The end of balloons? Our take on the UK-REBOA trial.

IF 3 2区医学 Q1 EMERGENCY MEDICINE

Scandinavian Journal of Trauma Resuscitation & Emergency Medicine Pub Date : 2023-10-31 DOI:10.1186/s13049-023-01142-5

Jostein Rødseth Brede, Marius Rehn

引用次数: 0

Abstract

Background: Resuscitative endovascular balloon occlusion of the aorta (REBOA) is increasingly used. The recently published UK-REBOA trial aimed to investigate patients suffering haemorrhagic shock and randomized to standard care alone or REBOA as adjunct to standard care and concludes that REBOA may increase the mortality.

Main body: In this commentary we try to balance the discussion on use of REBOA and address limitations in the UK-REBOA trial that may have influenced the outcome of the study.

Conclusion: The situation is complex, and the patients are in extremis. In summary, we do not think this is the end of balloons.

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气球的尽头？我们对UK-REBOA审判的看法。

背景：复苏性血管内球囊闭塞主动脉（REBOA）的应用越来越多。最近发表的UK-REBOA试验旨在调查出血性休克患者，并将其随机分为单独标准护理或作为标准护理辅助的REBOA，得出结论，REBOA可能会增加死亡率。正文：在这篇评论中，我们试图平衡关于REBOA使用的讨论，并解决UK-REBOA试验中可能影响研究结果的局限性。结论：情况复杂，患者处于极端状态。总之，我们不认为这是气球的末日。

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

Scandinavian Journal of Trauma Resuscitation & Emergency Medicine EMERGENCY MEDICINE-

CiteScore

6.10

自引率

6.10%

发文量

审稿时长

6-12 weeks

期刊介绍： The primary topics of interest in Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine (SJTREM) are the pre-hospital and early in-hospital diagnostic and therapeutic aspects of emergency medicine, trauma, and resuscitation. Contributions focusing on dispatch, major incidents, etiology, pathophysiology, rehabilitation, epidemiology, prevention, education, training, implementation, work environment, as well as ethical and socio-economic aspects may also be assessed for publication.