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Anesthesiology clinics · Mar 2019
ReviewNovel Methods for Hemorrhage Control: Resuscitative Endovascular Balloon Occlusion of the Aorta and Emergency Preservation and Resuscitation.
- Kazuhide Matsushima, Bianca Conti, Ravi Chauhan, Kenji Inaba, and Richard P Dutton.
- Division of Acute Care Surgery, LAC+USC Medical Center, 2051 Marengo Street, IPT C5L100, Los Angeles, CA 90033, USA.
- Anesthesiol Clin. 2019 Mar 1; 37 (1): 171-182.
AbstractHemorrhage is the leading cause of preventable death after trauma. Junctional and extremity hemorrhage can be temporized with direct pressure and tourniquet application, but noncompressible torso hemorrhage has traditionally required operative or angiographic intervention. Retrograde endovascular balloon occlusion of the aorta (REBOA) can temporize patients with hemorrhage below the diaphragm long enough to enable definitive surgery. REBOA is increasingly available in US trauma centers but prospective, randomized demonstration of efficacy is not yet available. Emergency perfusion and resuscitation is an investigational therapy, limited to use in patients with cardiac arrest due to hemorrhage.Copyright © 2018 Elsevier Inc. All rights reserved.
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