlich potenzieller Indikationen, Kontraindikationen, Anwendungsbereiche sowie physiologische Parameter für den poten-ziellen REBOA-Einsatz zusammen[9]. Wie zu erkennen, gibt es hier noch keinen Konsens über eine generelle prähospitale Anwendung, jedoch kommen die Empfehlungen von überwiegend nicht in der prähospitalen Notfallmedizin tätigen Kollegen.…”

REBOA: Where are we now?

“…This statement has been recently updated and offers an excellent synopsis of key issues when considering utilisation of REBOA . Another paper presented a Delphi consensus statement covering similar aspects of REBOA …”

“…Other new areas under evolution include partial REBOA and intermittent REBOA whereby the balloon is only part inflated or undergoes inflation and deflation cycles. Add to this the novel concept that REBOA is in fact a spectrum of technology whereby common femoral artery access is achieved early either with a 7‐Fr (or maybe even a 5‐Fr with a view to upsizing) and used for initial monitoring.…”