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Resuscitative endovascular balloon occlusion of the aorta (REBOA): indications: advantages and challenges of implementation in traumatic non-compressible torso hemorrhage
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| Zeitschriftentitel: | Trauma Surgery & Acute Care Open |
|---|---|
| Personen und Körperschaften: | , , , , , , , , , |
| In: | Trauma Surgery & Acute Care Open, 4, 2019, 1, S. e000262 |
| Format: | E-Article |
| Sprache: | Englisch |
| veröffentlicht: |
BMJ
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| Schlagwörter: |
| author_facet |
Bekdache, Omar Paradis, Tiffany Shen, Yu Bai He Elbahrawy, Aly Grushka, Jeremy Deckelbaum, Dan Khwaja, Kosar Fata, Paola Razek, Tarek Beckett, Andrew Bekdache, Omar Paradis, Tiffany Shen, Yu Bai He Elbahrawy, Aly Grushka, Jeremy Deckelbaum, Dan Khwaja, Kosar Fata, Paola Razek, Tarek Beckett, Andrew |
|---|---|
| author |
Bekdache, Omar Paradis, Tiffany Shen, Yu Bai He Elbahrawy, Aly Grushka, Jeremy Deckelbaum, Dan Khwaja, Kosar Fata, Paola Razek, Tarek Beckett, Andrew |
| spellingShingle |
Bekdache, Omar Paradis, Tiffany Shen, Yu Bai He Elbahrawy, Aly Grushka, Jeremy Deckelbaum, Dan Khwaja, Kosar Fata, Paola Razek, Tarek Beckett, Andrew Trauma Surgery & Acute Care Open Resuscitative endovascular balloon occlusion of the aorta (REBOA): indications: advantages and challenges of implementation in traumatic non-compressible torso hemorrhage Critical Care and Intensive Care Medicine Surgery |
| author_sort |
bekdache, omar |
| spelling |
Bekdache, Omar Paradis, Tiffany Shen, Yu Bai He Elbahrawy, Aly Grushka, Jeremy Deckelbaum, Dan Khwaja, Kosar Fata, Paola Razek, Tarek Beckett, Andrew 2397-5776 BMJ Critical Care and Intensive Care Medicine Surgery http://dx.doi.org/10.1136/tsaco-2018-000262 <jats:sec><jats:title>Background</jats:title><jats:p>Resuscitative endovascular balloon occlusion of the aorta (REBOA) is regaining popularity in the treatment of traumatic non-compressible torso bleeding. Advances in invasive radiology coupled with new damage control measures assisted in the refinement of the technique with promising outcomes. The literature continues to have substantial heterogeneity about REBOA indications, applications, and the challenges confronted when implementing the technique in a level I trauma center. Scoping reviews are excellent platforms to assess the diverse literature of a new technique. It is for the first time that a scoping review is adopted for this topic. Advances in invasive radiology coupled with new damage control measures assisted in the refinement of the technique with promising outcomes. The literature continues to have substantial heterogeneity about REBOA indications, applications, and the challenges confronted when implementing the technique in a level I trauma center. Scoping reviews are excellent platforms to assess the diverse literature of a new technique. It is for the first time that a scoping review is adopted for this topic.</jats:p></jats:sec><jats:sec><jats:title>Methods</jats:title><jats:p>Critical search from MEDLINE, EMBASE, BIOSIS, COCHRANE CENTRAL, PUBMED and SCOPUS were conducted from the earliest available dates until March 2018. Evidence-based articles, as well as gray literature at large, were analyzed regardless of the quality of articles.</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>We identified 1176 articles related to the topic from all available database sources and 57 reviews from the gray literature search. The final review yielded 105 articles. Quantitative and qualitative variables included patient demographics, study design, study objectives, methods of data collection, indications, REBOA protocol used, time to deployment, zone of deployment, occlusion time, complications, outcome, and the level of expertise at the concerned trauma center.</jats:p></jats:sec><jats:sec><jats:title>Conclusion</jats:title><jats:p>Growing levels of evidence support the use of REBOA in selected indications. Our data analysis showed an advantage for its use in terms of morbidities and physiologic derangement in comparison to other resuscitation measures. Current challenges remain in the selective application, implementation, competency assessment, and credentialing for the use of REBOA in trauma settings. The identification of the proper indication, terms of use, and possible advantage of the prehospital and partial REBOA are topics for further research.</jats:p></jats:sec><jats:sec><jats:title>Level of evidence</jats:title><jats:p>Level III.</jats:p></jats:sec> Resuscitative endovascular balloon occlusion of the aorta (REBOA): indications: advantages and challenges of implementation in traumatic non-compressible torso hemorrhage Trauma Surgery & Acute Care Open |
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Resuscitative endovascular balloon occlusion of the aorta (REBOA): indications: advantages and challenges of implementation in traumatic non-compressible torso hemorrhage |
| title_unstemmed |
Resuscitative endovascular balloon occlusion of the aorta (REBOA): indications: advantages and challenges of implementation in traumatic non-compressible torso hemorrhage |
| title_full |
Resuscitative endovascular balloon occlusion of the aorta (REBOA): indications: advantages and challenges of implementation in traumatic non-compressible torso hemorrhage |
| title_fullStr |
Resuscitative endovascular balloon occlusion of the aorta (REBOA): indications: advantages and challenges of implementation in traumatic non-compressible torso hemorrhage |
| title_full_unstemmed |
Resuscitative endovascular balloon occlusion of the aorta (REBOA): indications: advantages and challenges of implementation in traumatic non-compressible torso hemorrhage |
| title_short |
Resuscitative endovascular balloon occlusion of the aorta (REBOA): indications: advantages and challenges of implementation in traumatic non-compressible torso hemorrhage |
| title_sort |
resuscitative endovascular balloon occlusion of the aorta (reboa): indications: advantages and challenges of implementation in traumatic non-compressible torso hemorrhage |
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Critical Care and Intensive Care Medicine Surgery |
| url |
http://dx.doi.org/10.1136/tsaco-2018-000262 |
| publishDate |
2019 |
| physical |
e000262 |
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<jats:sec><jats:title>Background</jats:title><jats:p>Resuscitative endovascular balloon occlusion of the aorta (REBOA) is regaining popularity in the treatment of traumatic non-compressible torso bleeding. Advances in invasive radiology coupled with new damage control measures assisted in the refinement of the technique with promising outcomes. The literature continues to have substantial heterogeneity about REBOA indications, applications, and the challenges confronted when implementing the technique in a level I trauma center. Scoping reviews are excellent platforms to assess the diverse literature of a new technique. It is for the first time that a scoping review is adopted for this topic. Advances in invasive radiology coupled with new damage control measures assisted in the refinement of the technique with promising outcomes. The literature continues to have substantial heterogeneity about REBOA indications, applications, and the challenges confronted when implementing the technique in a level I trauma center. Scoping reviews are excellent platforms to assess the diverse literature of a new technique. It is for the first time that a scoping review is adopted for this topic.</jats:p></jats:sec><jats:sec><jats:title>Methods</jats:title><jats:p>Critical search from MEDLINE, EMBASE, BIOSIS, COCHRANE CENTRAL, PUBMED and SCOPUS were conducted from the earliest available dates until March 2018. Evidence-based articles, as well as gray literature at large, were analyzed regardless of the quality of articles.</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>We identified 1176 articles related to the topic from all available database sources and 57 reviews from the gray literature search. The final review yielded 105 articles. Quantitative and qualitative variables included patient demographics, study design, study objectives, methods of data collection, indications, REBOA protocol used, time to deployment, zone of deployment, occlusion time, complications, outcome, and the level of expertise at the concerned trauma center.</jats:p></jats:sec><jats:sec><jats:title>Conclusion</jats:title><jats:p>Growing levels of evidence support the use of REBOA in selected indications. Our data analysis showed an advantage for its use in terms of morbidities and physiologic derangement in comparison to other resuscitation measures. Current challenges remain in the selective application, implementation, competency assessment, and credentialing for the use of REBOA in trauma settings. The identification of the proper indication, terms of use, and possible advantage of the prehospital and partial REBOA are topics for further research.</jats:p></jats:sec><jats:sec><jats:title>Level of evidence</jats:title><jats:p>Level III.</jats:p></jats:sec> |
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| author | Bekdache, Omar, Paradis, Tiffany, Shen, Yu Bai He, Elbahrawy, Aly, Grushka, Jeremy, Deckelbaum, Dan, Khwaja, Kosar, Fata, Paola, Razek, Tarek, Beckett, Andrew |
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| description | <jats:sec><jats:title>Background</jats:title><jats:p>Resuscitative endovascular balloon occlusion of the aorta (REBOA) is regaining popularity in the treatment of traumatic non-compressible torso bleeding. Advances in invasive radiology coupled with new damage control measures assisted in the refinement of the technique with promising outcomes. The literature continues to have substantial heterogeneity about REBOA indications, applications, and the challenges confronted when implementing the technique in a level I trauma center. Scoping reviews are excellent platforms to assess the diverse literature of a new technique. It is for the first time that a scoping review is adopted for this topic. Advances in invasive radiology coupled with new damage control measures assisted in the refinement of the technique with promising outcomes. The literature continues to have substantial heterogeneity about REBOA indications, applications, and the challenges confronted when implementing the technique in a level I trauma center. Scoping reviews are excellent platforms to assess the diverse literature of a new technique. It is for the first time that a scoping review is adopted for this topic.</jats:p></jats:sec><jats:sec><jats:title>Methods</jats:title><jats:p>Critical search from MEDLINE, EMBASE, BIOSIS, COCHRANE CENTRAL, PUBMED and SCOPUS were conducted from the earliest available dates until March 2018. Evidence-based articles, as well as gray literature at large, were analyzed regardless of the quality of articles.</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>We identified 1176 articles related to the topic from all available database sources and 57 reviews from the gray literature search. The final review yielded 105 articles. Quantitative and qualitative variables included patient demographics, study design, study objectives, methods of data collection, indications, REBOA protocol used, time to deployment, zone of deployment, occlusion time, complications, outcome, and the level of expertise at the concerned trauma center.</jats:p></jats:sec><jats:sec><jats:title>Conclusion</jats:title><jats:p>Growing levels of evidence support the use of REBOA in selected indications. Our data analysis showed an advantage for its use in terms of morbidities and physiologic derangement in comparison to other resuscitation measures. Current challenges remain in the selective application, implementation, competency assessment, and credentialing for the use of REBOA in trauma settings. The identification of the proper indication, terms of use, and possible advantage of the prehospital and partial REBOA are topics for further research.</jats:p></jats:sec><jats:sec><jats:title>Level of evidence</jats:title><jats:p>Level III.</jats:p></jats:sec> |
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| spelling | Bekdache, Omar Paradis, Tiffany Shen, Yu Bai He Elbahrawy, Aly Grushka, Jeremy Deckelbaum, Dan Khwaja, Kosar Fata, Paola Razek, Tarek Beckett, Andrew 2397-5776 BMJ Critical Care and Intensive Care Medicine Surgery http://dx.doi.org/10.1136/tsaco-2018-000262 <jats:sec><jats:title>Background</jats:title><jats:p>Resuscitative endovascular balloon occlusion of the aorta (REBOA) is regaining popularity in the treatment of traumatic non-compressible torso bleeding. Advances in invasive radiology coupled with new damage control measures assisted in the refinement of the technique with promising outcomes. The literature continues to have substantial heterogeneity about REBOA indications, applications, and the challenges confronted when implementing the technique in a level I trauma center. Scoping reviews are excellent platforms to assess the diverse literature of a new technique. It is for the first time that a scoping review is adopted for this topic. Advances in invasive radiology coupled with new damage control measures assisted in the refinement of the technique with promising outcomes. The literature continues to have substantial heterogeneity about REBOA indications, applications, and the challenges confronted when implementing the technique in a level I trauma center. Scoping reviews are excellent platforms to assess the diverse literature of a new technique. It is for the first time that a scoping review is adopted for this topic.</jats:p></jats:sec><jats:sec><jats:title>Methods</jats:title><jats:p>Critical search from MEDLINE, EMBASE, BIOSIS, COCHRANE CENTRAL, PUBMED and SCOPUS were conducted from the earliest available dates until March 2018. Evidence-based articles, as well as gray literature at large, were analyzed regardless of the quality of articles.</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>We identified 1176 articles related to the topic from all available database sources and 57 reviews from the gray literature search. The final review yielded 105 articles. Quantitative and qualitative variables included patient demographics, study design, study objectives, methods of data collection, indications, REBOA protocol used, time to deployment, zone of deployment, occlusion time, complications, outcome, and the level of expertise at the concerned trauma center.</jats:p></jats:sec><jats:sec><jats:title>Conclusion</jats:title><jats:p>Growing levels of evidence support the use of REBOA in selected indications. Our data analysis showed an advantage for its use in terms of morbidities and physiologic derangement in comparison to other resuscitation measures. Current challenges remain in the selective application, implementation, competency assessment, and credentialing for the use of REBOA in trauma settings. The identification of the proper indication, terms of use, and possible advantage of the prehospital and partial REBOA are topics for further research.</jats:p></jats:sec><jats:sec><jats:title>Level of evidence</jats:title><jats:p>Level III.</jats:p></jats:sec> Resuscitative endovascular balloon occlusion of the aorta (REBOA): indications: advantages and challenges of implementation in traumatic non-compressible torso hemorrhage Trauma Surgery & Acute Care Open |
| spellingShingle | Bekdache, Omar, Paradis, Tiffany, Shen, Yu Bai He, Elbahrawy, Aly, Grushka, Jeremy, Deckelbaum, Dan, Khwaja, Kosar, Fata, Paola, Razek, Tarek, Beckett, Andrew, Trauma Surgery & Acute Care Open, Resuscitative endovascular balloon occlusion of the aorta (REBOA): indications: advantages and challenges of implementation in traumatic non-compressible torso hemorrhage, Critical Care and Intensive Care Medicine, Surgery |
| title | Resuscitative endovascular balloon occlusion of the aorta (REBOA): indications: advantages and challenges of implementation in traumatic non-compressible torso hemorrhage |
| title_full | Resuscitative endovascular balloon occlusion of the aorta (REBOA): indications: advantages and challenges of implementation in traumatic non-compressible torso hemorrhage |
| title_fullStr | Resuscitative endovascular balloon occlusion of the aorta (REBOA): indications: advantages and challenges of implementation in traumatic non-compressible torso hemorrhage |
| title_full_unstemmed | Resuscitative endovascular balloon occlusion of the aorta (REBOA): indications: advantages and challenges of implementation in traumatic non-compressible torso hemorrhage |
| title_short | Resuscitative endovascular balloon occlusion of the aorta (REBOA): indications: advantages and challenges of implementation in traumatic non-compressible torso hemorrhage |
| title_sort | resuscitative endovascular balloon occlusion of the aorta (reboa): indications: advantages and challenges of implementation in traumatic non-compressible torso hemorrhage |
| title_unstemmed | Resuscitative endovascular balloon occlusion of the aorta (REBOA): indications: advantages and challenges of implementation in traumatic non-compressible torso hemorrhage |
| topic | Critical Care and Intensive Care Medicine, Surgery |
| url | http://dx.doi.org/10.1136/tsaco-2018-000262 |