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Anesth Analg. 2019 Nov;129(5):e146-e149. doi: 10.1213/ANE.0000000000004130.

Anesthetic Management of Patients After Traumatic Injury With Resuscitative Endovascular Balloon Occlusion of the Aorta.

Author information

1
From the University of Maryland School of Medicine, Baltimore, Maryland.
2
Department of Surgery, University of Maryland School of Medicine, Baltimore, Maryland
3
Department of Anesthesiology, University of Maryland School of Medicine, Baltimore, Maryland.
4
Division of Trauma Anesthesiology, R Adams Cowley Shock Trauma Center, Baltimore, Maryland.
5
Division of Critical Care Anesthesiology, Department of Anesthesiology, University of Maryland School of Medicine, Baltimore, Maryland.
6
Department of Surgery, University of California Riverside School of Medicine, Riverside, California.

Abstract

Resuscitative endovascular balloon occlusion of the aorta (REBOA) is a temporizing maneuver for noncompressible torso hemorrhage. To our knowledge, this single-center brief report provides the most extensive anesthetic data published to date on patients who received REBOA. As anticipated, patients were critically ill, exhibiting lactic acidosis, hypotension, hyperglycemia, hypothermia, and coagulopathy. All patients received blood products during their index operations and received less inhaled anesthetic gas than normally required for healthy patients of the same age. This study serves as an important starting point for clinician education and research into anesthetic management of patients undergoing REBOA.

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