Successfully REBOA performance: does medical specialty matter? International data from the ABOTrauma Registry.

摘要: Background Resuscitative endovascular balloon occlusion of the aorta (REBOA) is a minimally invasive procedure being increasingly utilized to prevent patients with non-compressible torso hemorrhage from exsanguination. The increased use REBOA giving rise discussion about "Who and who should be performing it?" Methods Data international ABO (aortic occlusion) Trauma Registry between November 2014 April 2020 were analyzed concerning question: By who, how, where performed? registry collects retrospective prospective data in trauma patients. Results During study period, 259 had been recorded registry, 72.5% (n = 188) males median (range) age 46 (10-96) years. was performed ER 50.5%, OR 41.5%, angiography suite 8% In 54% by surgeons (trauma 28%, vascular 22%, general 4%) 46% non-surgeons (emergency physicians 31%, radiologists 9.5%, anesthetists 5.5%). Common femoral artery (CFA) access achieved external anatomic landmarks palpation alone 119 (51%), cutdown 57 (24%), using ultrasound 49 (21%), fluoroscopy 9 (4%). Significant differences found regarding patient's age, injury severity, methods, place performed, location taken emergency room, mortality. Conclusion A substantial number both surgical non-surgical medical disciplines are successfully an almost equal extent. Surgical used less frequently as CFA compared reports older literature puncture high rate success. Instead discussing REBOA?" future research focus on "Which patient benefits most