Novel Methods for Hemorrhage Control: Resuscitative Endovascular Balloon Occlusion of the Aorta and Emergency Preservation and Resuscitation

Kazuhide Matsushima; Bianca Conti; Ravi Chauhan; Kenji Inaba; Richard P. Dutton

doi:10.1016/j.anclin.2018.09.003

Novel Methods for Hemorrhage Control: Resuscitative Endovascular Balloon Occlusion of the Aorta and Emergency Preservation and Resuscitation

Kazuhide Matsushima, Bianca Conti, Ravi Chauhan, Kenji Inaba, Richard P. Dutton

Research output: Contribution to journal › Review article › peer-review

4 Scopus citations

Abstract

Hemorrhage is the leading cause of preventable death after trauma. Junctional and extremity hemorrhage can be temporized with direct pressure and tourniquet application, but noncompressible torso hemorrhage has traditionally required operative or angiographic intervention. Retrograde endovascular balloon occlusion of the aorta (REBOA) can temporize patients with hemorrhage below the diaphragm long enough to enable definitive surgery. REBOA is increasingly available in US trauma centers but prospective, randomized demonstration of efficacy is not yet available. Emergency perfusion and resuscitation is an investigational therapy, limited to use in patients with cardiac arrest due to hemorrhage.

Original language	English (US)
Pages (from-to)	171-182
Number of pages	12
Journal	Anesthesiology clinics
Volume	37
Issue number	1
DOIs	https://doi.org/10.1016/j.anclin.2018.09.003
State	Published - Mar 2019
Externally published	Yes

Keywords

Emergency department thoracotomy
Emergency perfusion and resuscitation
Noncompressible torso hemorrhage
Resuscitative endovascular occlusion of the aorta

ASJC Scopus subject areas

Anesthesiology and Pain Medicine

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10.1016/j.anclin.2018.09.003

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title = "Novel Methods for Hemorrhage Control: Resuscitative Endovascular Balloon Occlusion of the Aorta and Emergency Preservation and Resuscitation",

abstract = "Hemorrhage is the leading cause of preventable death after trauma. Junctional and extremity hemorrhage can be temporized with direct pressure and tourniquet application, but noncompressible torso hemorrhage has traditionally required operative or angiographic intervention. Retrograde endovascular balloon occlusion of the aorta (REBOA) can temporize patients with hemorrhage below the diaphragm long enough to enable definitive surgery. REBOA is increasingly available in US trauma centers but prospective, randomized demonstration of efficacy is not yet available. Emergency perfusion and resuscitation is an investigational therapy, limited to use in patients with cardiac arrest due to hemorrhage.",

keywords = "Emergency department thoracotomy, Emergency perfusion and resuscitation, Noncompressible torso hemorrhage, Resuscitative endovascular occlusion of the aorta",

author = "Kazuhide Matsushima and Bianca Conti and Ravi Chauhan and Kenji Inaba and Dutton, {Richard P.}",

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T2 - Resuscitative Endovascular Balloon Occlusion of the Aorta and Emergency Preservation and Resuscitation

AU - Matsushima, Kazuhide

AU - Conti, Bianca

AU - Chauhan, Ravi

AU - Inaba, Kenji

AU - Dutton, Richard P.

PY - 2019/3

Y1 - 2019/3

N2 - Hemorrhage is the leading cause of preventable death after trauma. Junctional and extremity hemorrhage can be temporized with direct pressure and tourniquet application, but noncompressible torso hemorrhage has traditionally required operative or angiographic intervention. Retrograde endovascular balloon occlusion of the aorta (REBOA) can temporize patients with hemorrhage below the diaphragm long enough to enable definitive surgery. REBOA is increasingly available in US trauma centers but prospective, randomized demonstration of efficacy is not yet available. Emergency perfusion and resuscitation is an investigational therapy, limited to use in patients with cardiac arrest due to hemorrhage.

AB - Hemorrhage is the leading cause of preventable death after trauma. Junctional and extremity hemorrhage can be temporized with direct pressure and tourniquet application, but noncompressible torso hemorrhage has traditionally required operative or angiographic intervention. Retrograde endovascular balloon occlusion of the aorta (REBOA) can temporize patients with hemorrhage below the diaphragm long enough to enable definitive surgery. REBOA is increasingly available in US trauma centers but prospective, randomized demonstration of efficacy is not yet available. Emergency perfusion and resuscitation is an investigational therapy, limited to use in patients with cardiac arrest due to hemorrhage.

KW - Emergency department thoracotomy

KW - Emergency perfusion and resuscitation

KW - Noncompressible torso hemorrhage

KW - Resuscitative endovascular occlusion of the aorta

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Novel Methods for Hemorrhage Control: Resuscitative Endovascular Balloon Occlusion of the Aorta and Emergency Preservation and Resuscitation

Abstract

Keywords

ASJC Scopus subject areas

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