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Feasibility and Clinical Outcome of Reboa in Patients with Impending Traumatic Cardiac Arrest

McGreevy, David, 1988- (author)
Örebro universitet,Institutionen för medicinska vetenskaper,Department of Cardiothoracic and Vascular Surgery, Faculty of Medicine and Health, Örebro University, Örebro, Sweden
Abu-Zidan, Fikri M. (author)
Department of Surgery, College of Medicine and Health Science, UAE University, Al-Ain, United Arab Emirates
Sadeghi, Mitra, 1982- (author)
Department of Cardiothoracic and Vascular Surgery, Faculty of Medicine and Health, Örebro University, Örebro, Sweden
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Pirouzram, Artai, 1970- (author)
Örebro universitet,Institutionen för medicinska vetenskaper,Department of Cardiothoracic and Vascular Surgery
Toivola, Asko (author)
Department of Cardiothoracic and Vascular Surgery, Faculty of Medicine and Health, Örebro University, Örebro, Sweden
Skoog, Per (author)
Department of Hybrid and Interventional Surgery, Unit of Vascular Surgery, Sahlgrenska University Hospital, Gothenburg, Sweden
Idoguchi, Koji (author)
Senshu Trauma and Critical Care Center, Rinku General Medical Center, Izumisano, Japan
Kon, Yuri (author)
Emergency and Critical Care Center, Hachinohe City Hospital, Hachinohe, Japan
Ishida, Tokiya (author)
Emergency and Critical Care Center, Ohta Nishinouchi Hospital, Koriyama, Japan
Matsumura, Yosuke (author)
Department of Emergency and Critical Care Medicine, Chiba University Graduate School of Medicine, Chiba, Japan
Matsumoto, Junichi (author)
Department of Emergency and Critical Care Medicine, St Marianna University School of Medicine, Kawasaki, Japan
Reva, Viktor (author)
Department of War Surgery, Kirov Military Medical Academy, Saint Petersburg, RussiaDzhanelidze Research Institute of Emergency Medicine, Saint Petersburg, Russia
Maszkowski, Mariusz (author)
Västmanlands Hospital Västerås, Department of Vascular Surgery, Örebro University, Örebro, Sweden
Bersztel, Adam (author)
Västmanlands Hospital Västerås, Department of Vascular Surgery, Örebro University, Örebro, Sweden
Caragounis, Eva Corina (author)
Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper, Avdelningen för kirurgi,Institute of Clinical Sciences, Department of Surgery
Falkenberg, Mårten (author)
Department of Radiology, Sahlgrenska University Hospital, Gothenburg, Sweden
Handolin, Lauri (author)
Helsinki University Hospital, Department of Orthopedics and Traumatology, University of Helsinki, Helsinki, Finland
Oosthuizen, George (author)
Ngwelezana Surgery and Trauma, Department of Surgery, University of KwaZulu-Natal, Empangeni, KwaZulu-Natal, South Africa
Szarka, Endre (author)
Pietermaritzburg Metropolitan Trauma Service, Department of Surgery, University of KwaZulu-Natal College of Health Sciences, Pietermaritzburg, KwaZulu-Natal, South Africa
Manchev, Vassil (author)
Department of Surgery. Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand
Wannatoop, Tongporn (author)
Department of Surgery. Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand
Chang, Sung Wook (author)
Department of Thoracic and Cardiovascular Surgery, Trauma Center, Dankook University Hospital, Cheonan, Republic of Korea
Kessel, Boris (author)
Department of Surgery, Hillel Yaffe Medical Centre, Hadera, Israel
Hebron, Dan (author)
Department of Surgery, Hillel Yaffe Medical Centre, Hadera, Israel
Shaked, Gad (author)
Department of Anesthesiology and Critical Care, Soroka University Medical Center, Ben Gurion University, Beer Sheva, Israel
Bala, Miklosh (author)
Trauma and Acute Care Surgery Unit, Hadassah Hebrew University Medical Center, Jerusalem, Israel
Coccolini, Federico (author)
Department of General, Emergency and Trauma Surgery, Bufalini Hospital, Cesena, Italy
Ansaloni, Luca (author)
Department of General, Emergency and Trauma Surgery, Bufalini Hospital, Cesena, Italy
Ordoñez, Carlos A (author)
Division of Trauma and Acute Care Surgery, Department of Surgery, Fundación Valle del Lili and Universidad Del Valle, Cali, Colombia
Dogan, Emanuel M., 1984- (author)
Örebro universitet,Institutionen för medicinska vetenskaper,Department of Cardiothoracic and Vascular Surgery
Manning, James E. (author)
Department of Emergency Medicine, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, United States of America
Hibert-Carius, Peter (author)
Department of Anesthesiology, Emergency and Intensive Care Medicine, Bergmannstrost Hospital Halle, Halle, Germany
Larzon, Thomas, 1950- (author)
Department of Cardiothoracic and Vascular Surgery, Faculty of Medicine and Health, Örebro University, Örebro, Sweden
Nilsson, Kristofer F., 1981- (author)
Örebro universitet,Institutionen för medicinska vetenskaper,Department of Cardiothoracic and Vascular Surgery
Hörer, Tal M., 1971- (author)
Örebro universitet,Institutionen för medicinska vetenskaper,Region Örebro län,Department of Cardiothoracic and Vascular Surgery
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 (creator_code:org_t)
Lippincott Williams & Wilkins, 2020
2020
English.
In: Shock. - : Lippincott Williams & Wilkins. - 1073-2322 .- 1540-0514. ; 54:2, s. 218-223
Related links:
https://urn.kb.se/re...
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https://doi.org/10.1...
https://gup.ub.gu.se...
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  • Journal article (peer-reviewed)
Abstract Subject headings
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  • BACKGROUND: Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) may improve Systolic Blood Pressure (SBP) in hypovolemic shock. It has, however, not been studied in patients with impending traumatic cardiac arrest (ITCA). We aimed to study the feasibility and clinical outcome of REBOA in patients with ITCA using data from the ABOTrauma Registry.METHODS: Retrospective and prospective data on the use of REBOA from 16 centers globally were collected. SBP was measured both at pre- and post-REBOA inflation. Data collected included patients' demography, vascular access technique, number of attempts, catheter size, operator, zone and duration of occlusion, and clinical outcome.RESULTS: There were 74 patients in this high-risk patient group. REBOA was performed on all patients. A 7-10Fr catheter was used in 66.7%, 58.5% were placed on the first attempt, 52.1% through blind insertion and 93.2% inflated in Zone I, 64.8% for a period of 30 to 60 minutes, 82.1% by ER doctors, trauma surgeons or vascular surgeons. SBP significantly improved to 90 mmHg following the inflation of REBOA. 36.6% of the patients survived.CONCLUSIONS: Our study has shown that REBOA may be performed in patients with ITCA, SBP can be elevated and 36.6% of the patients survived if REBOA placement is successful.

Subject headings

MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Anestesi och intensivvård (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Anesthesiology and Intensive Care (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Kirurgi (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Surgery (hsv//eng)

Keyword

Endovascular Resuscitation
Impending Traumatic Cardiac Arrest
REBOA
Shock
Trauma
Vascular Access

Publication and Content Type

ref (subject category)
art (subject category)

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