Current use of Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) in trauma

Ordóñez, Carlos A.; Manzano-Núñez, Ramiro; Valle, Ana Milena del; Rodríguez, Fernando; Burbano, Paola; Naranjo, María Paula; Parra, Michael W.; Ferrada, Paula; Solis-Velasco, Monica; García, Alberto

doi:10.1016/j.rcae.2017.09.007

Cited by 5 publications

(7 citation statements)

References 60 publications

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“…REBOA is a minimally invasive procedure that introduces a balloon occlusion catheter via a percutaneous groin puncture or cutdown of the femoral artery into the aorta to obtain endovascular aortic occlusion [ 21 , 22 ]. The physiologic rationale behind the use of REBOA is that it provides proximal control of bleeding and causes volume redistribution from the lower to the proximal vascular beds.…”

Section: Resuscitative Endovascular Balloon Occlusion Of the Aorta Inmentioning

confidence: 99%

Resuscitative endovascular balloon occlusion of the aorta deployed by acute care surgeons in patients with morbidly adherent placenta: a feasible solution for two lives in peril

et al. 2018

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Morbidly adherent placenta (MAP), which includes accreta, increta, and percreta, is a condition characterized by the invasion of the uterine wall by placental tissue. The condition is associated with higher odds of massive post-partum hemorrhage. Several interventions have been developed to improve hemorrhage-related outcomes in these patients; however, there is no evidence to prefer any intervention over another. Resuscitative endovascular balloon occlusion of the aorta (REBOA) is an endovascular intervention that may be useful and effective to reduce hemorrhage and transfusions in MAP patients. The objective of this narrative review is to summarize the evidence for REBOA in patients with MAP. We posit that acute care surgeons can perform REBOA for patients with MAP.

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Section: Resuscitative Endovascular Balloon Occlusion Of the Aorta Inmentioning

confidence: 99%

Resuscitative endovascular balloon occlusion of the aorta deployed by acute care surgeons in patients with morbidly adherent placenta: a feasible solution for two lives in peril

et al. 2018

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“…There has been a growing interest over the past years in technological advances in hemorrhage control, which has led to a paradigm shift towards the practice of Endovascular Resuscitation and Trauma Management (EVTM) (2). For example, Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA), which involves deploying an endovascular balloon occlusion catheter into the aorta, has gradually become part of the therapeutic armamentarium for injured patients with hemorrhagic shock (3)(4)(5)(6). Its use has expanded worldwide (6)(7)(8), and the data generated so far has provided hope that this intervention could lead to lasting changes in the outcomes of noncompressible torso hemorrhage (NCTH) patients by reducing the risk of early death associated with uncontrolled hemorrhage (9,10).…”

Section: Introductionmentioning

confidence: 99%

“…For example, Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA), which involves deploying an endovascular balloon occlusion catheter into the aorta, has gradually become part of the therapeutic armamentarium for injured patients with hemorrhagic shock (3)(4)(5)(6). Its use has expanded worldwide (6)(7)(8), and the data generated so far has provided hope that this intervention could lead to lasting changes in the outcomes of noncompressible torso hemorrhage (NCTH) patients by reducing the risk of early death associated with uncontrolled hemorrhage (9,10). Moreover, safely REBOA deployment has been reported in non-trauma scenarios (i.e., abnormal placentation, post-partum hemorrhage, upper gastrointestinal bleeding) where its use contributed to providing hemodynamic support or the salvage of impending hemorrhagic shock.…”

Section: Introductionmentioning

confidence: 99%

Use of REBOA in the universe of magical realism: a real-world review

Manzano-Núñez

Chica-Yanten

Naranjo

et al. 2021

Colomb. J. Anesthesiol.

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While reading the novella “Chronicle of a Death Foretold” by the Colombian Nobel Laureate Gabriel García-Marquez, we were surprised to realize that the injuries sustained by the main character could have been successfully treated had he received modern trauma care in which REBOA may have been considered. This is a discussion of Mr. Nasar's murder to explore whether he could have been saved by deploying REBOA as a surgical adjunct to bleeding control and resuscitation. In reading García-Marquez's novel we noted the events that unfolded at the time of Santiago Nasar's murder. To contextualize the claim that Mr. Nasar could have survived, had his injuries been treated with REBOA, we explored and illustrated what could have done differently and why. On the day of his death, Mr. Nasar sustained multiple penetrating stab wounds. Although he received multiple stab wounds to his torso, the book describes seven potentially fatal injuries, resulting in hollow viscus, solid viscus, and major vascular injuries. We provided a practical description of the clinical and surgical management algorithm we would have followed in Mr. Nasar's case. This algorithm included the REBOA deployment for hemorrhage control and resuscitation. The use of REBOA as part of the surgical procedures performed could have saved Mr. Nasar's life. Based on our current knowledge about REBOA in trauma surgery, we claim that its use, coupled with appropriate surgical care for hemorrhage control, could have saved Santiago Nasar's life, and thus prevent a death foretold.

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“…REBOA involves placing a catheter designed with a compliant balloon into the aorta via the common femoral artery and inflating this balloon until the aorta is occluded allowing for temporary hemorrhage control, and maintenance of cerebral and coronary perfusion (Sambor, 2018). an increased ease of use for practitioners and patient safety (Ordoñez et al, 2017). There has been an increasing number of case studies and other emerging literature from the United States in this timeframe, as well (Glaser & Brenner, 2017).…”

Section: Introductionmentioning

confidence: 99%

Educational Strategies for Deployment of Resuscitative Endovascular Balloon Occlusion of the Aorta in a Tertiary Canadian Emergency Department

Gaudet¹,

Goltz²,

LeBreton³

et al. 2021

CJEN

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Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) is not a novel intervention in the trauma literature. However, the incorporation of this intervention into the Canadian emergency department setting is recent in onset. This healthcare setting is dynamic and the nurses who practice in the emergency setting must be efficient care providers for an infinitely diverse set of potential patient presentations. The introduction of this complex procedure was accompanied by a variety of educational strategies to enhance the uptake of this new knowledge. The usage of small groups, didactic teaching, hands-on practice, establishing unit champions, coordinating in-situ simulations, and creating workflow documents were strategies used by the education team at this academic center for this particular knowledge dissemination exercise.

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Current use of Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) in trauma

Cited by 5 publications

References 60 publications

Resuscitative endovascular balloon occlusion of the aorta deployed by acute care surgeons in patients with morbidly adherent placenta: a feasible solution for two lives in peril

Resuscitative endovascular balloon occlusion of the aorta deployed by acute care surgeons in patients with morbidly adherent placenta: a feasible solution for two lives in peril

Use of REBOA in the universe of magical realism: a real-world review

Educational Strategies for Deployment of Resuscitative Endovascular Balloon Occlusion of the Aorta in a Tertiary Canadian Emergency Department

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