Pre-hospital resuscitative endovascular balloon occlusion of the aorta

Abstract

Figure 1 Hemodynamic effect of REBOA. The peaks show the increase in blood pressure after inflation of the balloon at different levels of blood loss. SBP: systolic blood pressure; DPB: diastolic blood pressure; MAP: mean arterial pressure.

Resuscitative Endovascular Balloon Occlusion of the Aorta (Reboa) as a Potential Pre-Hospital Procedure for the Control of Non-Compressible Haemorrhage: A Literature Review

“…Much of the available evidence reporting REBOA effectiveness was drawn from animal studies. These studies are described in Table 1, reflecting the early nature of clinical research into this procedure, and the need to highlight this practice for future potential within pre-hospital clinical practice (2,(4)(5)(6)(7)(8)(9)(10).…”

“…The mean time from arrival at the patient to balloon insertion was four minutes and 19 seconds when tested in a simulated pre-hospital environment (4). In contrast, the mean time taken to insert the balloon from the time of injury to intensive care unit (ICU) admission, where the procedure was performed in a controlled environment, was on average 110 minutes (13).…”

“…In another example, a female, 27 years of age, also underwent a successful REBOA procedure on a grossly deformed pelvic injury resulting from a high-speed car accident (SBP 85 mmHg vs 125 mmHg). Furthermore, REBOA was performed on a Valkenburg: REBOA as a potential pre-hosptial procedure Australasian Journal of Paramedicine: 2015;12 (4) An important consideration of the usefulness of REBOA for pre-hospital emergency care is the impact of uncontrolled haemorrhage on mortality and morbidity in the trauma setting, and the different stages of shock as seen in Table 3 (14).…”

“…Valkenburg: REBOA as a potential pre-hosptial procedure Australasian Journal of Paramedicine: 2015;12 (4) person, 40 years of age, with uncontrolled abdominal bleeding (12). These three cases identify the ability of REBOA to stabilise all patients across discrimination range of traumatic injuries.…”

Massive bleeding following severe blunt trauma: the first minutes that can change everything

“…[32][33][34] Other novel methods of prehospital hemostasis in extreme circumstances are being explored. These include intraperitoneal injection of selfexpanding polyurethane polymer foam for noncompressible massive hemorrhage as well as prehospital thoracotomy, although these methods are as yet of unproven efficacy.…”