Novel Interventions for Non-Compressible Torso Hemorrhage
Secondary Considerations in Consequences of Aortic Occlusion
Keywords:Non-compressible torso hemorrhage, REBOA, Selective Aortic Arch Perfusion, Junctional tourniquet, Cytosorbents, IABO, Endovascular, Hemorrhage control, Inflammation, SIRS, Pentostatin
Non-compressible torso hemorrhage in trauma remains a leading cause of death in austere environments. Several advancements for treatment include resuscitative endovascular balloon occlusion of the aorta (REBOA), selective aortic arch perfusion (SAAP), and external compression approaches (Junctional Tourniquets and Abdominal Aortic Tourniquets), which have been promising avenues. However, the application of these devices caries the risk of distal ischemia and the consequences associated with reperfusion injury. This review aims to look at these novel interventions and the physiologic burden associated with them. Following review of these new advents, we will evaluate the possible solutions in the reversal of these physiologic penalties.