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Anaesthesist. 2018 Apr;67(4):280-292. doi: 10.1007/s00101-018-0418-5.

[Resuscitative endovascular balloon occlusion of the aorta : Option for incompressible trunk bleeding?]

[Article in German]

Author information

1
Universitätsklinik für Anästhesiologie und Schmerztherapie, Universitätsspital Bern, Freiburgstrasse 8, Bern, Schweiz. juergen.knapp@insel.ch.
2
Zentrale Notaufnahme, Universitätsklinikum Leipzig, Leipzig, Deutschland.
3
Universitätsklinik für Viszerale Chirurgie und Medizin, Universitätsspital Bern, Bern, Schweiz.
4
Klinik für Unfallchirurgie und Orthopädie, Wiederherstellungs- und Handchirurgie, Verbrennungsmedizin, Bundeswehrzentralkrankenhaus Koblenz, Koblenz, Deutschland.
5
Klinik für Anästhesiologie und Intensivmedizin/Sektion Notfallmedizin, Bundeswehrkrankenhaus Ulm, Ulm, Deutschland.

Abstract

Hemorrhage is the single largest cause of avoidable death in trauma patients, whereby in civil emergency medicine in Europe most life-threatening hemorrhages occur in the abdomen and the pelvis. This is one reason why endovascular balloon occlusion of the aorta (EBOA), a procedure especially established in vascular surgery, is increasingly propagated for rapid bleeding control in these patients. This review article provides a comprehensive overview of the technique, indications, contraindications and complications of resuscitative endovascular balloon occlusion of the aorta (REBOA). Additionally, outcomes reported in in the currently available literature are summarized and discussed. From this practical and user-oriented consequences for future successful introduction of REBOA in the field of emergency medicine are deduced.

KEYWORDS:

Bleeding; Bleeding management; Emergency trauma room; REBOA; Resuscitative endovascular balloon occlusion of the aorta; Trauma

PMID:
29508015
DOI:
10.1007/s00101-018-0418-5

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