Resuscitative endovascular balloon occlusion of the aorta (REBOA): A bridge to definitive haemorrhage control for trauma patients in Scotland?

Morrison, Jonathan J.; Lendrum, Robbie; Jansen, Jan O.

doi:10.1016/j.surge.2013.10.004

Cited by 21 publications

(19 citation statements)

References 15 publications

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“…13 In the deployed or austere setting, transfer of patients with a REBOA in place might be feasible as long as a capable trauma or vascular surgeon is available for troubleshooting and imminent definitive surgery. 11 Although the prehospital REBOA has been suggested for rural civilian settings, particularly in Europe, 14,15 to date it has been used primarily by the US military through highly specialized medical teams that employ REBOAtrained physicians, such as the Air Force Special Operations Surgical Team. Manley and colleagues 16 and Northern and colleagues 8 described successful lifesaving placement of the REBOA by Special Operations Surgical Team in 4 and 20 service members, respectively, who were all 2 to 3 hours from the nearest Role 2 facility.…”

Section: Discussionmentioning

confidence: 99%

Who Would Have Benefited from the Prehospital Use of Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA)? An Autopsy Study

Henry¹,

Matsushima²,

Henry³

et al. 2019

Journal of the American College of Surgeons

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BACKGROUND: Resuscitative endovascular balloon occlusion of the aorta (REBOA) has been increasingly used as part of damage control resuscitation for patients with non-compressible truncal hemorrhage. We hypothesized that there might be a select group of patients that could have benefited from prehospital placement of the REBOA. STUDY DESIGN: This was a retrospective cohort study including patients who presented to a Level I trauma center with cardiac arrest between January 2014 and March 2018. The findings of a full autopsy were reviewed for the details of internal injuries. A patient was determined to be a REBOA candidate if the patient sustained abdominal organ injuries or pelvic fractures and no associated severe head injuries. The candidate group was compared with the non-candidate group based on prehospital vital signs and other patient characteristics. A multiple logistic regression analysis was performed to identify certain prehospital factors associated with candidacy for prehospital REBOA. RESULTS:A total of 198 patients met our inclusion criteria. Of those, 27 (13.6%) patients were deemed REBOA candidates. Median Injury Severity Score was 22 (interquartile range 17 to 29). Patients in the candidate group were more likely to have a Glasgow Coma Scale score 9 (48% vs 15%; p ¼ 0.012), oxygen saturation >90% (56% vs 35%; p ¼ 0.03), and systolic blood pressure <90 mmHg (48% vs 26%; p ¼ 0.04) in the field. Logistic regression showed that these 3 clinical parameters of prehospital vital signs were significantly associated with REBOA candidacy. CONCLUSIONS: Our data suggest that >10% of trauma patients who presented with cardiac arrest could have benefited from prehospital REBOA. Additional prospective studies are warranted to validate the use of field vital signs in selecting candidates. (J Am Coll Surg 2019;229:383e388.

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Section: Discussionmentioning

confidence: 99%

Who Would Have Benefited from the Prehospital Use of Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA)? An Autopsy Study

Henry¹,

Matsushima²,

Henry³

et al. 2019

Journal of the American College of Surgeons

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“…They are usually related to hemorrhage and could be preventable, which raises the question of deploying REBOA in the pre hospital setting (42,43). Recently, the world's first prehospital REBOA was successfully performed by the London Air Ambulance crew (44).…”

Section: Outcomes Features and Keys For Successmentioning

confidence: 99%

Resuscitative endovascular balloon occlusion of the aorta (REBOA): What have we learned?

Andrés

Scott²,

Giannoudis

2016

Injury

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“…However, newer techniques are now being developed where intraaortic balloon occlusion is being used to obtain temporary hemorrhage control of intra-abdominal and pelvic bleeding without the need of fluoroscopy. [51][52][53][54] A recent analysis has even suggested that this technique of resuscitative endovascular balloon occlusion of the aorta (REBOA) could have potentially prevented a substantial number of UK combat deaths if it had been available. 55 Because REBOA does not require fluoroscopy, it has the potential of being deployed far forward as part of a remote DCR capability.…”

Section: Damage Control Resuscitationmentioning

confidence: 99%

Advances in damage control resuscitation and surgery: implications on the organization of future military field forces

et al. 2015

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Resuscitative endovascular balloon occlusion of the aorta (REBOA): A bridge to definitive haemorrhage control for trauma patients in Scotland?

Cited by 21 publications

References 15 publications

Who Would Have Benefited from the Prehospital Use of Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA)? An Autopsy Study

Who Would Have Benefited from the Prehospital Use of Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA)? An Autopsy Study

Resuscitative endovascular balloon occlusion of the aorta (REBOA): What have we learned?

Advances in damage control resuscitation and surgery: implications on the organization of future military field forces

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