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Could resuscitative endovascular balloon occlusion of the aorta improve survival among severely injured patients with post-intubation hypotension?

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European Journal of Trauma and Emergency Surgery Aims and scope Submit manuscript

Abstract

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.

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Acknowledgements

The authors thank Dr. Fernando Rosso and Dr. Marcela Granados at Fundacion Valle del Lili for their constant support.

Funding

None.

Author information

Authors and Affiliations

  1. Clinical Research Center, Fundacion Valle del Lili, Cali, Colombia

    Ramiro Manzano-Nunez, Claudia Patricia Orlas, Juan Camilo Falla-Martinez, Julian Chica, Maria Paula Naranjo, Alvaro Ignacio Sanchez & Luis Eduardo Calderón-Tapia

  2. Division of Trauma and Acute Care Surgery, Department of Surgery, Fundacion Valle del Lili, Cali, Colombia

    Ramiro Manzano-Nunez, Claudia Patricia Orlas, Alberto Federico García, Julian Chica, Alvaro Ignacio Sanchez & Carlos A. Ordonez

  3. 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

    Juan Pablo Herrera-Escobar

  4. R Adams Cowley Shock Trauma Center, Baltimore, MD, USA

    Joseph DuBose

  5. Department of Cardiothoracic and Vascular Surgery, Örebro University Hospital, Örebro University, Örebro, Sweden

    Tal Hörer

  6. Department of General Surgery, Örebro University Hospital, Örebro University, Örebro, Sweden

    Tal Hörer

  7. Department of Anesthesiology, R Adams Cowley Shock Trauma Center, Baltimore, MD, USA

    Samuel Galvagno

  8. Department of Trauma Critical Care, Broward General Level I Trauma Center, Fort Lauderdale, FL, USA

    Michael W. Parra

  9. Department of General, Emergency and Trauma Surgery, Bufalini Hospital, Cesena, Italy

    Federico Coccolini

  10. Department of Surgery, Macerata Hospital, Macerata, Italy

    Massimo Sartelli

  11. School of Medicine, ICESI University, Cali, Colombia

    Camilo Jose Salazar & Valeria Lopez-Castilla

  12. Surgical and Trauma Intensive Care Unit, VCU Health System, Virginia Commonwealth University, Richmond, VA, USA

    Paula Ferrada

  13. Department of Surgery, Trauma Research Center, University of Colorado, Denver, CO, USA

    Ernest E. Moore

Authors
  1. Ramiro Manzano-Nunez
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  2. Juan Pablo Herrera-Escobar
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  3. Joseph DuBose
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  4. Tal Hörer
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  5. Samuel Galvagno
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  6. Claudia Patricia Orlas
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  7. Michael W. Parra
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  8. Federico Coccolini
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  9. Massimo Sartelli
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  10. Juan Camilo Falla-Martinez
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  11. Alberto Federico García
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  12. Julian Chica
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  13. Maria Paula Naranjo
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  14. Alvaro Ignacio Sanchez
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  15. Camilo Jose Salazar
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  16. Luis Eduardo Calderón-Tapia
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  17. Valeria Lopez-Castilla
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  18. Paula Ferrada
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  19. Ernest E. Moore
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  20. Carlos A. Ordonez
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Corresponding author

Correspondence to Ramiro Manzano-Nunez.

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Conflict of interest

RMN, JPH, JDB, TH, SG, CPO, MWP, FC, MS, JCF, AFG, JC, MPN, AIS, CJS, LEC, VLC, PF, EM, and CAO declare no conflict of interest relevant to this manuscript.

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This article does not contain any studies with human participants or animals performed by any of the authors.

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The views expressed in this material are those of the authors, and do not reflect the official policy or position of the U.S. Government, the Department of Defense, the Department of the Air Force, or any of the affiliated institutions.

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Manzano-Nunez, R., Herrera-Escobar, J.P., DuBose, J. et al. Could resuscitative endovascular balloon occlusion of the aorta improve survival among severely injured patients with post-intubation hypotension?. Eur J Trauma Emerg Surg 44, 527–533 (2018). https://doi.org/10.1007/s00068-018-0947-2

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  • DOI: https://doi.org/10.1007/s00068-018-0947-2

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