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Compact Arterial Monitoring Device Use in Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA): A Simple Validation Study in Swine.
Cureus
October 2024
Department of Anesthesiology, Uniformed Services University of the Health Sciences, Bethesda, USA.
Article Synopsis
- - Hemorrhage is the main cause of preventable death in trauma situations, leading to military and civilian advancements in medical practices, particularly through the use of tourniquets to manage extremity bleeding and save lives.
- - While tourniquets have significantly decreased deaths from bleeding in military settings, noncompressible hemorrhage still poses a major risk, especially before patients receive definitive medical care.
- - The study explores using a small, disposable pressure monitor during resuscitative endovascular balloon occlusion of the aorta (REBOA) to enhance blood pressure monitoring, facilitate better resuscitation practices, and reduce the need for blood products in extreme environments.
An assessment of nationwide trends in emergency department (ED) resuscitative endovascular balloon occlusion of the aorta (REBOA) use - A trauma quality improvement program registry analysis.
Am J Surg
December 2024
Uniformed Services University of the Health Sciences, Bethesda, MD, USA; Department of Anesthesiology, University of Colorado School of Medicine, Aurora, CO, USA; Department of Emergency Medicine, University of Colorado School of Medicine, Aurora, CO, USA; Center for Combat and Battlefield Research (COMBAT), University of Colorado School of Medicine, Aurora, CO, USA.
Article Synopsis
- A study investigated the use of resuscitative endovascular balloon occlusion of the aorta (REBOA) for managing severe torso trauma in emergency departments, highlighting its controversial role and limited data on patient outcomes.
- The analysis included 3,398 REBOA procedures from 2017 to 2022, mostly involving male patients with an average age of 40, primarily stemming from collision injuries.
- The findings showed that while survival rates were high (85%) shortly after REBOA placement, they declined significantly to 42% by discharge, indicating room for improvement in patient selection and outcomes.
The Efficacy of Whole Blood Resuscitation During Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) to Mitigate Post-occlusion Circulatory Collapse: A Translational Model in Large Swine.
Mil Med
January 2025
Office of the Chief Scientist, 59th Medical Wing, San Antonio, TX 78236, USA.
Introduction: Uncontrolled torso hemorrhage is the primary cause of potentially survivable deaths on the battlefield. Zone 1 Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA), in conjunction with damage control resuscitation, may be an effective management strategy for these patients in the prehospital or austere phase of their care. However, the effect of whole blood (WB) transfusion during REBOA on post-occlusion circulatory collapse is not fully understood.
View Article and Find Full Text PDFThe employment of resuscitative endovascular balloon occlusion of the aorta in deployed settings.
Transfusion
May 2024
University of Colorado Center for Combat Medicine and Battlefield (COMBAT) Research, Aurora, Colorado, USA.
Article Synopsis
- REBOA is a medical procedure used in emergencies to help control bleeding in seriously injured people, especially in trauma cases.
- This study looked at 17 cases where REBOA was used in military settings between 2017 and 2019.
- Most of the injured patients survived after getting treatment, with many having serious injuries mostly in the abdomen and limbs.
Transition of Resuscitative Endovascular Balloon Occlusion of the Aorta from Zone 3 to Zone 1 to Treat Hemodynamic Collapse during Continued Hemorrhage.
Mil Med
January 2024
Division of Vascular Surgery, San Antonio Military Medical Center, Fort Sam Houston, TX 78234, USA.
Introduction: Noncompressible torso hemorrhage (NCTH) accounts for most potentially survivable deaths on the battlefield. Treatment of NCTH is challenging, especially in far-forward environments with limited capabilities. Resuscitative endovascular balloon occlusion of the aorta (REBOA) has shown promise in the care of patients with NCTH.
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