Present Strategy for REBOA Management After Catheter Placement: A Current Suggestion From the Japanese Society of DIRECT

Authors

  • Yutaro Kurihara Kitasato University
  • Satoshi Tamura Department of Emergency and Critical Care Medicine, Kitasato University school of Medicine, Sagamihara, Kanagawa, Japan
  • Takaaki Maruhashi Department of Emergency and Critical Care Medicine, Kitasato University school of Medicine, Sagamihara, Kanagawa, Japan
  • Yosuke Matsumura Department of Intensive Care, Chiba Emergency Medical Center, Chiba city, Chiba, Japan

DOI:

https://doi.org/10.26676/jevtm.v6i1.252

Keywords:

RESUSCITATIVE ENDOVASCULAR BALLOON OCCLUSION OF THE AORTA (REBOA), TRAUMA, HEMORRHAGIC SHOCK, MANAGEMENT

Abstract

Although there is insufficient evidence of the target blood pressure under the utilization of Resuscitative endovascular balloon occlusion of the aorta (REBOA), it may be reasonable to extend the concept of permissive hypotension, which is adapted for hemorrhagic shock, to REBOA management. Invasive blood pressure monitoring proximal to the aortic occlusion is desirable during REBOA. The zone of the aorta is selected and changed according to the location of injuries and physiological conditions. The key to successful REBOA management is to set up an independent REBOA coordinator for systemic management. This review article aims to explain the proper REBOA management to fill the knowledge gap between the educational course, which highlights the indication and safe procedures of the device, and the critical settings faced in the clinical practices.

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Published

2022-05-20

Issue

Section

Narrative Review Article