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  • McGreevy, David,1988-Örebro universitet,Institutionen för medicinska vetenskaper,Department of Cardiothoracic and Vascular Surgery, Faculty of Medicine and Health, Örebro University, Örebro, Sweden (author)

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

  • Article/chapterEnglish2020

Publisher, publication year, extent ...

  • Lippincott Williams & Wilkins,2020
  • printrdacarrier

Numbers

  • LIBRIS-ID:oai:DiVA.org:oru-79417
  • https://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-79417URI
  • https://doi.org/10.1097/SHK.0000000000001500DOI
  • https://gup.ub.gu.se/publication/289712URI

Supplementary language notes

  • Language:English
  • Summary in:English

Part of subdatabase

Classification

  • Subject category:ref swepub-contenttype
  • Subject category:art swepub-publicationtype

Notes

  • 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 and genre

Added entries (persons, corporate bodies, meetings, titles ...)

  • Abu-Zidan, Fikri M.Department of Surgery, College of Medicine and Health Science, UAE University, Al-Ain, United Arab Emirates (author)
  • Sadeghi, Mitra,1982-Department of Cardiothoracic and Vascular Surgery, Faculty of Medicine and Health, Örebro University, Örebro, Sweden (author)
  • Pirouzram, Artai,1970-Örebro universitet,Institutionen för medicinska vetenskaper,Department of Cardiothoracic and Vascular Surgery(Swepub:oru)aipm (author)
  • Toivola, AskoDepartment of Cardiothoracic and Vascular Surgery, Faculty of Medicine and Health, Örebro University, Örebro, Sweden (author)
  • Skoog, PerDepartment of Hybrid and Interventional Surgery, Unit of Vascular Surgery, Sahlgrenska University Hospital, Gothenburg, Sweden (author)
  • Idoguchi, KojiSenshu Trauma and Critical Care Center, Rinku General Medical Center, Izumisano, Japan (author)
  • Kon, YuriEmergency and Critical Care Center, Hachinohe City Hospital, Hachinohe, Japan (author)
  • Ishida, TokiyaEmergency and Critical Care Center, Ohta Nishinouchi Hospital, Koriyama, Japan (author)
  • Matsumura, YosukeDepartment of Emergency and Critical Care Medicine, Chiba University Graduate School of Medicine, Chiba, Japan (author)
  • Matsumoto, JunichiDepartment of Emergency and Critical Care Medicine, St Marianna University School of Medicine, Kawasaki, Japan (author)
  • Reva, ViktorDepartment of War Surgery, Kirov Military Medical Academy, Saint Petersburg, RussiaDzhanelidze Research Institute of Emergency Medicine, Saint Petersburg, Russia (author)
  • Maszkowski, MariuszVästmanlands Hospital Västerås, Department of Vascular Surgery, Örebro University, Örebro, Sweden (author)
  • Bersztel, AdamVästmanlands Hospital Västerås, Department of Vascular Surgery, Örebro University, Örebro, Sweden (author)
  • Caragounis, Eva CorinaGothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper, Avdelningen för kirurgi,Institute of Clinical Sciences, Department of Surgery(Swepub:gu)xcarae (author)
  • Falkenberg, MårtenDepartment of Radiology, Sahlgrenska University Hospital, Gothenburg, Sweden (author)
  • Handolin, LauriHelsinki University Hospital, Department of Orthopedics and Traumatology, University of Helsinki, Helsinki, Finland (author)
  • Oosthuizen, GeorgeNgwelezana Surgery and Trauma, Department of Surgery, University of KwaZulu-Natal, Empangeni, KwaZulu-Natal, South Africa (author)
  • Szarka, EndrePietermaritzburg Metropolitan Trauma Service, Department of Surgery, University of KwaZulu-Natal College of Health Sciences, Pietermaritzburg, KwaZulu-Natal, South Africa (author)
  • Manchev, VassilDepartment of Surgery. Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand (author)
  • Wannatoop, TongpornDepartment of Surgery. Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand (author)
  • Chang, Sung WookDepartment of Thoracic and Cardiovascular Surgery, Trauma Center, Dankook University Hospital, Cheonan, Republic of Korea (author)
  • Kessel, BorisDepartment of Surgery, Hillel Yaffe Medical Centre, Hadera, Israel (author)
  • Hebron, DanDepartment of Surgery, Hillel Yaffe Medical Centre, Hadera, Israel (author)
  • Shaked, GadDepartment of Anesthesiology and Critical Care, Soroka University Medical Center, Ben Gurion University, Beer Sheva, Israel (author)
  • Bala, MikloshTrauma and Acute Care Surgery Unit, Hadassah Hebrew University Medical Center, Jerusalem, Israel (author)
  • Coccolini, FedericoDepartment of General, Emergency and Trauma Surgery, Bufalini Hospital, Cesena, Italy (author)
  • Ansaloni, LucaDepartment of General, Emergency and Trauma Surgery, Bufalini Hospital, Cesena, Italy (author)
  • Ordoñez, Carlos ADivision of Trauma and Acute Care Surgery, Department of Surgery, Fundación Valle del Lili and Universidad Del Valle, Cali, Colombia (author)
  • Dogan, Emanuel M.,1984-Örebro universitet,Institutionen för medicinska vetenskaper,Department of Cardiothoracic and Vascular Surgery(Swepub:oru)eldn (author)
  • Manning, James E.Department of Emergency Medicine, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, United States of America (author)
  • Hibert-Carius, PeterDepartment of Anesthesiology, Emergency and Intensive Care Medicine, Bergmannstrost Hospital Halle, Halle, Germany (author)
  • Larzon, Thomas,1950-Department of Cardiothoracic and Vascular Surgery, Faculty of Medicine and Health, Örebro University, Örebro, Sweden(Swepub:oru)tsln (author)
  • Nilsson, Kristofer F.,1981-Örebro universitet,Institutionen för medicinska vetenskaper,Department of Cardiothoracic and Vascular Surgery(Swepub:oru)krnn (author)
  • Hörer, Tal M.,1971-Örebro universitet,Institutionen för medicinska vetenskaper,Region Örebro län,Department of Cardiothoracic and Vascular Surgery(Swepub:oru)thr (author)
  • Örebro universitetInstitutionen för medicinska vetenskaper (creator_code:org_t)

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  • In:Shock: Lippincott Williams & Wilkins54:2, s. 218-2231073-23221540-0514

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