PROGRESS OF RESUSCITATIVE ENDOVASCULAR BALLOON OCCLUSION OF THE AORTA IN PREHOSPITAL EMERGENCY TREATMENT FOR PELVIC FRACTURE.

IF 2.7 3区医学 Q2 CRITICAL CARE MEDICINE

SHOCK Pub Date : 2024-11-01 Epub Date: 2024-08-06 DOI:10.1097/SHK.0000000000002444

Xing Gao, Huiqun Sun, Jialin He, Jingbo Kong, Haojun Fan, Qi Lv, Shike Hou

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引用次数: 0

Abstract

Abstract: Pelvic fractures are severe traumatic injuries often accompanied by potentially fatal massive bleeding. Rapid control of hemorrhages in prehospital emergency settings is critical for improving outcomes in traumatic bleeding. Resuscitative endovascular balloon occlusion of the aorta (REBOA) is a promising technique for controlling active bleeding from pelvic fractures. By inserting a balloon catheter into the aorta, REBOA helps maintain blood flow to vital organs such as the brain and heart. This paper provides a comprehensive overview of the initial management of noncompressive trunk hemorrhage caused by pelvic fractures, introduces the technical principles and developments of REBOA, and explores its extensive application in prehospital emergency care. It delves into the operational details and outlines strategies for effectively managing potential complications. We aim to offer a theoretical framework for the future utilization of REBOA in managing uncontrollable hemorrhage associated with pelvic fractures in prehospital emergencies.

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骨盆骨折院前急救中主动脉血管内球囊封堵术的进展。

摘要：骨盆骨折是一种严重的外伤，往往伴有可能致命的大量出血。在院前急救中迅速控制出血对改善创伤性出血的预后至关重要。抢救性主动脉血管内球囊闭塞术（REBOA）是一种控制骨盆骨折活动性出血的有效技术。通过将球囊导管插入主动脉，REBOA 有助于维持大脑和心脏等重要器官的血流。本文全面概述了骨盆骨折引起的非压迫性躯干出血的初步处理方法，介绍了 REBOA 的技术原理和发展，并探讨了其在院前急救中的广泛应用。报告深入探讨了操作细节，并概述了有效处理潜在并发症的策略。我们旨在为未来在院前急救中利用 REBOA 处理骨盆骨折引起的不可控制的大出血提供一个理论框架。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

SHOCK 医学-外科

CiteScore

6.20

自引率

3.20%

发文量

199

审稿时长

1 months

期刊介绍： SHOCK®: Injury, Inflammation, and Sepsis: Laboratory and Clinical Approaches includes studies of novel therapeutic approaches, such as immunomodulation, gene therapy, nutrition, and others. The mission of the Journal is to foster and promote multidisciplinary studies, both experimental and clinical in nature, that critically examine the etiology, mechanisms and novel therapeutics of shock-related pathophysiological conditions. Its purpose is to excel as a vehicle for timely publication in the areas of basic and clinical studies of shock, trauma, sepsis, inflammation, ischemia, and related pathobiological states, with particular emphasis on the biologic mechanisms that determine the response to such injury. Making such information available will ultimately facilitate improved care of the traumatized or septic individual.