Evaluation of the implementation of the minimally invasive emergency procedure REBOA via an open surgical approach in a teaching unit - a cadaveric study.

• Tác giả: Nicolas Eibinger, Peter Grechenig, Barbara Hallmann, Gerald Höfler, Amir Koutp, Paul Puchwein, Rene Schroedter
• Ngôn ngữ: eng
• Ký hiệu phân loại: 200.71 Education
• Thông tin xuất bản: Germany : Archives of orthopaedic and trauma surgery , 2025
• Bộ sưu tập: NCBI
• ID: 725567
• Chủ đề: 1. Evaluation; 2. Of; 3. The

Tóm tắt

 INTRODUCTION: Resuscitative endovascular balloon occlusion of the aorta (REBOA) is an increasingly used trauma resuscitation procedure. The purpose of this study is to evaluate the open surgical technique in a cardiac arrest model. MATERIALS AND METHODS: Thirty-one fresh cadavers were included in the study. 46 times the open arterial cutdown for the emergency procedure REBOA were performed and evaluated by physicians from a level I. trauma center. RESULTS: For open arterial cutdown time from skin incision to blocking the balloon in averaged 340.6 s (SD: 136.6
  range: 178-600) and the balloon was correctly positioned and blocked 37 times (80.4%
  37/46) and failed 9 times (19.6%
  9/46). CONCLUSIONS: This study vividly demonstrates that in patients in severe shock or cardiac arrest condition, the open surgical puncture for the implications of the REBOA catheter is a good and safe alternative to the percutaneous ultrasound-targeted technique. LEVEL OF EVIDENCE: Level V, Cadaveric Study.