Use of REBOA in the universe of magical realism: a real-world review
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.
References
García-Marquez G. Chronicle of a Death Foretold. Knopf Doubleday Publishing Group; 2014.
Hörer T. Resuscitative endovascular balloon occlusion of the aorta (REBOA) and endovascular resuscitation and trauma management (EVTM): a paradigm shift regarding hemodynamic instability. Eur J Trauma Emerg Surg. 2018;44(4):487–9. doi: https://doi.org/10.1007/s00068-018-0983-y
Biffl WL, Fox CJ, Moore EE. The role of REBOA in the control of exsanguinating torso hemorrhage. J Trauma Acute Care Surg. 2015;78(5):1054–8. doi: https://doi.org/10.1097/TA.0000000000000609
Morrison JJ, Galgon RE, Jansen JO, Cannon JW, Rasmussen TE, Eliason JL, 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. doi: https://doi.org/10.1097/TA.0000000000000913
Brenner ML, Moore LJ, DuBose JJ, Tyson GH, McNutt MK, Albarado RP, et al. A clinical series of resuscitative endovascular balloon occlusion of the aorta for hemorrhage control and resuscitation. J Trauma Acute Care Surg. 2013;75(3):506–511. doi: https://doi.org/10.1097/TA.0b013e31829e5416
Ordoñez CA, Manzano-Nunez R, Valle AM del, Rodriguez F, Burbano P, Naranjo MP, et al. Current use of Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) in trauma. Colombian Journal of Anesthesiology. 2017;45(Supp2):30–8. doi: https://doi.org/10.1016/j.rcae.2017.09.007
Joseph J. D, Thomas M. S, Megan B, Dimitra S, Kenji I, Jeremy C, et al. The AAST Prospective Aortic Occlusion for Resuscitation in Trauma and Acute Care Surgery (AORTA) Registry: Data on contemporary utilization and outcomes of aortic occlusion and resuscitative balloon occlusion of the aorta (REBOA). J Trauma Acute Care Surg. 2016;81(3):409–19. doi: https://doi.org/10.1097/TA.0000000000001079
Sadeghi M, Nilsson KF, Larzon T, Pirouzram A, Toivola A, Skoog P, et al. The use of aortic balloon occlusion in traumatic shock: first report from the ABO trauma registry. Eur J Trauma Emerg Surg. 2018;44(4):491–501. doi: https://doi.org/10.1007/s00068-017-0813-7
Manzano Nuñez R, Naranjo MP, Foianini E, Ferrada P, Rincon E, García-Perdomo HA, et al. A meta-analysis of resuscitative endovascular balloon occlusion of the aorta (REBOA) or open aortic cross-clamping by resuscitative thoracotomy in non-compressible torso hemorrhage patients. World J Emerg Surg. 2017;12(1):30. doi: https://doi.org/10.1186/s13017-017-0142-5
Russo RM, Neff LP, Johnson MA, Williams TK. Emerging Endovascular Therapies for Non-Compressible Torso Hemorrhage. Shock. 2016;46(3 Suppl 1):12–9. doi: https://doi.org/10.1097/SHK.0000000000000641
Ordoñez CA, Manzano-Nunez R, Parra MW, Rasmussen TE, Nieto AJ, Herrera-Escobar JP, et al. Prophylactic use of Resuscitative Endovascular Balloon Occlusion of the Aorta in women with abnormal placentation: A Systematic Review, Meta-Analysis and Case Series. J Trauma Acute Care Surg. 2018;84(5):809–18. doi: https://doi.org/10.1097/TA.0000000000001821
Manzano-Nunez R, Escobar-Vidarte MF, Orlas CP, Herrera-Escobar JP, Galvagno SM, Melendez JJ, et al. Resuscitative endovascular balloon occlusion of the aorta deployed by acute care surgeons in patients with morbidly adherent placenta: a feasible solution for two lives in peril. World J Emerg Surg. 2018;13:44. doi: https://doi.org/10.1186/s13017-018-0205-2
Gervin AS, Fischer RP. The importance of prompt transport of salvage of patients with penetrating heart wounds. J Trauma. 1982 Jun;22(6):443-8. doi: https://doi.org/10.1097/00005373-198206000-00001
MacKenzie EJ, Rivara FP, Jurkovich GJ, Nathens AB, Frey KP, Egleston BL, et al. A National Evaluation of the Effect of Trauma-Center Care on Mortality. N Engl J Med. 2006 Jan 26;354(4):366–78. doi: https://doi.org/10.1056/NEJMsa052049
Pusateri AE, Moore EE, Moore HB, Le TD, Guyette FX, Chapman MP, et al. Association of Prehospital Plasma Transfusion With Survival in Trauma Patients With Hemorrhagic Shock When Transport Times Are Longer Than 20 Minutes: A Post Hoc Analysis of the PAMPer and COMBAT Clinical Trials. JAMA Surg. 2020;155(2):e195085. doi: https://doi.org/10.1001/jamasurg.2019.5085
Lendrum R, Perkins Z, Chana M, Marsden M, Davenport R, Grier G, et al. Pre-hospital Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) for exsanguinating pelvic haemorrhage. Resuscitation. 20191;135:6–13. doi: https://doi.org/10.1016/j.resuscitation.2018.12.018
De Schoutheete JC, Fourneau I, Waroquier F, De Cupere L, O’Connor M, Van Cleynenbreugel K, et al. Three cases of resuscitative endovascular balloon occlusion of the aorta (REBOA) in austere pre-hospital environment—technical and methodological aspects. World J Emerg Surg. 2018;13(1):54. doi: https://doi.org/10.1186/s13017-018-0213-2
Ordoñez CA, Parra MW, Manzano-Nunez R, Herrera-Escobar JP, Serna JJ, Rodriguez-Ossa P, et al. Intra-Operative Combination of Resuscitative Endovascular Balloon Occlusion of the Aorta and a Median Sternotomy in Hemodynamically Unstable Patients’ with Penetrating Chest Trauma: Is this feasible? J Trauma Acute Care Surg. 2018;84(5):752–7. doi: https://doi.org/10.1097/TA.0000000000001807
Ordoñez CA, Rodríguez F, Parra M, Herrera JP, Guzmán-Rodríguez M, Orlas C, et al. Resuscitative Endovascular Balloon of the Aorta is feasible in penetrating chest trauma with major hemorrhage: Proposal of a new institutional deployment algorithm. J Trauma Acute Care Surg. 2020;89(2):311-319. doi: https://doi.org/10.1097/TA.0000000000002773.
Brenner M, Inaba K, Aiolfi A, DuBose J, Fabian T, Bee T, et al. Resuscitative Endovascular Balloon Occlusion of the Aorta and Resuscitative Thoracotomy in Select Patients with Hemorrhagic Shock: Early Results from the American Association for the Surgery of Trauma’s Aortic Occlusion in Resuscitation for Trauma and Acute Care Surgery Registry. J Am Coll Surg. 2018;226(5):730–40. doi: https://doi.org/10.1016/j.jamcollsurg.2018.01.044
Ordoñez CA, Khan M, Cotton B, Perreira B, Brenner M, Ferrada P, et al. The Colombian Experience in Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA): The Progression from a Large Caliber to a Low-Profile Device at a Level I Trauma Center. Shock. 2020. doi: https://doi.org/10.1097/SHK.0000000000001515
García AF, Manzano-Nunez R, Orlas CP, Ruiz-Yucuma J, Londoño A, Salazar C, et al. Association of resuscitative endovascular balloon occlusion of the aorta (REBOA) and mortality in penetrating trauma patients. Eur J Trauma Emerg Surg. 2020. doi: https://doi.org/10.1007/s00068-020-01370-9
Stannard A, Eliason JL, Rasmussen TE. Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) as an Adjunct for Hemorrhagic Shock. J Trauma Inj Infect Crit Care. 2011;71(6):1869–72. doi: https://doi.org/10.1097/TA.0b013e31823fe90c
Manzano-Nunez R, Herrera-Escobar JP, DuBose J, Hörer T, Galvagno S, Orlas CP, et al. Could resuscitative endovascular balloon occlusion of the aorta improve survival among severely injured patients with post-intubation hypotension? Eur J Trauma Emerg Surg. 2018;44(4):527–33. doi: https://doi.org/10.1007/s00068-018-0947-2.
Garcia A, Martinez J, Rodriguez J, Millan M, Valderrama G, Ordoñez C, et al. Damage-control techniques in the management of severe lung trauma. J Trauma Acute Care Surg. 2015;78(1):45–51. doi: https://doi.org/10.1097/TA.0000000000000482
Ordoñez CA, Badiel M, Pino LF, Salamea JC, Loaiza JH, Parra MW, et al. Damage control resuscitation: early decision strategies in abdominal gunshot wounds using an easy “ABCD” mnemonic. J Trauma Acute Care Surg. 2012;73(5):1074–8. doi: https://doi.org/10.1097/TA.0b013e31826fc780
Manzano-Nunez R, Chica J, Gómez A, Naranjo MP, Chaves H, Muñoz LE, et al. The tenets of intrathoracic packing during damage control thoracic surgery for trauma patients: a systematic review. Eur J Trauma Emerg Surg 2020. doi: https://doi.org/10.1007/s00068-020-01428-8
Ordoñez CA, Parra MW, Salamea JC, Puyana JC, Millán M, Badiel M, et al. A comprehensive five-step surgical management approach to penetrating liver injuries that require complex repair. J Trauma Acute Care Surg. 2013;75(2):207–11. doi: https://doi.org/10.1097/TA.0b013e31829de5d1
Feliciano D V. Management of traumatic retroperitoneal hematoma. Ann Surg. 1990;211(2):109–23. doi: https://doi.org/10.1097/00000658-199002000-00001
Ordoñez CA, Pino LF, Badiel M, Sánchez AI, Loaiza J, Ballestas L, et al. Safety of Performing a Delayed Anastomosis During Damage Control Laparotomy in Patients with Destructive Colon Injuries. J Trauma. 2011;71(6):1512–8. doi: https://doi.org/10.1097/TA.0b013e31823d0691
Abe T, Uchida M, Nagata I, Saitoh D, Tamiya N. Resuscitative endovascular balloon occlusion of the aorta versus aortic cross clamping among patients with critical trauma: a nationwide cohort study in Japan. Crit Care. 2016;20(1):400. doi: https://doi.org/10.1186/s13054-016-1577-x
Joseph B, Zeeshan M, Sakran J V, Hamidi M, Kulvatunyou N, Khan M, et al. Nationwide Analysis of Resuscitative Endovascular Balloon Occlusion of the Aorta in Civilian Trauma. JAMA Surg. 2019;154(6):500–8. doi: https://doi.org/10.1001/jamasurg.2019.0096
Norii T, Crandall C, Terasaka Y. Survival of severe blunt trauma patients treated with resuscitative endovascular balloon occlusion of the aorta compared with propensity score-adjusted untreated patients. J Trauma Acute Care Surg. 2015;78(4):721–8. doi: https://doi.org/10.1097/TA.0000000000000578
Inoue J, Shiraishi A, Yoshiyuki A, Haruta K, Matsui H, Otomo Y. Resuscitative endovascular balloon occlusion of the aorta might be dangerous in patients with severe torso trauma: a propensity score analysis. J Trauma Acute Care Surg. 2016;80(4):559-66. doi: https://doi.org/10.1097/TA.0000000000000968.
Hilbert-Carius P, McGreevy DT, Abu-Zidan FM, Hörer TM, group and the AbotR research. Pre-hospital CPR and early REBOA in trauma patients - results from the ABOTrauma Registry. World J Emerg Surg. 2020;15(1):23. doi: https://doi.org/10.1186/s13017-020-00301-8
Morrison JJ, Rasmussen TE. Noncompressible Torso Hemorrhage. A Review with Contemporary Definitions and Management Strategies. Surg Clin North Am. 2012;92(4):843–58. doi: https://doi.org/10.1016/j.suc.2012.05.002
Lallemand MS, Moe DM, McClellan JM, Smith JP, Daab L, Marko S, et al. Resuscitative endovascular balloon occlusion of the aorta for major abdominal venous injury in a porcine hemorrhagic shock model. J Trauma Acute Care Surg. 2017;83(2):230–6. doi: https://doi.org/10.1097/TA.0000000000001548
Joseph B, Ibraheem K, Haider AA, Kulvatunyou N, Tang A, O’Keeffe T, et al. Identifying potential utility of resuscitative endovascular balloon occlusion of the aorta: An autopsy study. J Trauma Acute Care Surg. 2016;81(5):S128–32. doi: https://doi.org/10.1097/TA.0000000000001104
Bulger EM, Perina DG, Qasim Z, Beldowicz B, Brenner M, Guyette F, et al. Clinical use of resuscitative endovascular balloon occlusion of the aorta (REBOA) in civilian trauma systems in the USA, 2019: a joint statement from the American College of Surgeons Committee on Trauma, the American College of Emergency Physicians, the National Association of Emergency Medical Services Physicians and the National Association of Emergency Medical Technicians. Trauma Surg Acute Care Open. 2019;4(1):e000376. doi: https://doi.org/10.1136/tsaco-2019-000376
Brenner M, Bulger EM, Perina DG, Henry S, Kang CS, Rotondo MF, et al. Joint statement from the American College of Surgeons Committee on Trauma (ACS COT) and the American College of Emergency Physicians (ACEP) regarding the clinical use of Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA). Trauma Surg Acute Care Open. 2018;3(1):e000154. doi: https://doi.org/10.1136/tsaco-2017-000154
Beyer CA, Hoareau GL, Kashtan HW, Wishy AM, Caples C, Spruce M, et al. Resuscitative endovascular balloon occlusion of the aorta (REBOA) in a swine model of hemorrhagic shock and blunt thoracic injury. Eur J Trauma Emerg Surg. 2020;46:1357-66. doi: https://doi.org/10.1007/s00068-019-01185-3
Glaser JJ, Neidert LE, Morgan CG, Brenner M, Stigall KS, Cardin S. Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) for Thoracic Trauma: A Translational Swine Study. J Trauma Acute Care Surg. 2020;89(3):474-81. doi: https://doi.org/10.1097/TA.0000000000002749
Zeeshan M, Hamidi M, Kulvatunyou N, Sakran J V, Jehan F, O’Keeffe T, et al. Nationwide Analysis of Compliance with Best Practice Guidelines for Resuscitative Endovascular Balloon Occlusion of the Aorta. J Am Coll Surg. 2018;227(4):S268–9. doi: https://doi.org/10.1016/j.jamcollsurg.2018.07.553
Nissen T, Wynn R. The clinical case report: a review of its merits and limitations. BMC Res Notes. 2014;7:264. doi: https://doi.org/10.1186/1756-0500-7-264
Downloads
| Article metrics | |
|---|---|
| Abstract views | |
| Galley vies | |
| PDF Views | |
| HTML views | |
| Other views | |
