| Título : |
REBOA as a New Damage Control Component in Hemodynamically Unstable Noncompressible Torso Hemorrhage Patients |
| Otros títulos : |
El REBOA como nuevo actor en el control de daños del paciente hemodinámicamente inestable con hemorragia no compresible del torso |
| Tipo de documento : |
documento electrónico |
| Autores : |
David Alejandro Mejía Toro, |
| Fecha de publicación : |
2020 |
| Títulos uniformes : |
Colombia Médica
|
| Idioma : |
Inglés (eng) |
| Palabras clave : |
Resuscitative Endovascular Balloon Occlusion of the Aorta Damage Control Non-Compressible Torso Hemorrhage Hemodynamically Unstable Wounds Gunshot Injury Severity Score Trauma Centers Advanced Trauma Life Support Care Balloon Occlusion Nonpenetrating Endovascular Procedures REBOA |
| Resumen : |
Noncompressible torso hemorrhage is one of the leading causes of preventable death worldwide. An efficient and appropriate evaluation of the trauma patient with ongoing hemorrhage is essential to avoid the development of the lethal diamond (hypothermia, coagulopathy, hypocalcemia, and acidosis). Currently, the initial management strategies include permissive hypotension, hemostatic resuscitation, and damage control surgery. However, recent advances in technology have opened the doors to a wide variety of endovascular techniques that achieve these goals with minimal morbidity and limited access. An example of such advances has been the introduction of the Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA), which has received great interest among trauma surgeons around the world due to its potential and versatility in areas such as trauma, gynecology & obstetrics and gastroenterology. This article aims to describe the experience earned in the use of REBOA in noncompressible torso hemorrhage patients. Our results show that REBOA can be used as a new component in the damage control resuscitation of the severely injured trauma patient. To this end, we propose two new deployment algorithms for hemodynamically unstable noncompressible torso hemorrhage patients: one for blunt and another for penetrating trauma. We acknowledge that REBOA has its limitations, which include a steep learning curve, its inherent cost and availability. Although to reach the best outcomes with this new technology, it must be used in the right way, by the right surgeon with the right training and to the right patient. |
| Mención de responsabilidad : |
Carlos A. Ordoñez, Michael W. Parra, Yaset Caicedo, Natalia Padilla, Fernando Rodríguez-Holguín, José Julián Serna, Alexander Salcedo, Alberto García, Claudia Orlas, Luis Fernando Pino, Ana Milena del Valle, David Mejia, Juan Carlos Salamea-Molina, Megan Brenner, Tal Hörer |
| Referencia : |
Colomb Med (Cali). 2020 Dec 30;51(4):e4064506 |
| DOI (Digital Object Identifier) : |
10.25100/cm.v51i4.4506 |
| PMID : |
33795901 |
| Derechos de uso : |
CC BY-NC-ND |
| En línea : |
https://colombiamedica.univalle.edu.co/index.php/comedica/article/view/4506/ |
| Enlace permanente : |
https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_display&id=5733 |
REBOA as a New Damage Control Component in Hemodynamically Unstable Noncompressible Torso Hemorrhage Patients = El REBOA como nuevo actor en el control de daños del paciente hemodinámicamente inestable con hemorragia no compresible del torso [documento electrónico] / David Alejandro Mejía Toro, . - 2020. Obra : Colombia MédicaIdioma : Inglés ( eng) | Palabras clave : |
Resuscitative Endovascular Balloon Occlusion of the Aorta Damage Control Non-Compressible Torso Hemorrhage Hemodynamically Unstable Wounds Gunshot Injury Severity Score Trauma Centers Advanced Trauma Life Support Care Balloon Occlusion Nonpenetrating Endovascular Procedures REBOA |
| Resumen : |
Noncompressible torso hemorrhage is one of the leading causes of preventable death worldwide. An efficient and appropriate evaluation of the trauma patient with ongoing hemorrhage is essential to avoid the development of the lethal diamond (hypothermia, coagulopathy, hypocalcemia, and acidosis). Currently, the initial management strategies include permissive hypotension, hemostatic resuscitation, and damage control surgery. However, recent advances in technology have opened the doors to a wide variety of endovascular techniques that achieve these goals with minimal morbidity and limited access. An example of such advances has been the introduction of the Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA), which has received great interest among trauma surgeons around the world due to its potential and versatility in areas such as trauma, gynecology & obstetrics and gastroenterology. This article aims to describe the experience earned in the use of REBOA in noncompressible torso hemorrhage patients. Our results show that REBOA can be used as a new component in the damage control resuscitation of the severely injured trauma patient. To this end, we propose two new deployment algorithms for hemodynamically unstable noncompressible torso hemorrhage patients: one for blunt and another for penetrating trauma. We acknowledge that REBOA has its limitations, which include a steep learning curve, its inherent cost and availability. Although to reach the best outcomes with this new technology, it must be used in the right way, by the right surgeon with the right training and to the right patient. |
| Mención de responsabilidad : |
Carlos A. Ordoñez, Michael W. Parra, Yaset Caicedo, Natalia Padilla, Fernando Rodríguez-Holguín, José Julián Serna, Alexander Salcedo, Alberto García, Claudia Orlas, Luis Fernando Pino, Ana Milena del Valle, David Mejia, Juan Carlos Salamea-Molina, Megan Brenner, Tal Hörer |
| Referencia : |
Colomb Med (Cali). 2020 Dec 30;51(4):e4064506 |
| DOI (Digital Object Identifier) : |
10.25100/cm.v51i4.4506 |
| PMID : |
33795901 |
| Derechos de uso : |
CC BY-NC-ND |
| En línea : |
https://colombiamedica.univalle.edu.co/index.php/comedica/article/view/4506/ |
| Enlace permanente : |
https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_display&id=5733 |
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