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REBOA as a New Dama...
REBOA as a New Damage Control Component in Hemodynamically Unstable Noncompressible Torso Hemorrhage Patients
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- 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
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- Parra, Michael W. (författare)
- Broward General Level I Trauma Center, Department of Trauma Critical Care, Fort Lauderdale FL, USA
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- Caicedo, Yaset (författare)
- Fundación Valle del Lili, Centro de Investigaciones Clínicas (CIC), Cali, Colombia
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- Padilla, Natalia (författare)
- Fundación Valle del Lili, Centro de Investigaciones Clínicas (CIC), Cali, Colombia
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- Rodriguez-Holguin, Fernando (författare)
- Fundación Valle del Lili, Division of Trauma and Acute Care Surgery, Department of Surgery, Cali, Colombia
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- 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
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- 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
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- 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
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- 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
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- 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
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- Milena Del Valle, Ana (författare)
- Hospital Felix Bulness, Division of Surgery, Santiago de Chile, Chile
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- Mejia, David (författare)
- Hospital Pablo Tobon Uribe, Department of Surgery, Medellin, Colombia; Universidad de Antioquia, Department of Surgery, Medellin, Colombia
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- 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
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- Brenner, Megan (författare)
- University of California, Department of Surgery Riverside University Health Systems. Riverside CA, 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
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(creator_code:org_t)
- 2020-08-20
- 2020
- Engelska.
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Ingår i: Colombia Médica. - : Corporacion Editora Medica del Valle. - 0120-8322 .- 1657-9534. ; 51:4
- Relaterad länk:
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https://doi.org/10.2...
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https://colombiamedi...
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https://urn.kb.se/re...
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https://doi.org/10.2...
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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
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- ref (ämneskategori)
- art (ämneskategori)
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Ordoñez, Carlos ...
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Parra, Michael W ...
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Caicedo, Yaset
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Padilla, Natalia
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Rodriguez-Holgui ...
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Julian Serna, Jo ...
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visa fler...
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Salcedo, Alexand ...
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Garcia, Alberto
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Orlas, Claudia
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Fernando Pino, L ...
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Milena Del Valle ...
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Mejia, David
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Carlos Salamea-M ...
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Brenner, Megan
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Hörer, Tal M., 1 ...
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