First description of successful use of zone 1 resuscitative endovascular balloon occlusion of the aorta in the prehospital setting

Lamhaut, Lionel; Qasim, Zaffer; Hutin, Alice; Dagron, C.; Orsini, Jose; Haegel, Annie; Perkins, Zane; Pirracchio, Romain; Carli, Pierre

doi:10.1016/j.resuscitation.2018.07.027

Cited by 26 publications

(13 citation statements)

References 5 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Recently, Lamhaut et al described the first civilian pre-hospital Zone 1 REBOA deployment by the Service d’Aide Medicale Urgente in Paris, France. This is a physician delivered pre-hospital service that has experience performing extracorporeal life support (extracorporeal cardiopulmonary resuscitation) in the field 30. They placed a Zone 1 REBOA in a female patient undergoing CPR with presumed abdominal hemorrhage.…”

Section: Current Reboa Datamentioning

confidence: 99%

See 1 more Smart Citation

Resuscitative endovascular balloon occlusion of the aorta: current evidence

Osborn¹,

Brenner²,

Prater³

et al. 2019

OAEM

View full text Add to dashboard Cite

Resuscitative endovascular balloon occlusion of the aorta (REBOA) has recently gained popularity as a minimally invasive alternative to open aortic cross-clamping in the management of patients with non-compressible hemorrhage arising below the diaphragm. The purpose of this review is to provide a description of the technical aspects of REBOA use along with an overview of the current animal and clinical data regarding its use.

show abstract

Section: Current Reboa Datamentioning

confidence: 99%

“…The patient survived her initial resuscitation but was found to have metastatic cancer and transitioned to palliative care. The authors noted that it is “imperative that REBOA is developed within a system that can rapidly transport to definitive repair” 30…”

Section: Current Reboa Datamentioning

confidence: 99%

Resuscitative endovascular balloon occlusion of the aorta: current evidence

Osborn¹,

Brenner²,

Prater³

et al. 2019

OAEM

View full text Add to dashboard Cite

show abstract

“…For this reason, the recommended algorithm at Incheon regional trauma center involved early access for partial responders with a 4-Fr sheath and upsizing (if needed during arterial monitoring), and direct 8-Fr sheath placement for non-responders. In the future, a low-profile balloon, training course development, and prehospital usage of REBOA could enhance the indications for this procedure and change the algorithm [12,13].…”

Section: Reboa Algorithm and Selection Of The Target Zonementioning

confidence: 99%

Case Series of Zone III Resuscitative Endovascular Balloon Occlusion of the Aorta in Traumatic Shock Patients

Lee

Choi

et al. 2020

J Trauma Inj

View full text Add to dashboard Cite

Purpose: There is increasing evidence in the literature regarding resuscitative endovascular balloon occlusion of the aorta (REBOA) globally, but few cases have been reported in Korea. We aimed to describe our experience of successful Zone III REBOA and to discuss its algorithm, techniques, and related complications. methods: We reviewed consecutive cases who survived from hypovolemic shock after Zone III REBOA placement for 4 years. We reviewed patients' baseline characteristics, physiological status, procedural data, and outcomes. results: REBOA was performed in 44 patients during the study period, including 10 patients (22.7%) who underwent Zone III REBOA, of whom seven (70%) survived. Only one patient was injured by a penetrating mechanism and survived after cardiopulmonary resuscitation. All patients underwent interventions to stop bleeding immediately after REBOA placement. Conclusions: This case series suggests that Zone III REBOA is a safe and feasible procedure that could be applied to traumatic shock patients with normal FAST findings who receive a chest X-ray examination at the initial resuscitation.

show abstract

“…Finally, REBOA appears safer for providers than RT and has increased application in out-of-hospital settings. REBOA has now been utilized in austere environments, in both civilian (65, 66) and military (67) theaters.…”

Section: Current Indications For Reboamentioning

confidence: 99%

Resuscitative Endovascular Balloon Occlusion of the Aorta: Review of the Literature and Applications to Veterinary Emergency and Critical Care

et al. 2019

View full text Add to dashboard Cite

While hemorrhagic shock might be the result of various conditions, hemorrhage control and resuscitation are the corner stone of patient management. Hemorrhage control can prove challenging in both the acute care and surgical settings, especially in the abdomen, where no direct pressure can be applied onto the source of bleeding. Resuscitative endovascular balloon occlusion of the aorta (REBOA) has emerged as a promising replacement to resuscitative thoracotomy (RT) for the management of non-compressible torso hemorrhage in human trauma patients. By inflating a balloon at specific levels (or zones) of the aorta to interrupt blood flow, hemorrhage below the level of the balloon can be controlled. While REBOA allows for hemorrhage control and augmentation of blood pressure cranial to the balloon, it also exposes caudal tissue beds to ischemia and the whole body to reperfusion injury. We aim to introduce the advantages of REBOA while reviewing known limitations. This review outlines a step-by-step approach to REBOA implementation, and discusses common challenges observed both in human patients and during translational large animal studies. Currently accepted and debated indications for REBOA in humans are discussed. Finally, we review possible applications for veterinary patients and how REBOA has the potential to be translated into clinical veterinary practice.

show abstract

First description of successful use of zone 1 resuscitative endovascular balloon occlusion of the aorta in the prehospital setting

Cited by 26 publications

References 5 publications

Resuscitative endovascular balloon occlusion of the aorta: current evidence

Resuscitative endovascular balloon occlusion of the aorta: current evidence

Case Series of Zone III Resuscitative Endovascular Balloon Occlusion of the Aorta in Traumatic Shock Patients

Resuscitative Endovascular Balloon Occlusion of the Aorta: Review of the Literature and Applications to Veterinary Emergency and Critical Care

Contact Info

Product

Resources

About