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The Colombian Exper...
The Colombian Experience in Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) : The Progression From a Large Caliber to a Low-Profile Device at a Level I Trauma Center
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- Ordonez, Carlos A. (författare)
- Fundación Valle del Lili, Division of Trauma and Acute Care Surgery, Department of Surgery, Universidad del Valle, Cali, Colombia,Univ Valle, Colombia
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- Khan, Mansoor (författare)
- Academic Department of Military Surgery and Trauma, Royal Centre for Defence Medicine, Birmingham, W Midlands, England
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- Cotton, Bryan (författare)
- Department of Surgery, University of Texas Health Science Center, Houston Texas, USA,Univ Texas Hlth Sci Ctr Houston, TX 77030 USA
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- Perreira, Bruno (författare)
- Department of Surgery and Surgical Critical Care, University of Campinas, Campinas, Brazil,Univ Estadual Campinas, Brazil
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- Brenner, Megan (författare)
- Department of Surgery, University of California Riverside, Riverside California, USA,Univ Calif Riverside, CA 92521 USA
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- Ferrada, Paula (författare)
- VCU Surgery Trauma, Critical Care and Emergency Surgery, Richmond Virginia, USA,VCU Surg Trauma Crit Care & Emergency Surg, VA USA
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- Hörer, Tal M., 1971- (författare)
- Örebro universitet,Institutionen för medicinska vetenskaper,Region Örebro län,Department of Cardiothoracic and Vascular Surgery,Orebro Univ Hosp, Sweden; Univ Orebro, Sweden
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- Kauvar, David (författare)
- Vascular Surgery Service, San Antonio Military Medical Center, San Antonio Texas, USA,San Antonio Mil Med Ctr, TX USA
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- Kirkpatrick, Andrew (författare)
- Regional Trauma Services, Foothills Medical Centre, Calgary Alberta, Canada; Departments of Surgery, Critical Care Medicine, University of Calgary, Calgary Alberta, Canada; Canadian Forces Health Services, Canada,Foothills Med Ctr, Canada; Univ Calgary, Canada; Canadian Forces Hlth Serv, Canada
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- Pirouzram, Artai (författare)
- Linköpings universitet,Avdelningen för diagnostik och specialistmedicin,Medicinska fakulteten,Region Östergötland, Thorax-kärlkliniken i Östergötland
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- Roberts, Derek (författare)
- Division of Vascular and Endovascular Surgery, Department of Surgery, University of Ottawa, The Ottawa Hospital, Civic Campus, Ottawa Ontario, Canada,Univ Ottawa, Canada
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- Duchesne, Juan (författare)
- Department of Surgery Tulane, New Orleans Louisiana, USA,Dept Surg Tulane, LA USA
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(creator_code:org_t)
- Lippincott Williams & Wilkins, 2021
- 2021
- Engelska.
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Ingår i: Shock. - : Lippincott Williams & Wilkins. - 1073-2322 .- 1540-0514. ; 56:1S, s. 42-45
- Relaterad länk:
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https://urn.kb.se/re...
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https://doi.org/10.1...
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https://urn.kb.se/re...
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Abstract
Ämnesord
Stäng
- Purpose: Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) is now performed in many trauma centers, it is used at more than 250 hospitals in the United States and there is an increase rate of publications with the experience in these centers, but there is a gap of knowledge regarding the use of REBOA in Latin-America. This paper endeavors to describe the utilization of REBOA at a high level Latin-American Trauma Center and the transition from a large caliber to a low-profile device with the concomitant reduction in the groin access complications.Methods: A prospective, observational, single-center study was conducted. We included all trauma patients who underwent REBOA. We recorded data from admission parameters, complications, and clinical outcomes.Results: Fifty patients were included. Most of the REBOA catheters were inserted in the operating room [47 (94%)], and the arterial access was done by surgical cutdown [40 (80%)]. All the complications were associated with the catheter of 11 Fr Sheath used in 36 patients [n = 8/36 (22%) vs. n = 0/14 (0%); P = 0.05].Conclusion: REBOA can be used safely in blunt or penetrating thoracic, abdominal, and pelvic trauma. The insertion of a 7 Fr Sheath was associated with lower complications, so its use should be preferred over larger calibers.
Ämnesord
- 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)
Nyckelord
- Catheter insertion
- groin access
- severe trauma
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Khan, Mansoor
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