Early Adoption of Resuscitative Endovascular Balloon Occlusion of the Aorta

Early Adoption of Resuscitative Endovascular Balloon Occlusion of the Aorta Research Original Investigation REBOA for Proximal Aortic Control in Severe Hemorrhage and Arrest Invited Commentary Early Adoption of Resuscitative Endovascular Balloon Occlusion of the Aorta The Beginning of a Journey Joseph M. Galante, MD New ideas rely on innovators and early adopters to advance clear indications for its use, resuscitative thoracotomy is easier into mainstream practice. Brenner and colleagues at the R. Ad- and more practical, and there is only anecdotal evidence of its efficacy. Brenner et al ams Cowley Shock Trauma Center at the University of Mary- have shown the different scenarios in land are true early adopters. which REBOA can be applied. Algorithms with indications for Building on the innovation REBOA have been published by the US Military as a clinical 2 3 4 Related article page 130 of Hughes from the 1950s, practice guideline. Biffl et al published an algorithm for Brenner et al have applied REBOA use in exsanguinating hemorrhage. There needs to resuscitative endovascular balloon occlusion of the aorta be a concerted effort to clearly define when and in whom (REBOA) to the trauma and acute care surgery settings. Their REBOA should be used. Regarding comparison with thora- results are remarkable, but represent only http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA Surgery American Medical Association

Early Adoption of Resuscitative Endovascular Balloon Occlusion of the Aorta

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Publisher
American Medical Association
Copyright
Copyright 2017 American Medical Association. All Rights Reserved.
ISSN
2168-6254
eISSN
2168-6262
D.O.I.
10.1001/jamasurg.2017.3552
Publisher site
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Abstract

Research Original Investigation REBOA for Proximal Aortic Control in Severe Hemorrhage and Arrest Invited Commentary Early Adoption of Resuscitative Endovascular Balloon Occlusion of the Aorta The Beginning of a Journey Joseph M. Galante, MD New ideas rely on innovators and early adopters to advance clear indications for its use, resuscitative thoracotomy is easier into mainstream practice. Brenner and colleagues at the R. Ad- and more practical, and there is only anecdotal evidence of its efficacy. Brenner et al ams Cowley Shock Trauma Center at the University of Mary- have shown the different scenarios in land are true early adopters. which REBOA can be applied. Algorithms with indications for Building on the innovation REBOA have been published by the US Military as a clinical 2 3 4 Related article page 130 of Hughes from the 1950s, practice guideline. Biffl et al published an algorithm for Brenner et al have applied REBOA use in exsanguinating hemorrhage. There needs to resuscitative endovascular balloon occlusion of the aorta be a concerted effort to clearly define when and in whom (REBOA) to the trauma and acute care surgery settings. Their REBOA should be used. Regarding comparison with thora- results are remarkable, but represent only

Journal

JAMA SurgeryAmerican Medical Association

Published: Feb 27, 2018

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