Present Strategy for REBOA Management After Catheter Placement: A Current Suggestion From the Japanese Society of DIRECT

Abstract

Although there is insufficient evidence of the target blood pressure under the utilization of Resuscitative endovascular balloon occlusion of the aorta (REBOA), it may be reasonable to extend the concept of permissive hypotension, which is adapted for hemorrhagic shock, to REBOA management. Invasive blood pressure monitoring proximal to the aortic occlusion is desirable during REBOA. The zone of the aorta is selected and changed according to the location of injuries and physiological conditions. The key to successful REBOA management is to set up an independent REBOA coordinator for systemic management. This review article aims to explain the proper REBOA management to fill the knowledge gap between the educational course, which highlights the indication and safe procedures of the device, and the critical settings faced in the clinical practices.