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Endovascular Resuscitation with Aortic Balloon Occlusion in pediatric trauma
Department of Cardiothoracic and Vascular Surgery, Faculty of Medicine and Health, Örebro University Hospital, Örebro, Sweden; Örebro University, Örebro, Sweden.
Örebro University, School of Medical Sciences. Department of Cardiothoracic and Vascular Surgery, Faculty of Medicine and Health, Örebro University Hospital, Örebro, sweden .ORCID iD: 0000-0003-0805-4823
Department of Surgery, Örebro University Hospital, Örebro, Sweden.
Department of Surgery, Örebro University Hospital, Örebro, Sweden.
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2019 (English)In: Journal of Endovascular Resuscitation and Trauma Management, ISSN 2002-7567, Vol. 3, no 3Article in journal (Refereed) Published
Abstract [en]

Background: The use of Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) in resuscitation and trauma management in adults is increasing. However, there is limited data published concerning its use in pediatric patients.

Methods: We describe a case using REBOA for traumatic hemorrhagic shock in a pediatric patient according to the concept of EndoVascular resuscitation and Trauma Management (EVTM) at Örebro University Hospital in April 2019. Informed consent has been received.

Results: An 11-year-old boy arrived at the emergency room (ER) after a motor vehicle accident. Due to total hemo-dynamic collapse, cardiopulmonary resuscitation was initiated with return of spontaneous circulation. Zone 1 total REBOA was successfully performed for 7 minutes while damage control surgery was performed and massive transfu-sion was initiated to stabilize the patient. The patient survived and returned to almost normal daily activity.

Conclusion: REBOA for endovascular resuscitation and trauma management may be an additional method for tem-porary hemodynamic stabilization in pediatric patients and, in this specific patient, was used instead of resuscitative thoracotomy.

Place, publisher, year, edition, pages
Örebro University Hospital , 2019. Vol. 3, no 3
Keywords [en]
REBOA, Hemorrhage, Hemorrhagic shock, Endovascular Resuscitation, Pediatric Trauma
National Category
Anesthesiology and Intensive Care
Identifiers
URN: urn:nbn:se:oru:diva-101816DOI: 10.26676/jevtm.v3i3.99ISI: 000576661000009Scopus ID: 2-s2.0-85088125468OAI: oai:DiVA.org:oru-101816DiVA, id: diva2:1704427
Available from: 2022-10-18 Created: 2022-10-18 Last updated: 2024-03-06Bibliographically approved

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McGreevy, DavidHörer, Tal M.

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