SwePub
Sök i LIBRIS databas

  Utökad sökning

onr:"swepub:oai:DiVA.org:oru-92099"
 

Sökning: onr:"swepub:oai:DiVA.org:oru-92099" > REBOA as a New Dama...

REBOA as a New Damage Control Component in Hemodynamically Unstable Noncompressible Torso Hemorrhage Patients

Ordoñez, Carlos A. (författare)
Fundación Valle del Lili, Division of Trauma and Acute Care Surgery, Department of Surgery, Cali, Colombia; Universidad del Valle, Facultad de Salud, Escuela de Medicina, Division of Trauma and Acute Care Surgery, Department of Surgery, Cali, Colombia; Universidad Icesi, Cali, Colombia
Parra, Michael W. (författare)
Broward General Level I Trauma Center, Department of Trauma Critical Care, Fort Lauderdale FL, USA
Caicedo, Yaset (författare)
Fundación Valle del Lili, Centro de Investigaciones Clínicas (CIC), Cali, Colombia
visa fler...
Padilla, Natalia (författare)
Fundación Valle del Lili, Centro de Investigaciones Clínicas (CIC), Cali, Colombia
Rodriguez-Holguin, Fernando (författare)
Fundación Valle del Lili, Division of Trauma and Acute Care Surgery, Department of Surgery, Cali, Colombia
Julian Serna, José (författare)
Fundación Valle del Lili, Division of Trauma and Acute Care Surgery, Department of Surgery, Cali, Colombia; Universidad del Valle, Facultad de Salud, Escuela de Medicina, Division of Trauma and Acute Care Surgery, Department of Surgery, Cali, Colombia; Universidad Icesi, Cali, Colombia; Hospital Universitario del Valle, Division of Trauma and Acute Care Surgery, Department of Surgery, Cali, Colombia
Salcedo, Alexander (författare)
Fundación Valle del Lili, Division of Trauma and Acute Care Surgery, Department of Surgery, Cali, Colombia; Universidad del Valle, Facultad de Salud, Escuela de Medicina, Division of Trauma and Acute Care Surgery, Department of Surgery, Cali, Colombia; Universidad Icesi, Cali, Colombia; Hospital Universitario del Valle, Division of Trauma and Acute Care Surgery, Department of Surgery, Cali, Colombia
Garcia, Alberto (författare)
Fundación Valle del Lili, Division of Trauma and Acute Care Surgery, Department of Surgery, Cali, Colombia; Universidad del Valle, Facultad de Salud, Escuela de Medicina, Division of Trauma and Acute Care Surgery, Department of Surgery, Cali, Colombia; Universidad Icesi, Cali, Colombia
Orlas, Claudia (författare)
Center for Surgery and Public Health, Department of Surgery, Brigham & Women's Hospital, Boston, USA; Harvard Medical School & Harvard T.H. Chan School of Public Health, Boston, USA
Fernando Pino, Luis (författare)
Universidad del Valle, Facultad de Salud, Escuela de Medicina, Division of Trauma and Acute Care Surgery, Department of Surgery, Cali, Colombia; Hospital Universitario del Valle, Division of Trauma and Acute Care Surgery, Department of Surgery, Cali, Colombia
Milena Del Valle, Ana (författare)
Hospital Felix Bulness, Division of Surgery, Santiago de Chile, Chile
Mejia, David (författare)
Hospital Pablo Tobon Uribe, Department of Surgery, Medellin, Colombia; Universidad de Antioquia, Department of Surgery, Medellin, Colombia
Carlos Salamea-Molina, Juan (författare)
Hospital Vicente Corral Moscoso, Division of Trauma and Acute Care Surgery, Cuenca, Ecuador; Universidad del Azuay, Escuela de Medicina, Cuenca, Ecuador
Brenner, Megan (författare)
University of California, Department of Surgery Riverside University Health Systems. Riverside CA, USA
Hörer, Tal M., 1971- (författare)
Örebro universitet,Institutionen för medicinska vetenskaper,Region Örebro län,Department of Cardiothoracic and Vascular Surgery
visa färre...
 (creator_code:org_t)
2020-08-20
2020
Engelska.
Ingår i: Colombia Médica. - : Corporacion Editora Medica del Valle. - 0120-8322 .- 1657-9534. ; 51:4
Relaterad länk:
https://doi.org/10.2...
visa fler...
https://colombiamedi...
https://urn.kb.se/re...
https://doi.org/10.2...
visa färre...
  • Tidskriftsartikel (refereegranskat)
Abstract Ämnesord
Stäng  
  • 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.

Ämnesord

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

Nyckelord

Resuscitative endovascular balloon occlusion of the aorta
damage control
noncompressible torso hemorrhage
hemodynamically unstable
wounds
gunshot
injury severity score
trauma centers
REBOA
advanced trauma life support care
balloon occlusion
nonpenetrating
endovascular procedures

Publikations- och innehållstyp

ref (ämneskategori)
art (ämneskategori)

Hitta via bibliotek

Till lärosätets databas

Kungliga biblioteket hanterar dina personuppgifter i enlighet med EU:s dataskyddsförordning (2018), GDPR. Läs mer om hur det funkar här.
Så här hanterar KB dina uppgifter vid användning av denna tjänst.

 
pil uppåt Stäng

Kopiera och spara länken för att återkomma till aktuell vy