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Updated: Dec 27, 2025
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Complete and Partial Resuscitative Endovascular Balloon Occlusion of the Aorta for Hemorrhagic Shock
Published on: May 19, 2022
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Managing noncompressible torso hemorrhage with REBOA
1At the time this article was written, Marilynn K. Bartley was an advanced practice nurse with the Christiana Care Health System Trauma Program in Wilmington, Del.
Nursing
|March 7, 2020
Summary
Resuscitative endovascular balloon occlusion of the aorta (REBOA) is a revived treatment for severe bleeding. This review covers REBOA
Area of Science:
- Emergency Medicine
- Trauma Surgery
- Vascular Surgery
Background:
- Noncompressible torso hemorrhage presents a critical challenge in trauma care.
- Resuscitative endovascular balloon occlusion of the aorta (REBOA) offers a minimally invasive approach.
- The reemergence of REBOA necessitates a clear understanding of its application.
Purpose of the Study:
- To outline the indications and contraindications for REBOA.
- To detail the procedural steps involved in REBOA.
- To highlight essential nursing considerations for patients undergoing REBOA.
Main Methods:
- Literature review of current evidence and clinical practice guidelines.
- Synthesis of procedural techniques and potential complications.
- Discussion of nursing care strategies from pre-procedure to post-procedure.
Main Results:
- REBOA is indicated for specific types of severe hemorrhage where conventional methods are insufficient.
- Contraindications include certain vascular injuries and patient conditions.
- Successful REBOA requires precise procedural execution and vigilant monitoring.
Conclusions:
- REBOA is a valuable tool in managing life-threatening torso hemorrhage.
- Careful patient selection and procedural technique are crucial for optimal outcomes.
- Comprehensive nursing care is integral to the successful management of patients undergoing REBOA.
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