Author:
Caicedo Yaset,Gallego Linda M.,Clavijo Hugo JC.,Padilla-Londoño Natalia,Gallego Cindy-Natalia,Caicedo-Holguín Isabella,Guzmán-Rodríguez Mónica,Meléndez-Lugo Juan J.,García Alberto F.,Salcedo Alexander E.,Parra Michael W.,Rodríguez-Holguín Fernando,Ordoñez Carlos A.
Abstract
Abstract
Background
Resuscitative endovascular balloon occlusion of the aorta (REBOA) is a damage control tool with a potential role in the hemodynamic resuscitation of severely ill patients in the civilian pre-hospital setting. REBOA ensures blood flow to vital organs by early proximal control of the source of bleeding. However, there is no consensus on the use of REBOA in the pre-hospital setting. This article aims to perform a systematic review of the literature about the feasibility, survival, indications, complications, and potential candidates for civilian pre-hospital REBOA.
Methods
A literature search was conducted using Medline, EMBASE, LILACS and Web of Science databases. Primary outcome variables included overall survival and feasibility. Secondary outcome variables included complications and potential candidates for endovascular occlusion.
Results
The search identified 8 articles. Five studies described the use of REBOA in pre-hospital settings, reporting a total of 47 patients in whom the procedure was attempted. Pre-hospital REBOA was feasible in 68–100% of trauma patients and 100% of non-traumatic patients with cardiac arrest. Survival rates and complications varied widely. Pre-hospital REBOA requires a coordinated and integrated emergency health care system with a well-trained and equipped team. The remaining three studies performed a retrospective analysis identifying 784 potential REBOA candidates.
Conclusions
Pre-hospital REBOA could be a feasible intervention for a significant portion of severely ill patients in the civilian setting. However, the evidence is limited. The impact of pre-hospital REBOA should be assessed in future studies.
Publisher
Springer Science and Business Media LLC
Reference53 articles.
1. Brenner M, Teeter W, Hadud M, Hoehn M, O’Connor J, Stein D, et al. Long-term outcomes of thoracic endovascular aortic repair: a single institution’s 11-year experience. J Trauma Acute Care Surg. 2017;82:687–93.
2. Moore LJ, Brenner M, Kozar RA, Pasley J, Wade CE, Baraniuk MS, et al. Implementation of resuscitative endovascular balloon occlusion of the aorta as an alternative to resuscitative thoracotomy for noncompressible truncal hemorrhage. J Trauma Acute Care Surg. 2015;79:523–32.
3. Ordoñez CA, Parra MW, Serna JJ, Rodríguez HF, García AF, Salcedo A, et al. Damage control resuscitation: REBOA as the New Fourth pillar. Colomb Med. 2020;51:1–12.
4. Wasicek PJ, Li Y, Yang S, Teeter WA, Scalea TM, Hu P, et al. Examination of hemodynamics in patients in hemorrhagic shock undergoing resuscitative endovascular balloon occlusion of the aorta (REBOA). Injury Elsevier Ltd. 2019;50:1042–8.
5. Nowadly CD, Austin Johnson M, Hoareau DVMGL, Manning JE, Daley JI, Craig Nowadly CD. The use of resuscitative endovascular balloon occlusion of the aorta (REBOA) for non-traumatic cardiac arrest: a review. J Am Coll Emerg Phys Open. 2020;1:737–43.
Cited by
7 articles.
订阅此论文施引文献
订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献