Regarding the ‘Joint statement from the American College of Surgeons Committee on Trauma (ACS COT) and the American College of Emergency Physicians (ACEP) regarding the clinical use of Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA)’

Allen, Bryant; Callaway, David W.; Gibbs, Michael; Noste, Erin; West, Kathryn; Johnson, Michael; Caro, David; Godwin, A. K.

doi:10.1136/tsaco-2018-000168

Cited by 7 publications

(4 citation statements)

References 7 publications

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“…REBOA is being used more frequently as part of the EVTM concept of using minimally invasive methods of resuscitation and bleeding control. With increased use of REBOA, there is increasing debate about “who should be performing REBOA?” [ 12 – 16 ]. This study shows that both surgical and non-surgical physicians are successfully performing REBOA, with it being performed mainly by EM physicians followed by trauma and vascular surgeons.…”

Section: Discussionmentioning

confidence: 99%

“…On the other hand, REBOA is not only performed in the ER but also in the operating room (OR), angiography suite (AS), and occasionally in the pre-hospital setting; it is also used for some causes of non-traumatic hemodynamic instability [ 9 – 11 ]. Following the publication of the joint statement from the American College of Surgeons’ Committee on Trauma (ACS-COT) and the American College of Emergency Physicians (ACEP) addressing the clinical use of REBOA, the question of “Who should be the one in charge of REBOA” began to be discussed [ 12 – 16 ].…”

Section: Introductionmentioning

confidence: 99%

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Successfully REBOA performance: does medical specialty matter? International data from the ABOTrauma Registry

et al. 2020

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Background Resuscitative endovascular balloon occlusion of the aorta (REBOA) is a minimally invasive procedure being increasingly utilized to prevent patients with non-compressible torso hemorrhage from exsanguination. The increased use of REBOA is giving rise to discussion about “Who is and who should be performing it?” Methods Data from the international ABO (aortic balloon occlusion) Trauma Registry from between November 2014 and April 2020 were analyzed concerning the question: By who, how, and where is REBOA being performed? The registry collects retrospective and prospective data concerning use of REBOA in trauma patients. Results During the study period, 259 patients had been recorded in the registry, 72.5% (n = 188) were males with a median (range) age of 46 (10-96) years. REBOA was performed in the ER in 50.5%, in the OR in 41.5%, and in the angiography suite in 8% of patients. In 54% of the patients REBOA was performed by surgeons (trauma surgeons 28%, vascular surgeons 22%, general surgeons 4%) and in 46% of the patients by non-surgeons (emergency physicians 31%, radiologists 9.5%, anesthetists 5.5%). Common femoral artery (CFA) access was achieved by use of external anatomic landmarks and palpation alone in 119 patients (51%), by cutdown in 57 patients (24%), using ultrasound in 49 patients (21%), and by fluoroscopy in 9 patients (4%). Significant differences between surgeons and non-surgeons were found regarding patient’s age, injury severity, access methods, place where REBOA was performed, location patients were taken to from the emergency room, and mortality. Conclusion A substantial number of both surgical and non-surgical medical disciplines are successfully performing REBOA to an almost equal extent. Surgical cutdown is used less frequently as access to the CFA compared with reports in older literature and puncture by use of external anatomic landmarks and palpation alone is used with a high rate of success. Instead of discussing “Who should be performing REBOA?” future research should focus on “Which patient benefits most from REBOA?”

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Successfully REBOA performance: does medical specialty matter? International data from the ABOTrauma Registry

et al. 2020

View full text Add to dashboard Cite

show abstract

“…With increased use of REBOA, there is increasing debate about "who should be performing REBOA?" (12)(13)(14)(15)(16). This study shows that both surgical and non-surgical physicians are successfully performing REBOA, with it being performed mainly by EM physicians followed by trauma and vascular surgeons.…”

Section: Discussionmentioning

confidence: 75%

“…Following the publication of the joint statement from the American College of Surgeons' Committee on Trauma (ACS-COT) and the American College of Emergency Physicians (ACEP) addressing the clinical use of REBOA, the question of "Who should be the one in charge of REBOA" began to be discussed (12)(13)(14)(15)(16).…”

Section: Introductionmentioning

confidence: 99%

Successfully REBOA Performance: Does Medical Specialty Matter? International Data From the ABOTrauma Registry.

Hilbert-Carius

McGreevy

Abu‐Zidan

et al. 2020

Preprint

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BackgroundResuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) is a minimally invasive procedure being increasingly utilized to prevent patients with non-compressible torso hemorrhage from exsanguination. The increased use of REBOA is giving rise to discussion about “Who is and who should be performing it?”.MethodsData from the international ABO (Aortic Balloon Occlusion) Trauma registry from between November 2014 and April 2020 were analyzed concerning the question: By who, how and where is REBOA being performed? The registry collects retrospective and prospective data concerning use of REBOA in trauma patients.ResultsDuring the study period, 259 patients had been recorded in the registry, 72.5% (n=188) were males with a median (range) age of 46 (10-96) years. REBOA was performed in the ER in 50.5%, in the OR in 41.5% and in the angiography suite in 8% of patients. In 54% of the patients REBOA was performed by surgeons (trauma surgeons 28%, vascular surgeons 22%, general surgeons 4%) and in 46% of the patients by non-surgeons (emergency physicians 31%, radiologists 9.5%, anesthetists 5.5%). Common Femoral Artery (CFA) access was achieved by use of external anatomic landmarks and palpation alone in 119 patients (51%), by cut down in 57 patients (24%), using ultrasound in 49 patients (21%) and by fluoroscopy in 9 patients (4%). Significant differences between surgeons and non-surgeons were found regarding patient’s age, injury severity, access methods, place where REBOA was performed, location patients were taken to from the emergency room and mortality.ConclusionA substantial number of both surgical and non-surgical medical disciplines are successfully performing REBOA to an almost equal extent. Surgical cut down is used less frequently as access to the CFA compared with reports in older literature and puncture by use of external anatomic landmarks and palpation alone is used with a high rate of success. Instead of discussing “Who should be performing REBOA?” future research should focus on “Which patient benefits most from REBOA?”.

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Resuscitative Endovascular Balloon Occlusion of the Aorta: A Review for Emergency Clinicians

Long

Hafen

Koyfman

et al. 2019

The Journal of Emergency Medicine

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Regarding the ‘Joint statement from the American College of Surgeons Committee on Trauma (ACS COT) and the American College of Emergency Physicians (ACEP) regarding the clinical use of Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA)’

Cited by 7 publications

References 7 publications

Successfully REBOA performance: does medical specialty matter? International data from the ABOTrauma Registry

Successfully REBOA performance: does medical specialty matter? International data from the ABOTrauma Registry

Successfully REBOA Performance: Does Medical Specialty Matter? International Data From the ABOTrauma Registry.

Resuscitative Endovascular Balloon Occlusion of the Aorta: A Review for Emergency Clinicians

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Regarding the ‘Joint statement from the American College of Surgeons Committee on Trauma (ACS COT) and the American College of Emergency Physicians (ACEP) regarding the clinical use of Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA)’

Cited by 7 publications

References 7 publications

Successfully REBOA performance: does medical specialty matter? International data from the ABOTrauma Registry

Successfully REBOA performance: does medical specialty matter? International data from the ABOTrauma Registry

Successfully REBOA&nbsp;Performance: Does Medical Specialty Matter? International Data From the ABOTrauma&nbsp;Registry.

Resuscitative Endovascular Balloon Occlusion of the Aorta: A Review for Emergency Clinicians

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Successfully REBOA Performance: Does Medical Specialty Matter? International Data From the ABOTrauma Registry.