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Review Article

IJMDC. 2024; 8(12): 3764-3769


The potential contribution to improve prehospital and in-hospital outcomes of the present clinical use of resuscitative endovascular balloon occlusion of aorta hemodynamics in trauma patients with instability

Mazi Mohammed Alanazi, Abdulrahman Omar Alzahrani, Abdulrahman Majed M. Aljuwayr, Ahmed Kattab Alotaibi, Nouf Abduallah A. alotaibi, Aseel Ali Alsaleh, Hanin Safar A. Alosaimi, Rand Rasheed Al-Otayban, Shatha Saud Alqurashi, Meshari Salem Almutairi.




Abstract

This review aimed to examine the use of resuscitative endovascular balloon occlusion of the aorta (REBOA) and the associated mortality and morbidity in patients with hemodynamic instability due to substantial exsanguination from traumatic and non-traumatic sources. The preferred reporting items for systematic reviews and meta-analyses statements were followed in the conduct of this investigation. MEDLINE, EMBASE, and Cochrane databases were searched to find pertinent papers published between the years 2021 and 2024. Four publications total-three randomized controlled trials and one observational study were considered in this analysis. The combination of REBOA and conventional therapy in the emergency room did not lower mortality in trauma patients with bleeding when compared to normal care alone. Even while pre-hospital REBOA is possible and might allow for early survival, there was a considerable chance of late fatality.

Key words: Resuscitative endovascular balloon occlusion of aorta, outcome, mortality, trauma patients, systemic review






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