This review evaluates the current use of Resuscitative Endovascular Occlusion of the Aorta (REBOA) in both out-of-hospital (OOH) and in-hospital (H) settings for blunt and penetrating trauma, highlighting potential areas for future research to enhance its application.
A literature analysis revealed that REBOA outside of hospitals resulted in a significantly higher survival rate (88.6%) compared to in-hospital cases (50.4%), with different injury types influencing the zones used for occlusion.
The review suggests that improving REBOA outcomes may hinge on implementing quicker initiation post-injury rather than solely enhancing the REBOA technique itself, emphasizing the
REBOA (resuscitative endovascular balloon occlusion of the aorta) is a less invasive alternative to emergency thoracotomy for treating massive hemorrhage and showed promise in rapidly restoring carotid blood flow in a porcine model.
Findings revealed that the median time to reach maximal carotid blood flow was significantly shorter with REBOA (3.0 minutes) compared to blood transfusion (9.6 minutes), indicating its potential effectiveness.
Although initial survival rates were higher in the REBOA group (95% at four hours), further research is needed to understand its long-term effects and applications.