Resuscitative endovascular balloon occlusion of the aorta (REBOA) is an endovascular technique that allows for temporary occlusion of the aorta in patients with severe, life-threatening, trauma-induced noncompressible hemorrhage arising below the diaphragm. REBOA utilizes a transfemoral balloon catheter inserted in a retrograde fashion into the aorta to provide inflow control and support blood pressure until definitive hemostasis can be achieved. Initial retrospective and registry clinical data in the trauma surgical literature demonstrate improvement in systolic blood pressure with balloon inflation and improved survival compared to open aortic cross-clamping via resuscitative thoracotomy. However, there are no significant reports of anesthetic implications and perioperative management in this challenging cohort. In this narrative, we review the principles, technique, and logistics of REBOA deployment, as well as initial clinical outcome data from our level-1 American College of Surgeons-verified trauma center. For anesthesiologists who may not yet be familiar with REBOA, we make several suggestions and recommendations for intraoperative management based on extrapolation from these initial surgical-based reports, opinions from a team with increasing experience, and translated experience from emergency aortic vascular surgical procedures. Further prospective data will be necessary to conclusively guide anesthetic management, especially as potential complications and implications for global organ function, including cerebral and renal, are recognized and described. (C) 2017 International Anesthesia Research Society
http://ift.tt/2so7GlW
Αρχειοθήκη ιστολογίου
-
►
2023
(256)
- ► Φεβρουαρίου (140)
- ► Ιανουαρίου (116)
-
►
2022
(1695)
- ► Δεκεμβρίου (78)
- ► Σεπτεμβρίου (142)
- ► Φεβρουαρίου (155)
-
►
2021
(5507)
- ► Δεκεμβρίου (139)
- ► Σεπτεμβρίου (333)
- ► Φεβρουαρίου (628)
-
►
2020
(1810)
- ► Δεκεμβρίου (544)
- ► Σεπτεμβρίου (32)
- ► Φεβρουαρίου (28)
-
►
2019
(7684)
- ► Δεκεμβρίου (18)
- ► Σεπτεμβρίου (53)
- ► Φεβρουαρίου (2841)
- ► Ιανουαρίου (2803)
-
►
2018
(31838)
- ► Δεκεμβρίου (2810)
- ► Σεπτεμβρίου (2870)
- ► Φεβρουαρίου (2420)
- ► Ιανουαρίου (2395)
-
▼
2017
(31987)
- ► Δεκεμβρίου (2460)
- ► Σεπτεμβρίου (2605)
-
▼
Ιουνίου
(2903)
-
▼
Ιουν 10
(74)
- The Effects of Expansion Sphincter Pharyngoplasty ...
- “Deep extrinsic Muscle Involvement” is a Fallacy i...
- GORHAM-STOUT VANISHING BONE DISEASE: A REVIEW OF 2...
- DARK ROOM TO AUGMENTED REALITY: APPLICATION OF HOL...
- Table of Contents
- FIFTEEN CASES OF ORAL BISPHOSPHONATE-RELATED OSTEO...
- Information for Readers
- RADIOGRAPHIC CHANGES IN THE TEMPOROMANDIBULAR JOIN...
- Society Page
- MULTIPLE INTRAOSSEOUS CERVICAL PNEUMATOCYSTS: A CA...
- TOOLS AND TECHNOLOGY TO PROMOTE STUDENT CENTERED L...
- Editorial Board
- MULTI-DETECTOR COMPUTED TOMOGRAPHY FEATURES OF PLA...
- MINI-IMPLANT ASSISTED RAPID PALATAL EXPANSION: WHA...
- ORTHODONTIC CBCT EVALUATION OF THE SPHENO-OCCIPITA...
- FINDINGS ON CT AND MR IMAGES OF EXTRANODAL NON-HOD...
- ACCURACY OF 3D-PRINTED MANDIBLES CONSTRUCTED FROM ...
- CLASSIFICATION AND VOLUMETRIC ASSESSMENT OF UNILAT...
- GOLDENHAR SYNDROME (OCULO-AURICULO-VERTEBRAL SPECT...
- FREQUENCY AND MORPHOLOGY OF MIDDLE MESIAL CANALS I...
- EFFECT OF CBCT SCAN MODE ON THE DETECTION OF EXTER...
- Characterization of a submandibular gland sialolit...
- Clinical evaluations of complete autologous fibrin...
- Bilateral ocular ischemia-induced blindness as a p...
- Very accelerated radiotherapy or concurrent chemor...
- Nutritional changes in patients with locally advan...
- Nicorandil modulated macrophages activation and po...
- Eculizumab-C5 complexes express a C5a neoepitope i...
- VAMP4 and its cognate SNAREs are required for main...
- Binding properties between human sweet receptor an...
- Enhanced stimulation of human tumor-specific T cel...
- Prognostic factors for head and neck cancer of unk...
- Squamous cell carcinoma antigen as a prognostic ma...
- Transfer of innovation on allergic rhinitis and as...
- Influences of environmental bacteria and their met...
- Spontaneous food allergy in Was-/- mice occurs ind...
- Télédermatologie en milieu carcéral : mieux former...
- Mélanome : alcool ou café, il faut choisir
- Postoperative pulmonary complications following no...
- The meta-analysis
- A comparison of the outcomes of four minimally inv...
- Cytoplasmic neuropilin 2 is associated with metast...
- Combined preoperative measurement of three inferio...
- Computational analysis of multimorbidity between a...
- Computational analysis of multimorbidity between a...
- Prognostic factors for head and neck cancer of unk...
- Update on Intranasal Medications in Rhinosinusitis
- TGF-β1-silenced leukemia cell-derived exosomes tar...
- Update on Intranasal Medications in Rhinosinusitis
- Volatile organic compounds in the breath of oral c...
- Drug allergy/hypersensitivity in adults and children.
- Chapter Four Technology of Minor Ingredients for W...
- Interpositional Flap Reconstruction of Temporomand...
- Drug allergy/hypersensitivity in adults and children.
- Xenon as an Adjuvant to Propofol Anesthesia in Pat...
- Perioperative Temperature Measurement Consideratio...
- Anesthetic and Obstetric Management of Syringomyel...
- Protective Lung Ventilation and Morbidity After Pu...
- Improving Performance by Monitoring the Success Ra...
- Falls From the O.R. or Procedure Table.
- Cardiorespiratory Alterations Following Acute Norm...
- Aerosolized Vasodilators for the Treatment of Pulm...
- Virtual Reality as an Adjunctive Nonpharmacologica...
- Retrograde Type B Aortic Dissection Caused by Intr...
- Readmissions to Different Hospitals After Common S...
- Resuscitative Endovascular Balloon Occlusion of th...
- Endoscopic Sleeve Gastroplasty: A Concern of Anest...
- Enhancing Feedback on Professionalism and Communic...
- Intraoperative "Analgesia Nociception Index"-Guide...
- Cardiac Output Measurements Based on the Pulse Wav...
- Infections from 7 Clinical Trials of Ixekizumab, a...
- Response to MF Holick “Can you have your cake and ...
- Inhibition of p38MAPK signaling prevents epidermal...
- Extension of ustekinumab maintenance dosing interv...
-
▼
Ιουν 10
(74)
- ► Φεβρουαρίου (2785)
- ► Ιανουαρίου (2830)
-
►
2016
(5308)
- ► Δεκεμβρίου (2118)
- ► Σεπτεμβρίου (877)
- ► Φεβρουαρίου (41)
- ► Ιανουαρίου (39)
Αλέξανδρος Γ. Σφακιανάκης
ΩτοΡινοΛαρυγγολόγος
Αναπαύσεως 5
Άγιος Νικόλαος Κρήτη 72100
2841026182
6032607174
Εγγραφή σε:
Σχόλια ανάρτησης (Atom)
Δεν υπάρχουν σχόλια:
Δημοσίευση σχολίου