Resuscitative endovascular balloon occlusion of the aorta - Revision history

Blsimpso: /* External Links */

2021-06-29T15:32:53Z

External Links

← Older revision		Revision as of 15:32, 29 June 2021
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	==External Links==		==External Links==
	*[http://blog.ercast.org/reboa/ REBOA 101 ERCast]		*[http://blog.ercast.org/reboa/ REBOA 101 ERCast]

			===Videos===
			{{#widget:YouTube\|id=b-s2cpuHq9k}}

	==References==		==References==

Rossdonaldson1 at 20:48, 5 May 2021

2021-05-05T20:48:00Z

← Older revision		Revision as of 20:48, 5 May 2021
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	==Overview==		==Overview==
			[[File:Aorta segments.jpg\|thumb\|Aortic segments.]]
			[[File:Aorta branches.jpg\|thumb\|Branches of the aorta.]]
	*Abbreviation: REBOA		*Abbreviation: REBOA
	*Type of catheter based hemorrhage control		*Type of catheter based hemorrhage control

Rossdonaldson1 at 20:41, 5 May 2021

2021-05-05T20:41:07Z

← Older revision		Revision as of 20:41, 5 May 2021
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	==Overview==		==Overview==
	~~[[File:aorticdissection.gif\|thumbnail\|Type A Aortic Dissection<ref>http://www.thepocusatlas.com/echocardiography-1</ref>]]~~
	~~[[File:USDissection.png\|thumbnail\|Abdominal Aortic Dissection on Ultrasound]]~~
	*Abbreviation: REBOA		*Abbreviation: REBOA
	*Type of catheter based hemorrhage control		*Type of catheter based hemorrhage control

Rossdonaldson1 at 20:40, 5 May 2021

2021-05-05T20:40:41Z

← Older revision		Revision as of 20:40, 5 May 2021
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	==Overview==		==Overview==
			[[File:aorticdissection.gif\|thumbnail\|Type A Aortic Dissection<ref>http://www.thepocusatlas.com/echocardiography-1</ref>]]
			[[File:USDissection.png\|thumbnail\|Abdominal Aortic Dissection on Ultrasound]]
	*Abbreviation: REBOA		*Abbreviation: REBOA
	*Type of catheter based hemorrhage control		*Type of catheter based hemorrhage control

ClaireLewis: /* Contraindications */

2019-09-27T15:53:08Z

Contraindications

← Older revision		Revision as of 15:53, 27 September 2019
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	*Age ≤18 or ≥70y		*Age ≤18 or ≥70y
	*Atraumatic [[cardiac arrest]]		*Atraumatic [[cardiac arrest]]
	*Proximal [[traumatic aortic dissection]]		*Proximal [[traumatic aortic rupture\|traumatic aortic dissection]]
	*Proximal [[aortic dissection]]		*Proximal [[aortic dissection]]
	*[[Cardiac tamponade]]		*[[Cardiac tamponade]]

ClaireLewis at 15:52, 27 September 2019

2019-09-27T15:52:45Z

← Older revision		Revision as of 15:52, 27 September 2019
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	==Indications==		==Indications==
	*Non-compressible hemorrhage below the diaphragm in the abdomen, pelvis or retroperitoneum <ref>Qasim, Zaffer, et al. “Resuscitative endovascular balloon occlusion of the aorta.” Resuscitation 96 (2015): 275-279.</ref>		*Non-compressible [[hemorrhage]] below the diaphragm in the abdomen, pelvis or retroperitoneum <ref>Qasim, Zaffer, et al. “Resuscitative endovascular balloon occlusion of the aorta.” Resuscitation 96 (2015): 275-279.</ref>
	*~~Postive~~ FAST		*Positive [[FAST]]
	*Pelvic ~~frature~~ with negative FAST		*[[Pelvic fracture]] with negative FAST
	*Traumatic cardiac arrest without aortic dissection or pericardial tamponade		*[[Traumatic cardiac arrest]] ''without'' aortic dissection or pericardial tamponade
	*Suspected traumatic abdominal hemorrhage (Zone I REBOA)		*Suspected traumatic abdominal hemorrhage (Zone I REBOA)
	*Blunt pelvic injury or groin junctional hemorrhage (Zone III REBOA)		*Blunt pelvic injury or groin junctional hemorrhage (Zone III REBOA)
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	==Contraindications==		==Contraindications==
	*Age ≤18 or ≥70y		*Age ≤18 or ≥70y
	*~~Non traumatic~~ arrest		*Atraumatic [[cardiac arrest]]
	*Proximal traumatic aortic dissection		*Proximal [[traumatic aortic dissection]]
	*Proximal [[aortic dissection]]		*Proximal [[aortic dissection]]
	*[[Cardiac tamponade]]		*[[Cardiac tamponade]]

ClaireLewis: /* Overview */

2019-08-21T18:40:03Z

Overview

← Older revision		Revision as of 18:40, 21 August 2019
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	*REBOA has been proposed as a less invasive alternative to resuscitative thoracotomy		*REBOA has been proposed as a less invasive alternative to resuscitative thoracotomy
	*Research is ongoing, but has yet to demonstrate a mortality benefit<ref name="Morrison">Morrison JJ, Galgon RE, Jansen JO, et al. A systematic review of the use of resuscitative endovascular balloon occlusion of the aorta in the management of hemorrhagic shock. J Trauma Acute Care Surg. 2016 Feb;80(2):324-34.</ref>		*Research is ongoing, but has yet to demonstrate a mortality benefit<ref name="Morrison">Morrison JJ, Galgon RE, Jansen JO, et al. A systematic review of the use of resuscitative endovascular balloon occlusion of the aorta in the management of hemorrhagic shock. J Trauma Acute Care Surg. 2016 Feb;80(2):324-34.</ref>
	**Retrospective case-control analysis found higher mortality for REBOA patients compared to similar cohort, higher complication rates of AKI and lower ~~limp~~ amputation <ref> Bellal Joseph, et al. Nationwide Analysis of Resuscitative Endovascular Balloon Occlusion of the Aorta in Civilian Trauma. JAMA Surg. 2019;154(6):500-508 </ref>		**Retrospective case-control analysis found higher mortality for REBOA patients compared to similar cohort, higher complication rates of AKI and lower limb amputation <ref> Bellal Joseph, et al. Nationwide Analysis of Resuscitative Endovascular Balloon Occlusion of the Aorta in Civilian Trauma. JAMA Surg. 2019;154(6):500-508 </ref>

	[[File:Reboa.jpg\|thumb\|]]		[[File:Reboa.jpg\|thumb\|]]

Gregtong: /* Overview */

2019-08-21T04:11:41Z

Overview

← Older revision		Revision as of 04:11, 21 August 2019
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	*REBOA has been proposed as a less invasive alternative to resuscitative thoracotomy		*REBOA has been proposed as a less invasive alternative to resuscitative thoracotomy
	*Research is ongoing, but has yet to demonstrate a mortality benefit<ref name="Morrison">Morrison JJ, Galgon RE, Jansen JO, et al. A systematic review of the use of resuscitative endovascular balloon occlusion of the aorta in the management of hemorrhagic shock. J Trauma Acute Care Surg. 2016 Feb;80(2):324-34.</ref>		*Research is ongoing, but has yet to demonstrate a mortality benefit<ref name="Morrison">Morrison JJ, Galgon RE, Jansen JO, et al. A systematic review of the use of resuscitative endovascular balloon occlusion of the aorta in the management of hemorrhagic shock. J Trauma Acute Care Surg. 2016 Feb;80(2):324-34.</ref>
			**Retrospective case-control analysis found higher mortality for REBOA patients compared to similar cohort, higher complication rates of AKI and lower limp amputation <ref> Bellal Joseph, et al. Nationwide Analysis of Resuscitative Endovascular Balloon Occlusion of the Aorta in Civilian Trauma. JAMA Surg. 2019;154(6):500-508 </ref>

	[[File:Reboa.jpg\|thumb\|]]		[[File:Reboa.jpg\|thumb\|]]

Mrosen5506: /* Overview */

2018-08-16T18:54:29Z

Overview

← Older revision		Revision as of 18:54, 16 August 2018
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	==Overview==		==Overview==
	*Abbreviation: REBOA		*Abbreviation: REBOA
			*Type of catheter based hemorrhage control
	*Hemorrhage is a leading cause of trauma-related mortality<ref>Tieu BH et al. Coagulopathy: Its pathophysiology and treatment in the injured patient. World J Surg. 2007;31:1055–64</ref>		*Hemorrhage is a leading cause of trauma-related mortality<ref>Tieu BH et al. Coagulopathy: Its pathophysiology and treatment in the injured patient. World J Surg. 2007;31:1055–64</ref>
	*REBOA has been proposed as a less invasive alternative to resuscitative thoracotomy		*REBOA has been proposed as a less invasive alternative to resuscitative thoracotomy

Mholtz at 17:45, 28 June 2017

2017-06-28T17:45:21Z

← Older revision		Revision as of 17:45, 28 June 2017
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	~~[[File:Reboa.jpg\|thumb\|]]~~
	==Overview==		==Overview==
	*Abbreviation: REBOA		*Abbreviation: REBOA
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	*REBOA has been proposed as a less invasive alternative to resuscitative thoracotomy		*REBOA has been proposed as a less invasive alternative to resuscitative thoracotomy
	*Research is ongoing, but has yet to demonstrate a mortality benefit<ref name="Morrison">Morrison JJ, Galgon RE, Jansen JO, et al. A systematic review of the use of resuscitative endovascular balloon occlusion of the aorta in the management of hemorrhagic shock. J Trauma Acute Care Surg. 2016 Feb;80(2):324-34.</ref>		*Research is ongoing, but has yet to demonstrate a mortality benefit<ref name="Morrison">Morrison JJ, Galgon RE, Jansen JO, et al. A systematic review of the use of resuscitative endovascular balloon occlusion of the aorta in the management of hemorrhagic shock. J Trauma Acute Care Surg. 2016 Feb;80(2):324-34.</ref>

			[[File:Reboa.jpg\|thumb\|]]

	===REBOA Zones===		===REBOA Zones===
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	==Procedure==		==Procedure==
	#Immediately perform a [[FAST]] exam to assess for [[pericardial tamponade]] (contraindication)		#Immediately perform a [[FAST]] exam to assess for [[pericardial tamponade]] (contraindication)
	#Access the '''common femoral artery''' under ultarsound ~~guid~~ and place a standard 18G arterial line		#Access the '''common femoral artery''' under ultarsound guidance and place a standard 18G arterial line
	#Pass a 260cm guidewire through that arterial line up to the level of the left subclavian		#Pass a 260cm guidewire through that arterial line up to the level of the left subclavian
	#Obtain a chest Xray if feasible to confirm the position of the guidewire		#Obtain a chest Xray if feasible to confirm the position of the guidewire
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	==Complications==		==Complications==
	*~~Not accessing~~ the common femoral artery ~~or accessing it blindly~~		*Failure to access the common femoral artery

	==See Also==		==See Also==