作者
Justin S Hatchimonji, Amanda M Chipman, David T McGreevy, Tal M Hörer, Sigrid Burruss, Stephanie Han, M Chance Spalding, Charles J Fox, Ernest E Moore, Jose J Diaz, Jeremy W Cannon
发表日期
2020/12/1
期刊
Journal of Surgical Research
卷号
256
页码范围
149-155
出版商
Academic Press
简介
Background
The aim of this study was to determine the current utilization patterns of resuscitative endovascular balloon occlusion of aorta (REBOA) for hemorrhage control in nontrauma patients.
Methods
Data on REBOA use in nontrauma emergency general surgery patients from six centers, 2014-2019, was pooled for analysis. We performed descriptive analyses using Fisher's exact, Student's t, chi-squared, or Mann–Whitney U tests as appropriate.
Results
Thirty-seven patients with acute hemorrhage from nontrauma sources were identified. REBOA placement was primarily performed by trauma attendings (20/37, 54%) and vascular attendings (13/37, 35%). In seven patients (19%), balloons were positioned prophylactically but never inflated. In 24 (65%) of 37 patients, REBOA was placed in the operating room. 28/37 balloons (76%) were advanced to zone 1, 8/37 (22%) were advanced to zone 3, and there was one …
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JS Hatchimonji, AM Chipman, DT McGreevy, TM Hörer… - Journal of Surgical Research, 2020