A Life Saving Emergency Department Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) with Open Groin Technique

A 53-year-old male pedestrian was hit by a car and arrived at our hospital with a blunt abdominal injury and hemorrhagic shock. Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) was performed in a timely fashion using the open groin technique in the emergency room. The procedure resu...

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Bibliographic Details
Published in:Open access emergency medicine 2021-01, Vol.13, p.183-188
Main Authors: Teeratakulpisarn, Panu, Angkasith, Phati, Tanmit, Parichat, Thanapaisal, Chaiyut, Prasertcharoensuk, Supatcha, Wongkonkitsin, Narongchai
Format: Article
Language:English
Subjects:
Abdomen
abdominal trauma
balloon
Blood pressure
Case Report
Consent
Coronary vessels
Developing countries
Emergency service
Hemorrhage
Hemorrhagic shock
Hospitals
LDCs
Ostomy
Patients
reboa
resuscitation
Shock
Small intestine
Surgeons
torso hemorrhage
Trauma
Veins & arteries
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Summary:A 53-year-old male pedestrian was hit by a car and arrived at our hospital with a blunt abdominal injury and hemorrhagic shock. Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) was performed in a timely fashion using the open groin technique in the emergency room. The procedure resulted in rapid improvement of hemodynamic status while the bleeding source was controlled. Recently, REBOA is a proper adjunctive procedure in major non-compressible torso hemorrhage patients. The procedure requires a portable X-ray or fuoroscopic machine in the ER to confirm the balloon's position. This method has likely limited the use of REBOA in developing countries. The procedure with open groin technique, using anatomical landmarks and physiologic change to confirm the position of the balloon, has been developed to address these concerns. Here we report on the treatment's success with this technique and believe that it can beneft trauma patient care. Keywords: REBOA, torso hemorrhage, shock, abdominal trauma, resuscitation, balloon
ISSN:1179-1500
1179-1500
DOI:10.2147/OAEM.S311421