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Updated: Nov 18, 2025

Expired CO2 Measurement in Intubated or Spontaneously Breathing Patients from the Emergency Department
Published on: January 29, 2011
A REBOA Complication: EtCO2 Is Not Just a Marker of Cardiac Output
Michael Cardinale1, Pierre-Julien Cungi1, Jean-Philippe Avaro2
1Intensive Care Unit, Military Teaching Hospital Sainte Anne, Toulon, France.
Abstract:
We describe an as yet undescribed complication, namely, the perforation of the balloon at a distance from its introduction and the use of EtCO2 to suspect the diagnosis. Following a high-kinetic motorcycle accident, a 25-year-old patient was admitted in our level 1 trauma center, and benefited from a resuscitation thoracotomy followed by a REBOA catheter in zone 3. The use of a small caliber introducer could be responsible for balloon injury. EtCO2 is not only a marker of cardiac output and its sudden increase in this situation should raise questions about the recirculation of ischemia product and therefore the effectiveness of the occlusion balloon.
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