REBOA at Role 2 Afloat: resuscitative endovascular balloon occlusion of the aorta as a bridge to damage control surgery in the military maritime setting.
P S C ReesB WallerA M BuckleyC DoranS BlandT ScottJ MatthewsPublished in: Journal of the Royal Army Medical Corps (2017)
Role 2 Afloat provides a damage control resuscitation and surgery facility in support of maritime, littoral and aviation operations. Resuscitative endovascular balloon occlusion of the aorta (REBOA) offers a rapid, effective solution to exsanguinating haemorrhage from pelvic and non-compressible torso haemorrhage. It should be considered when the patient presents in a peri-arrest state, if surgery is likely to be delayed, or where the single operating table is occupied by another case. This paper will outline the data in support of endovascular haemorrhage control, describe the technique and explore how REBOA could be delivered using equipment currently available in the Royal Navy Role 2 Afloat equipment module. Also discussed are potential future directions in endovascular resuscitation.
Keyphrases
- minimally invasive
- coronary artery bypass
- cardiac arrest
- aortic dissection
- oxidative stress
- aortic valve
- pulmonary artery
- cardiopulmonary resuscitation
- big data
- percutaneous coronary intervention
- case report
- coronary artery
- electronic health record
- acute coronary syndrome
- cell cycle
- artificial intelligence
- cell proliferation
- deep learning
- pulmonary arterial hypertension
- data analysis
- climate change