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
JAMA Surgery – American Medical Association
Published: Feb 27, 2018
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