Prolonged Partial REBOA: A Practice Paradigm for Managing Hemorrhage from Abdominal Gunshot Wounds
نویسندگان
چکیده
Resuscitative endovascular balloon occlusion of the aorta (REBOA) is a valuable tool for management life-threateningtruncal hemorrhage. However, prolonged use REBOA limited by ischemia that it causes distalto occlusion. Partial (pREBOA) developing technique to inflate partially allow avariable degree distal blood flow and mitigate some complications aortawhile also ameliorating ongoing loss. We describe case patient who presented with gunshot woundto right upper quadrant abdomen significant liver, kidney, colon injuries. The was successfullytreated pREBOA 20 hours without ischemic sequalae. This longest reported prolongedpREBOA suggests this may offer means hemorrhage control in pre-/intra- andpostoperative settings..
منابع مشابه
Selective non-operative management in abdominal gunshot wounds
Introduction: Effects of high velocity bullet in Abdominal wall injuries specially the blast effect on intra abdominal organs needs mandatory explorative laparatomy to manage any major and minor injuries . Usually many explorative laparatomies are negative , but it can be reduced by advanced radiologic techniques such as ultrasonography ,CT – Scan , MRI preoperatively. In patients with negativ...
متن کاملGunshot Wounds
Firearm injuries are regarded as a special form of blunt trauma. The damage to the organism is caused by the impact of a single projectile (or a multitude of pellets) propelled from a barrel by high-pressure combustion gases and striking the body at a high velocity. Gunshot wounds, in a broader sense, are also lesions caused by blank-cartridge weapons as well as injuries due to livestock stunne...
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ژورنال
عنوان ژورنال: Journal of endovascular resuscitation and trauma management
سال: 2023
ISSN: ['2003-539X', '2002-7567']
DOI: https://doi.org/10.26676/jevtm.273