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Could resuscitative endovascular balloon occlusion of the aorta improve survival among severely injured patients with post-intubation hypotension?
Clinical Research Center, Fundacion Valle del Lili, Cali, Colombia; Division of Trauma and Acute Care Surgery, Department of Surgery, Fundacion Valle del Lili, Cali, Colombia.
Center for Surgery and Public Health, Brigham and Women's Hospital, Harvard Medical School, Harvard T.H Chan School of Public Health, Boston MA, USA.
R Adams Cowley Shock Trauma Center, Baltimore MD, USA.
Örebro University, School of Medical Sciences. Örebro University Hospital. Department of Cardiothoracic and Vascular Surgery, Örebro University Hospital, Örebro, Sweden; Department of General Surgery, Örebro University Hospital, Örebro, Sweden.ORCID iD: 0000-0003-3912-4732
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2018 (English)In: European Journal of Trauma and Emergency Surgery, ISSN 1863-9933, E-ISSN 1863-9941, Vol. 44, no 4, p. 527-533Article, review/survey (Refereed) Published
Abstract [en]

Current literature shows the association of post-intubation hypotension and increased odds of mortality in critically ill non-trauma and trauma populations. However, there is a lack of research on potential interventions that can prevent or ameliorate the consequences of endotracheal intubation and thus improve the prognosis of trauma patients with post-intubation hypotension. This review paper hypothesizes that the deployment of REBOA among trauma patients with PIH, by its physiologic effects, will reduce the odds of mortality in this population. The objective of this paper is to review the current literature on REBOA and post-intubation hypotension, and, furthermore, to provide a rational hypothesis on the potential role of REBOA in severely injured patients with post-intubation hypotension.

Place, publisher, year, edition, pages
Springer Berlin/Heidelberg, 2018. Vol. 44, no 4, p. 527-533
Keywords [en]
Endovascular procedures, Hemorrhagic, Hypotension, Intratracheal, Intubation, REBOA, Shock, Trauma
National Category
Cardiology and Cardiovascular Disease
Identifiers
URN: urn:nbn:se:oru:diva-66049DOI: 10.1007/s00068-018-0947-2ISI: 000440981100006PubMedID: 29572730Scopus ID: 2-s2.0-85044368395OAI: oai:DiVA.org:oru-66049DiVA, id: diva2:1193745
Available from: 2018-03-27 Created: 2018-03-27 Last updated: 2025-02-10Bibliographically approved

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Hörer, Tal M.

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