Journal of EndoVascular Resuscitation and Trauma Management最新文献_第2页

REBOA in Bleeding and Cardiac Arrest in Pre-Hospital Care by Helicopter Emergency Medical Service: The RIBCAP-HEMS Project 直升机紧急医疗服务院前护理中出血和心脏骤停的REBOA: RIBCAP-HEMS项目

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Journal of EndoVascular Resuscitation and Trauma Management Pub Date : 2023-06-16 DOI: 10.26676/jevtm.278

P. Hilbert-Carius, Jörg Braun, Jesse Davis, Matthias Beese, J. Tongers, Daniel Ebert, C. Gräbsch, F. Streibert, David Baer

{"title":"REBOA in Bleeding and Cardiac Arrest in Pre-Hospital Care by Helicopter Emergency Medical Service: The RIBCAP-HEMS Project","authors":"P. Hilbert-Carius, Jörg Braun, Jesse Davis, Matthias Beese, J. Tongers, Daniel Ebert, C. Gräbsch, F. Streibert, David Baer","doi":"10.26676/jevtm.278","DOIUrl":"https://doi.org/10.26676/jevtm.278","url":null,"abstract":"Background: Resuscitative endovascular balloon occlusion of the aorta (REBOA) plays an important role in the mostsevere trauma and medical patients with cardiac arrest. Its use in pre-hospital emergency medicine in Germany doesnot yet regularly occur, and the vast majority of rapid response vehicles are not equipped with REBOA devices. In thisarticle we will describe the introduction of REBOA for bleeding patients, as well as an adjunct for refractory out-of-hospitalcardiac arrest (OHCA), in a German helicopter emergency medical service (HEMS).Methods: The DRF-Luftrettung HEMS base in Halle (Saale) Germany has incorporated REBOA in pre-hospital emergencymedicine and will accompany this introduction with a feasibility study. We will describe the implementationof REBOA and the results of the training course. The training consists of theoretical and practical issues within differentcase scenarios. This was carried out before introducing REBOA into pre-hospital emergency medicine. Using a preand post-course exam and a self-assessment questionnaire the theoretical and practical knowledge and the performanceof the critical care teams were determined.Results: The results of the pre-course exam in comparison with the post-course exam improved from 82% to 96%. Basedon the self-assessment questionnaires, all participants felt a relevant improvement of their theoretical and practical knowledge.All physicians successfully performed REBOA under ongoing cardiopulmonary resuscitation in manikin simulators.Conclusions: The results from the training course indicate that there was a significant improvement of the theoreticaland practical knowledge, as well as the performance of REBOA. The on-going feasibility study will show if it is worthintroducing REBOA in a civilian HEMS for the patients in extremis.","PeriodicalId":41233,"journal":{"name":"Journal of EndoVascular Resuscitation and Trauma Management","volume":"1 1","pages":""},"PeriodicalIF":0.4,"publicationDate":"2023-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41627013","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Endovascular Repair of Ascending Aortic Pseudoaneurysm After Open Aortic Replacement Through Percutaneous Right Axillary Artery Access 经皮右腋动脉入路主动脉置换术后升主动脉假性动脉瘤的血管内修复

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Journal of EndoVascular Resuscitation and Trauma Management Pub Date : 2023-06-15 DOI: 10.26676/jevtm.285

Sufian Ali, Hayeq Hashem, Galili Offer

引用次数: 0

Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) After Traumatic Brain Injury 外伤性脑损伤后复苏性主动脉血管内球囊闭塞(REBOA)

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Journal of EndoVascular Resuscitation and Trauma Management Pub Date : 2023-06-02 DOI: 10.26676/jevtm.284

K. Nordham, S. Ninokawa, Ayman Ali, Jacob M. Broome, S. McCraney, J. Simpson, D. Tatum, O. Jackson-Weaver, S. Taghavi, Patrick R. McGrew, J. Duchesne

{"title":"Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) After Traumatic Brain Injury","authors":"K. Nordham, S. Ninokawa, Ayman Ali, Jacob M. Broome, S. McCraney, J. Simpson, D. Tatum, O. Jackson-Weaver, S. Taghavi, Patrick R. McGrew, J. Duchesne","doi":"10.26676/jevtm.284","DOIUrl":"https://doi.org/10.26676/jevtm.284","url":null,"abstract":"Background: The effects of resuscitative endovascular balloon occlusion of the aorta (REBOA) on progression oftraumatic brain injury (TBI) are unclear. Two hypotheses prevail: increased mean arterial pressure may improve cerebralperfusion, or cause cerebral edema due to elevated intracranial pressure. This study compares outcomes inhypotensive, blunt trauma patients with TBI treated with and without REBOA.Methods: A retrospective analysis compared hypotensive (systolic blood pressure [SBP] >90) blunt trauma patientswith TBI treated with REBOA to those treated without. Patients with spontaneous circulation at admission and atinitiation of aortic occlusion were included. Patients requiring cardiopulmonary resuscitation in the emergencydepartment (ED) were excluded. Radius matching used age, injury severity score (ISS), abbreviated injury score (AIS)-head, and Glasgow coma score (GCS) and SBP at ED arrival.Results: Of 232 patients, 135 were treated with REBOA and 97 without. REBOA patients were older and had higherISS, AIS-head, AIS-chest and AIS-extremity. There was no difference in TBI severity, and mortality. In the matchedanalysis (n = 76 REBOA, n = 54 non-REBOA), there was no difference in ISS, AIS-head, pre-hospital, ED, or dischargeGCS, ED SBP, or mortality. Despite longer hospital stays for REBOA patients, there was no difference in intensive careunit length of stay, rate of discharge home, or discharge GCS.Conclusions: REBOA was used in more severely injured patients, but was not associated with higher mortality rate.REBOA should be considered for use in patients with non-compressible torso hemorrhage and concomitant TBI, as itdid not increase mortality, and outcomes were similar to non-REBOA patients.","PeriodicalId":41233,"journal":{"name":"Journal of EndoVascular Resuscitation and Trauma Management","volume":" ","pages":""},"PeriodicalIF":0.4,"publicationDate":"2023-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43111865","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Would Changing the Term “REBOA” to Intra-luminal Aortic Control Potentially Increase the Adoptation of the Procedure? 将“REBOA”一词改为腔内主动脉控制可能会增加该手术的采用率吗？

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Journal of EndoVascular Resuscitation and Trauma Management Pub Date : 2023-05-31 DOI: 10.26676/jevtm.292

M. Khan, B. Kessel

引用次数: 0

Hybrid Management for Traumatic Iliac Arteriovenous Fistula 外伤性髂动静脉瘘的混合治疗

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Journal of EndoVascular Resuscitation and Trauma Management Pub Date : 2023-05-22 DOI: 10.26676/jevtm.279

Adenauer De Oliveira Góes Junior, Matheus Oliveira Feijó, Fernanda Beatriz Araújo de Albuquerque

引用次数: 0

Use of Intermittent Aortic Balloon Occlusion: Report from the ABO Trauma Registry 间歇性主动脉球囊闭塞的使用:来自ABO创伤登记处的报告

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Journal of EndoVascular Resuscitation and Trauma Management Pub Date : 2023-03-31 DOI: 10.26676/jevtm.275

J. Buitendag, S. Variawa, Aashish Diayar, Pieter Snyders, Pieter Rademan, N. Allopi, D. McGreevy, T. Horer, G. Oosthuizen, ABO Trauma Registry Group

{"title":"Use of Intermittent Aortic Balloon Occlusion: Report from the ABO Trauma Registry","authors":"J. Buitendag, S. Variawa, Aashish Diayar, Pieter Snyders, Pieter Rademan, N. Allopi, D. McGreevy, T. Horer, G. Oosthuizen, ABO Trauma Registry Group","doi":"10.26676/jevtm.275","DOIUrl":"https://doi.org/10.26676/jevtm.275","url":null,"abstract":"Background: Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) is a helpful adjunct in the managementof hemorrhagic shock due to bleeding in the abdomen or pelvis. Ischemia distal to the occlusion is a concern;intermittent aortic balloon inflation (i-REBOA) is a novel way to achieve decreased ischemia time.Methods: This study was conducted using data from the multinational ABO Trauma Registry. All patients enteredbetween January 2016 and December 2019 were included.Results: The sample consisted of 157 patients. There were 57 patients in the i-REBOA group (36%) and 100 in theREBOA group (64%). The groups were similar in gender (P = 0.50), age (P = 0.17), mechanism of injury (P = 0.42), andinjury severity score (P = 0.13). The levels of international normalized ratio (INR) (P < 0.01), activated partial thromboplastintime (aPTT) (P < 0.01) and lactate (P = 0.02) were higher in the i-REBOA group. Total balloon inflation times werelonger in the i-REBOA group (P < 0.01). Major complication rates did not differ between groups. Mortality rates betweengroups were similar in the Emergency Department (ED) (3.8% for i-REBOA vs 10.1%; P = 0.17), within 24 hours (43.4% fori-REBOA vs 38.2%; P = 0.54), and at 30 days (63.6% for i-REBOA vs 48.4%; P = 0.07).Conclusions: The data from this registry show that i-REBOA is currently being used and may allow for longer totalballoon inflation times without higher morbidity or mortality rates.","PeriodicalId":41233,"journal":{"name":"Journal of EndoVascular Resuscitation and Trauma Management","volume":" ","pages":""},"PeriodicalIF":0.4,"publicationDate":"2023-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42106930","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Reduction of Distal Ischemia with pREBOA-PRO in a Trauma Laparotomy Requiring Extended Occlusion Time pREBOA-PRO在需要延长闭塞时间的创伤膝关节切开术中减少远端缺血

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Journal of EndoVascular Resuscitation and Trauma Management Pub Date : 2023-02-22 DOI: 10.26676/jevtm.277

Katherine I Foley, J. Hunt, Alan B Marr, L. Stuke, P. Greiffenstein, J. Schoen, Alison Smith

引用次数: 0

Supporting Cardiac Perfusion by pREBOA with Reduced Visceral Ischemia Despite Extended Occlusion pREBOA支持心脏灌注，减少内脏缺血，尽管延长闭塞

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Journal of EndoVascular Resuscitation and Trauma Management Pub Date : 2023-02-02 DOI: 10.26676/jevtm.270

Paige Deville, J. Hunt, Alan B Marr, L. Stuke, P. Greiffenstein, J. Schoen, Alison Smith

引用次数: 0

A Case Report of Partial Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) for non-traumatic gastrointestinal hemorrhage 部分复苏性血管内球囊闭塞主动脉（REBOA）治疗非创伤性胃肠道出血1例报告

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Journal of EndoVascular Resuscitation and Trauma Management Pub Date : 2023-02-01 DOI: 10.26676/jevtm.272

Dhanushka S Vitharana, Jackson A Fos, Alison Smith

{"title":"A Case Report of Partial Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) for non-traumatic gastrointestinal hemorrhage","authors":"Dhanushka S Vitharana, Jackson A Fos, Alison Smith","doi":"10.26676/jevtm.272","DOIUrl":"https://doi.org/10.26676/jevtm.272","url":null,"abstract":"Background: Resuscitative endovascular balloon occlusion of the aorta (REBOA) is a tool used in the management of hemorrhagic shock in trauma patients. REBOA has also been proposed as an option for non-traumatic hemorrhage, such as gastrointestinal (GI) hemorrhage. In this case report, the use of a partial REBOA (p-REBOA) for a patient with an acute upper GI hemorrhage is presented as a management strategy to temporize bleeding. Methods: Case information was obtained from the electronic medical record at the University Medical Center in New Orleans. Results: A 46- year-old woman presented to the Emergency Department with concern for an upper GI bleed. The patient was tachycardic on presentation and then quickly became unresponsive. Massive transfusion protocol was initiated and a p-REBOA catheter was placed in Zone 1. After the REBOA was inflated 20 mL in 2 mL increments, the patient’s blood pressure improved, while maintaining distal perfusion. An exploratory laparotomy, with an angiogram once the patient had been stabilized, was planned. Despite resuscitative efforts for more than 2 hours, the patient progressed to cardiac arrest and did not have return of spontaneous circulation. Conclusions: This case report describes the use of p-REBOA in Zone 1 to control hemorrhage in a patient with a suspected upper GI bleed. This strategy could be utilized in patients with suspected non-traumatic hemorrhage in order to control bleeding temporarily and allow for ongoing resuscitation and stabilization of a patient prior to definitive treatment.","PeriodicalId":41233,"journal":{"name":"Journal of EndoVascular Resuscitation and Trauma Management","volume":" ","pages":""},"PeriodicalIF":0.4,"publicationDate":"2023-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48546211","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Acute Ischemic Stroke Therapy in a Hybrid Emergency Room: An Institutional Observational Cohort Study 混合急诊室急性缺血性脑卒中治疗:一项机构观察队列研究

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Journal of EndoVascular Resuscitation and Trauma Management Pub Date : 2023-01-31 DOI: 10.26676/jevtm.264

Y. Ito, D. Kudo, Motoo Fujita, S. Osawa, A. Nakagawa, S. Kushimoto

{"title":"Acute Ischemic Stroke Therapy in a Hybrid Emergency Room: An Institutional Observational Cohort Study","authors":"Y. Ito, D. Kudo, Motoo Fujita, S. Osawa, A. Nakagawa, S. Kushimoto","doi":"10.26676/jevtm.264","DOIUrl":"https://doi.org/10.26676/jevtm.264","url":null,"abstract":"Background: Endovascular therapy within an appropriate time has been shown to improve neurological outcomes in patients with ischemic stroke. A hybrid emergency room is an emergency unit that can be used for resuscitation, computed tomography (CT), surgery, and angiography. Therefore, immediate CT and endovascular therapy can be performed without transfer to other rooms. We aimed to evaluate the possibility of using a hybrid emergency room to shorten the time to endovascular therapy in patients with ischemic stroke.Methods: This was a single-institutional, retrospective, and observational study. Patients with acute ischemic stroke who underwent endovascular therapy in the hybrid emergency room between May 2018 and May 2020 were included in the study. The main outcome was door-to-puncture time. The secondary outcomes were door-to-reperfusion and onset-to-puncture time. Descriptive statistics were also calculated. Outcome times were compared with those recommended by recent guidelines.Results: Twenty-seven patients were included in this analysis. The median age was 77 (69–83) years. The median National Institutes of Health Stroke Scale score on admission was 15 (10–21.25), while the median door-to-puncture, door-to-reperfusion, and onset-to-puncture times were 45 (29–63), 140 (100–170), and 120 (71–224) minutes, respectively. The door-to-puncture time was within the recommended time of 60 minutes for approximately 75% of the patients.Conclusions: The door-to-puncture time in our study was shorter than that recommended by the guidelines. Acute ischemic stroke management in a hybrid emergency room could shorten door-to-puncture time, which may contribute to improving patients’ neurological outcomes. ","PeriodicalId":41233,"journal":{"name":"Journal of EndoVascular Resuscitation and Trauma Management","volume":" ","pages":""},"PeriodicalIF":0.4,"publicationDate":"2023-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44138871","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0