Resuscitative endovascular balloon occlusion of the aorta. Option for incompressible trunk bleeding?

被引：16

作者：

Knapp, J. ^{[1
]}

Bernhard, M. ^{[2
]}

Haltmeier, T. ^{[3
]}

Bieler, D. ^{[4
]}

Hossfeld, B. ^{[5
]}

Kulla, M. ^{[5
]}

机构：

[1] Univ Spital Bern, Univ Klin Anasthesiol & Schmerztherapie, Freiburgstr 8, Bern, Switzerland

[2] Univ Klinikum Leipzig, Zent Notaufnahme, Leipzig, Germany

[3] Univ Spital Bern, Univ Klin Viszerale Chirurg & Med, Bern, Switzerland

[4] Bundeswehrzent Krankenhaus Koblenz, Klin Unfallchirurg & Orthopadie Wiederherstellung, Verbrennungsmed, Koblenz, Switzerland

[5] Bundeswehrkrankenhaus Ulm, Klin Anasthesiol & Intens Med, Sekt Notfallmed, Ulm, Germany

来源：

ANAESTHESIST | 2018年 / 67卷 / 04期

关键词：

Trauma; Emergency trauma room; REBOA; Resuscitative endovascular balloon occlusion of the aorta; Bleeding; Bleeding management; EMERGENCY-DEPARTMENT THORACOTOMY; NONCOMPRESSIBLE TORSO HEMORRHAGE; TRAUMA PATIENTS; PREVENTABLE DEATHS; GAP ANALYSIS; SWINE MODEL; REBOA; MANAGEMENT; CATHETER; SHOCK;

D O I：

10.1007/s00101-018-0418-5

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

Hemorrhage is the single largest cause of avoidable death in trauma patients, whereby in civil emergency medicine in Europe most life-threatening hemorrhages occur in the abdomen and the pelvis. This is one reason why endovascular balloon occlusion of the aorta (EBOA), a procedure especially established in vascular surgery, is increasingly propagated for rapid bleeding control in these patients. This review article provides a comprehensive overview of the technique, indications, contraindications and complications of resuscitative endovascular balloon occlusion of the aorta (REBOA). Additionally, outcomes reported in in the currently available literature are summarized and discussed. From this practical and user-oriented consequences for future successful introduction of REBOA in the field of emergency medicine are deduced.

引用

页码：280 / 292

页数：13

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