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Complete and Partial Resuscitative Endovascular Balloon Occlusion of the Aorta for Hemorrhagic Shock
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Resuscitative Endovascular Balloon Occlusion of the Aorta: Indications, Outcomes, and Training

Lena M Napolitano1

  • 1Division of Acute Care Surgery [Trauma, Burns, Surgical Critical Care, Emergency Surgery], Department of Surgery, Trauma and Surgical Critical Care, University of Michigan Health System, Room 1C340-UH, 1500 East Medical Center Drive, Ann Arbor, MI 48109-5033, USA.

Critical Care Clinics
|November 30, 2016
PubMed

Exsanguinating torso hemorrhage is a leading killer of trauma patients. The most appropriate means of hemorrhage control must be used. Trauma surgeons should have expertise with all approaches for prompt hemorrhage control [laparotomy, thoracotomy, resuscitative endovascular balloon occlusion of the aorta (REBOA), and resuscitative thoracotomy]. REBOA is an exciting adjunct for hemorrhage control as it can be deployed quickly and placed percutaneously. Balloon inflation can vary dependent on patient physiology. REBOA is effective in hemorrhagic shock as a bridge to definitive hemostasis. Endovascular training is important for trauma surgeons caring for patients at high risk of death from traumatic hemorrhage.

Keywords:
Aortic balloonAortic occlusionHemorrhagic shockNoncompressible torso hemorrhageResuscitative endovascular balloon occlusion of aortaResuscitative thoracotomy

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