Damage control approach to refractory neurogenic shock: a new proposal to a well-established algorithm = El control de daños en el choque neurogénico refractario: propuesta de un nuevo algoritmo de manejo [documento electrónico] / David Alejandro Mejía Toro,  . - 2021.
Obra : Colombia Médica

Idioma : Inglés (eng)

Palabras clave :	Hemorrhagic Shock  Hypovolemia  Spinal Cord Injuries  Balloon Occlusion  Spinal Cord Ischemia  Intensive Care Units  REBOA  Damage control surgery
Resumen :	Resuscitative endovascular balloon occlusion of the aorta (REBOA) is commonly used as an adjunct to resuscitation and bridge to definitive control of non-compressible torso hemorrhage in patients with hemorrhagic shock. It has also been performed for patients with neurogenic shock to support the central aortic pressure necessary for cerebral, coronary and spinal cord perfusion. Although volume replacement and vasopressors are the cornerstones of the management of neurogenic shock, we believe that a REBOA can be used as an adjunct in carefully selected cases to prevent prolonged hypotension and the risk of further anoxic spinal cord injury. This manuscript aims to propose a new damage control algorithmic approach to refractory neurogenic shock that includes the use of a REBOA in Zone 3. There are still unanswered questions on spinal cord perfusion and functional outcomes using a REBOA in Zone 3 in trauma patients with refractory neurogenic shock. However, we believe that its use in these case scenarios can be beneficial to the overall outcome of these patients.
Mención de responsabilidad :	Michael W. Parra, Carlos A. Ordoñez, David Mejia, Yaset Caicedo, Javier Mauricio Lobato, Oscar Javier Castro, Jose Alfonso Uribe, Fernando Velásquez
Referencia :	Colomb Med (Cali). 2021 Jun 30;52(2):e4164800.
DOI (Digital Object Identifier) :	10.25100/cm.v52i2.4800
PMID :	34908624
Derechos de uso :	CC BY-NC-ND
En línea :	https://colombiamedica.univalle.edu.co/index.php/comedica/article/view/4800
Enlace permanente :	https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_display&id=5829