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LIBRIS Formathandbok  (Information om MARC21)
FältnamnIndikatorerMetadata
00005730naa a2200769 4500
001oai:gup.ub.gu.se/300146
003SwePub
008240528s2020 | |||||||||||000 ||eng|
009oai:DiVA.org:oru-87589
0247 a https://gup.ub.gu.se/publication/3001462 URI
0247 a https://doi.org/10.1186/s13017-020-00342-z2 DOI
0247 a https://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-875892 URI
040 a (SwePub)gud (SwePub)oru
041 a eng
042 9 SwePub
072 7a ref2 swepub-contenttype
072 7a art2 swepub-publicationtype
1001 a Hilbert-Carius, Peteru Department of Anesthesiology, Intensive Care and Emergency Medicine, Bergmannstrost Hospital Halle, Halle (Saale), Germany4 aut
2451 0a Successfully REBOA performance: does medical specialty matter? International data from the ABOTrauma Registry
264 c 2020-11-23
264 1b Springer Science and Business Media LLC,c 2020
520 a © 2020, The Author(s). Background: Resuscitative endovascular balloon occlusion of the aorta (REBOA) is a minimally invasive procedure being increasingly utilized to prevent patients with non-compressible torso hemorrhage from exsanguination. The increased use of REBOA is giving rise to discussion about “Who is and who should be performing it?” Methods: Data from the international ABO (aortic balloon occlusion) Trauma Registry from between November 2014 and April 2020 were analyzed concerning the question: By who, how, and where is REBOA being performed? The registry collects retrospective and prospective data concerning use of REBOA in trauma patients. Results: During the study period, 259 patients had been recorded in the registry, 72.5% (n = 188) were males with a median (range) age of 46 (10-96) years. REBOA was performed in the ER in 50.5%, in the OR in 41.5%, and in the angiography suite in 8% of patients. In 54% of the patients REBOA was performed by surgeons (trauma surgeons 28%, vascular surgeons 22%, general surgeons 4%) and in 46% of the patients by non-surgeons (emergency physicians 31%, radiologists 9.5%, anesthetists 5.5%). Common femoral artery (CFA) access was achieved by use of external anatomic landmarks and palpation alone in 119 patients (51%), by cutdown in 57 patients (24%), using ultrasound in 49 patients (21%), and by fluoroscopy in 9 patients (4%). Significant differences between surgeons and non-surgeons were found regarding patient’s age, injury severity, access methods, place where REBOA was performed, location patients were taken to from the emergency room, and mortality. Conclusion: A substantial number of both surgical and non-surgical medical disciplines are successfully performing REBOA to an almost equal extent. Surgical cutdown is used less frequently as access to the CFA compared with reports in older literature and puncture by use of external anatomic landmarks and palpation alone is used with a high rate of success. Instead of discussing “Who should be performing REBOA?” future research should focus on “Which patient benefits most from REBOA?”
650 7a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Kirurgi0 (SwePub)302122 hsv//swe
650 7a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Surgery0 (SwePub)302122 hsv//eng
653 a Bleeding
653 a Performance
653 a Registry
653 a Resuscitative endovascular balloon occlusion of the aorta
653 a Trauma
653 a Bleeding
7001 a McGreevy, David,d 1988-u Örebro universitet,Institutionen för medicinska vetenskaper,Department of Cardiothoracic and Vascular Surgery4 aut0 (Swepub:oru)dmy
7001 a Abu-Zidan, Fikri M.u Department of Surgery, College of Medicine and Health Science, UAE University, Al-Ain, United Arab Emirates4 aut
7001 a Hörer, Tal M.,d 1971-u Örebro universitet,Institutionen för medicinska vetenskaper,Region Örebro län,Department of Cardiothoracic and Vascular Surgery4 aut0 (Swepub:oru)thr
7001 a Sadeghi, M.4 aut
7001 a Pirouzram, A.4 aut
7001 a Toivola, A.4 aut
7001 a Skoog, P.4 aut
7001 a Idoguchi, K.4 aut
7001 a Kon, Y.4 aut
7001 a Ishida, T.4 aut
7001 a Matsumura, Y.4 aut
7001 a Matsumoto, J.4 aut
7001 a Maszkowski, M.4 aut
7001 a Bersztel, A.4 aut
7001 a Caragounis, Eva Corinau Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper, Avdelningen för kirurgi,Institute of Clinical Sciences, Department of Surgery4 aut0 (Swepub:gu)xcarae
7001 a Bachmann, T.4 aut
7001 a Falkenberg, M.4 aut
7001 a Handolin, L.4 aut
7001 a Chang, S. W.4 aut
7001 a Hecht, A.4 aut
7001 a Kessel, B.4 aut
7001 a Hebron, D.4 aut
7001 a Shaked, G.4 aut
7001 a Bala, M.4 aut
7001 a Coccolini, F.4 aut
7001 a Ansaloni, L.4 aut
7001 a Hoencamp, R.4 aut
7001 a Özlüer, Yunus Emre4 aut
7001 a Larzon, T.4 aut
7001 a Nilsson, K. F.4 aut
7102 a Department of Anesthesiology, Intensive Care and Emergency Medicine, Bergmannstrost Hospital Halle, Halle (Saale), Germanyb Institutionen för medicinska vetenskaper4 org
7730 t World Journal of Emergency Surgeryd : Springer Science and Business Media LLCg 15:1q 15:1x 1749-7922
8564 u https://wjes.biomedcentral.com/track/pdf/10.1186/s13017-020-00342-z
8564 u https://doi.org/10.1186/s13017-020-00342-zy Fulltext
8564 8u https://gup.ub.gu.se/publication/300146
8564 8u https://doi.org/10.1186/s13017-020-00342-z
8564 8u https://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-87589

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