Novel Interventions for Non-Compressible Torso Hemorrhage

Secondary Considerations in Consequences of Aortic Occlusion

Authors

  • Alicia Marie Bonanno
  • James Dean Ross Oregon Health and Science University

DOI:

https://doi.org/10.26676/jevtm.v2i3.58

Keywords:

Non-compressible torso hemorrhage, REBOA, Selective Aortic Arch Perfusion, Junctional tourniquet, Cytosorbents, IABO, Endovascular, Hemorrhage control, Inflammation, SIRS, Pentostatin

Abstract

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.

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Published

2018-09-10

Issue

Section

Narrative Review Article