학술논문

Resuscitative Endovascular Balloon Occlusion of the Aorta: A Bridge to Flight Survival.
Document Type
Article
Source
Critical Care Nurse. Apr2018, Vol. 38 Issue 2, p69-75. 7p. 1 Color Photograph, 1 Diagram, 2 Charts.
Subject
*HEMORRHAGE prevention
*HEMORRHAGE treatment
*ABDOMINAL aorta
*AIRPLANE ambulances
*AORTA
*ENDOVASCULAR surgery
*EMERGENCY medicine
*FLUOROSCOPY
*HEMODYNAMICS
*HEMORRHAGE
*RESUSCITATION
*THORACIC aorta
Language
ISSN
0279-5442
Abstract
Trauma endures as the leading cause of death worldwide, and most deaths occur in the first 24 hours after initial injury as a result of hemorrhage. Historically, about 90% of battlefield deaths occur before the injured person arrives at a theater hospital, and most are due to noncompressible hemorrhage of the torso. Resuscitative endovascular balloon occlusion of the aorta is an evolving technique to quickly place a balloon into the thoracic or abdominal aorta to efficiently block blood flow to distal circulation. Maneuvers, such as resuscitative endovascular balloon occlusion of the aorta, to control endovascular hemorrhage offer a potential intervention to control noncompressible hemorrhage. This technique can be performed percutaneously or open in prehospital environments to restore hemodynamic functions and serve as a survival bridge until the patient is delivered to a treatment facility for definitive surgical hemostasis. This article describes the indications, complications, and application of resuscitative endovascular balloon occlusion of the aorta to military and civilian aeromedical transport. [ABSTRACT FROM AUTHOR]