Use of REBOA in the universe of magical realism: a real-world review

  • Ramiro Manzano-Nuñez a. Clinical Research Center, Fundacion Valle del Lili. Cali, Colombia. b. School of Medicine and Health Sciences, Universidad del Rosario. Bogotá, Colombia. https://orcid.org/0000-0001-7444-9634
  • Julián Chica-Yanten Clinical Research Center, Fundacion Valle del Lili. Cali, Colombia.
  • Maria P. Naranjo General Surgery, Fundacion Universitaria Sanitas. Bogotá, Colombia.
  • Isabella Caicedo-Holguin Clinical Research Center, Fundacion Valle del Lili. Cali, Colombia.
  • Juliana M. Ordoñez Department of Surgery, Fundación Valle del Lili. Cali, Colombia.
  • David McGreevy Department of Cardiothoracic & Vascular Surgery, School of Medicine & Health, Örebro University. Örebro, Sweden.
  • Juan C. Puyana Department of Surgery, University of Pittsburgh. Pittsburgh, USA.
  • Tal M. Hörer Department of Cardiothoracic & Vascular Surgery, School of Medicine & Health, Örebro University. Örebro, Sweden.
  • Ernest E. Moore Department of Surgery, School of Medicine, University of Colorado Denver, Aurora, USA.
  • Alberto F. García Department of Surgery, Fundación Valle del Lili. Cali, Colombia.
Keywords: Resuscitative balloon occlusion of the aorta, REBOA, Endovascular resuscitation, Trauma management, Non-compressible torso hemorrhage

Abstract

While reading the novella “Chronicle of a Death Foretold” by the Colombian Nobel Laureate Gabriel García-Marquez, we were surprised to realize that the injuries sustained by the main character could have been successfully treated had he received modern trauma care in which REBOA may have been considered. This is a discussion of Mr. Nasar's murder to explore whether he could have been saved by deploying REBOA as a surgical adjunct to bleeding control and resuscitation. In reading García-Marquez's novel we noted the events that unfolded at the time of Santiago Nasar's murder. To contextualize the claim that Mr. Nasar could have survived, had his injuries been treated with REBOA, we explored and illustrated what could have done differently and why. On the day of his death, Mr. Nasar sustained multiple penetrating stab wounds. Although he received multiple stab wounds to his torso, the book describes seven potentially fatal injuries, resulting in hollow viscus, solid viscus, and major vascular injuries. We provided a practical description of the clinical and surgical management algorithm we would have followed in Mr. Nasar's case. This algorithm included the REBOA deployment for hemorrhage control and resuscitation. The use of REBOA as part of the surgical procedures performed could have saved Mr. Nasar's life. Based on our current knowledge about REBOA in trauma surgery, we claim that its use, coupled with appropriate surgical care for hemorrhage control, could have saved Santiago Nasar's life, and thus prevent a death foretold.

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How to Cite
1.
Manzano-Nuñez R, Chica-Yanten J, Naranjo MP, Caicedo-Holguin I, Ordoñez JM, McGreevy D, Puyana JC, Hörer TM, Moore EE, García AF. Use of REBOA in the universe of magical realism: a real-world review. Colomb. J. Anesthesiol. [Internet]. 2021Mar.15 [cited 2021Oct.16];49. Available from: https://www.revcolanest.com.co/index.php/rca/article/view/973

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Published
2021-03-15
How to Cite
1.
Manzano-Nuñez R, Chica-Yanten J, Naranjo MP, Caicedo-Holguin I, Ordoñez JM, McGreevy D, Puyana JC, Hörer TM, Moore EE, García AF. Use of REBOA in the universe of magical realism: a real-world review. Colomb. J. Anesthesiol. [Internet]. 2021Mar.15 [cited 2021Oct.16];49. Available from: https://www.revcolanest.com.co/index.php/rca/article/view/973
Section
Narrative review