REBOA是留在这里:如何管理导致的并发症
Sarah Lauve1, Sabrina Yu Alfonzo1, Kevin Choi1
1Division of Vascular and Endovascular Surgery, LSU Health Sciences Center, School of Medicine, New Orleans, Louisiana.
Seminars in interventional radiology
|November 14, 2025
概括
复苏性内血管气球阻塞大动脉 (REBOA) 有助于创伤冲击,但可能导致血管损伤. 本综述综合了关于REBOA并发症的证据,指导临床管理和监测,以获得更好的患者结果.
科学领域:
- 创伤外科 手术 创伤外科
- 血管外科 血管外科
- 紧急医疗 紧急医疗
背景情况:
- 复苏性内血管气球阻塞大动脉 (REBOA) 对于管理创伤休克至关重要.
- 在控制出血过程中,REBOA可保持器官 perfusion.
- 越来越多的REBOA使用强调了需要了解其并发症.
研究的目的:
- 审查创伤患者在REBOA后血管并发症的分类,频率和管理.
- 综合当前的证据,并介绍机构的经验.
- 为指导临床决策和监测与REBOA相关的血管损伤.
主要方法:
- 对REBOA血管并发症现有的文献进行系统审查.
- 从一级创伤中心的经验中分析数据.
- 基于当前证据的血管损伤的分类.
主要成果:
- REBOA与显著的血管并发症有关.
- 阳性血管损伤是一个主要问题.
- 管理这些并发症的证据有限.
结论:
- 血管并发症是REBOA的一个关键风险.
- 需要进一步的研究,以建立预防和管理的最佳实践.
- 标准化的监测和管理协议对于提高患者安全至关重要.
相关概念视频
Peripheral Artery Disease V: Postoperative Nursing Management
360
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
360
Aneurysm III: Interprofessional Care
249
Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
249
Aortic Regurgitation IV: Nursing Management
270
A nurse managing a patient with aortic regurgitation begins with a comprehensive assessment, including a review of the patient's medical history, family history, and lifestyle factors. During the cardiac examination, the nurse listens for heart sounds and checks for signs of valve abnormalities. The nurse also observes for symptoms such as dyspnea, orthopnea, and paroxysmal nocturnal dyspnea and assesses the patient's endurance and daily activity tolerance.Based on the findings, the nurse...
270
Aortic Regurgitation III: Medical Management
383
Aortic regurgitation (AR) is when the aortic valve does not close or seal properly, leading to backward blood circulation from the aorta into the left ventricle during diastole. Common causes of AR include rheumatic heart disease, congenital valve defects, and aortic root dilation. Managing AR requires a multifaceted approach to alleviate symptoms, preserve left ventricular function, and address the underlying cause of the regurgitation. Patients with symptomatic AR or significant left...
383
Aneurysm IV: Nursing Management
364
Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
364
Pulmonary Embolism III: Nursing Management
343
A pulmonary embolism occurs when a thrombus, amniotic fluid, tumor tissue, fat, or air embolus blocks one or more pulmonary arteries. Effective nursing management and patient education are crucial for improving outcomes and preventing recurrence.Nursing management starts with obtaining a comprehensive patient history, particularly noting any history of deep vein thrombosis (DVT). Assess for clinical manifestations, including dyspnea, chest pain, crackles, heart murmurs, and signs of right-sided...
343


