Current use of Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) in trauma

  • Carlos A. Ordoñez a. President of Panamerican Trauma Society, United States. b. Trauma and Acute Care Surgery Division, Fundación Valle del Lili, Cali, Colombia. c. Universidad del Valle, Cali, Colombia
  • Ramiro Manzano-Nunez a. Trauma and Acute Care Surgery Division, Fundación Valle del Lili, Cali, Colombia. b. Clinical Research Center, Fundación Valle del Lili, Cali, Colombia
  • Ana Milena del Valle Universidad del Valle, Cali, Colombia
  • Fernando Rodriguez Trauma and Acute Care Surgery Division, Fundación Valle del Lili, Cali, Colombia
  • Paola Burbano Trauma and Acute Care Surgery Division, Fundación Valle del Lili, Cali, Colombia
  • Maria Paula Naranjo Clinical Research Center, Fundación Valle del Lili, Cali, Colombia
  • Michael W. Parra Department of Trauma Critical Care, Broward General Level I Trauma Center, Fort Lauderdále, FL, United States
  • Paula Ferrada Virginia Commonwealth Universty, Richmond, VA, United States
  • Mónica Alejandra Solís-Velasco Beth Israel Deaconess Medical Center, Boston, MA, United States
  • Alberto F. García a. Trauma and Acute Care Surgery Division, Fundación Valle del Lili, Cali, Colombia. b. Universidad del Valle, Cali, Colombia
Keywords: Endovascular procedures, Hemorrhage, Review, Aorta, Thoracic, Wounds and injuries

Abstract

Introduction:

Non-compressible torso haemorrhage is the leading cause of death in trauma cases. This has led to the development of new devices to control bleeding, including Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA).

Objective:

To perform a non-systematic review of the literature on the use of Resuscitative Endovascular Balloon Occlusion of the Aorta in trauma.

Materials and methods:

A systematic literature search through Medline was conducted. Articles relevant to our objective were selected. A qualitative and narrative synthesis of results is presented.

Results:

Our qualitative and narrative results show that Resuscitative Endovascular Balloon Occlusion of the Aorta could be a safe and effective intervention for the control of haemorrhage in abdomino-pelvic trauma. Its use is controversial in thoracic trauma. Finally, the performance of this intervention may cause complications.

Conclusion:

Resuscitative Endovascular Balloon Occlusion of the Aorta is an alternative that can be used in damage control surgery. It could be effective for early control of bleeding in patients with non-compressible torso haemorrhage. As a complex intervention, REBOA is in its development phase, and the evidence available preclude us from providing strong recommendations.

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How to Cite
1.
Ordoñez CA, Manzano-Nunez R, del Valle AM, Rodriguez F, Burbano P, Naranjo MP, et al. Current use of Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) in trauma. Colomb. J. Anesthesiol. [Internet]. 2017 Oct. 1 [cited 2024 Apr. 25];45(Supplement):30-8. Available from: https://www.revcolanest.com.co/index.php/rca/article/view/188

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Published
2017-10-01
How to Cite
1.
Ordoñez CA, Manzano-Nunez R, del Valle AM, Rodriguez F, Burbano P, Naranjo MP, et al. Current use of Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) in trauma. Colomb. J. Anesthesiol. [Internet]. 2017 Oct. 1 [cited 2024 Apr. 25];45(Supplement):30-8. Available from: https://www.revcolanest.com.co/index.php/rca/article/view/188
Section
Systematic review

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