Kulla, Martin; Popp, Erik; Knapp, Jürgen (2019). Resuscitative endovascular balloon occlusion of the aorta: an option for noncompressibletorso hemorrhage? Current opinion in anaesthesiology, 32(2), pp. 213-226. Lippincott Williams & Wilkins 10.1097/ACO.0000000000000699
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Kulla Popp Knapp_Review REBOA_Curr Opin Anesthesiol_2019.pdf - Published Version Available under License Publisher holds Copyright. Download (798kB) | Preview |
PURPOSE OF REVIEW:
Hemorrhage is the major cause of early death in severely injured patients. In civilian emergency medical services, the majority of life-threatening bleedings are found in noncompressible body regions (e.g. abdomen and pelvis). Resuscitative endovascular balloon occlusion of the aorta (REBOA) has therefore been discussed in recent years as a possible lifesaving procedure and numerous studies, meta-analyses and guidelines have been published. In this review, the data situation of REBOA in the management of bleeding trauma patients is discussed and practical implementation is depicted.
RECENT FINDINGS:
The typical indication for REBOA is a traumatic life-threatening hemorrhage below the diaphragm in patients unresponsive or only transiently responsive to the usual conservative therapeutic measures. REBOA appears to be a safe and effective procedure to reduce blood loss and stabilize the patient's hemodynamic status. However, surgical hemostasis has to be achieved within 30-60 min after occlusion of the aorta. Data on clear advantages of REBOA over resuscitative thoracostomy are inconclusive.
SUMMARY:
REBOA could play an important role in the management of the severely bleeding patient in the future. Together with transfusion and therapy of coagulation disorders, REBOA may be an additional tool in the anesthetist's hands for trauma management in interprofessional care concepts.
Item Type: |
Journal Article (Review Article) |
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Division/Institute: |
04 Faculty of Medicine > Department of Intensive Care, Emergency Medicine and Anaesthesiology (DINA) > Clinic and Policlinic for Anaesthesiology and Pain Therapy |
UniBE Contributor: |
Knapp, Jürgen |
Subjects: |
600 Technology > 610 Medicine & health |
ISSN: |
0952-7907 |
Publisher: |
Lippincott Williams & Wilkins |
Language: |
English |
Submitter: |
Jeannie Wurz |
Date Deposited: |
25 Jun 2019 16:20 |
Last Modified: |
05 Dec 2022 15:28 |
Publisher DOI: |
10.1097/ACO.0000000000000699 |
PubMed ID: |
30817398 |
BORIS DOI: |
10.7892/boris.130321 |
URI: |
https://boris.unibe.ch/id/eprint/130321 |
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