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Textbook of Acute Trauma Care pp 307–353Cite as

In Hospital REBOA for Major Trauma

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Abstract

Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) is a resuscitative adjunct used by trauma teams with the intent to benefit selected major trauma patients. It requires inflation of a catheter mounted balloon device within a discrete aortic segment for a discrete time interval. There are variations in the conduct of REBOA that impact on patient haemodynamics, bleeding control and ischaemic sequalae. Principally these are level, duration and strategy of balloon occlusion. Use of REBOA carries risk and potential benefit, through understanding the detail of this in the context of the patient profile, the trauma team may make a more optimal decision for its’ appropriate use. Literature on REBOA outcomes is currently inconclusive as to whether it offers overall benefit to selected major trauma patients.

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Authors and Affiliations

  1. The Leeds Vascular Institute, Leeds Teaching Hospitals NHS Trust, Leeds, UK

    Tim J. Stansfield

  2. Royal Army Medical Corps, London, UK

    Tim J. Stansfield

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  1. Tim J. Stansfield
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Correspondence to Tim J. Stansfield .

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Editors and Affiliations

  1. Tactical Medical Wing, Royal Air Force, Brize Norton, Oxfordshire, UK

    Peter Lax

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Stansfield, T.J. (2022). In Hospital REBOA for Major Trauma. In: Lax, P. (eds) Textbook of Acute Trauma Care . Springer, Cham. https://doi.org/10.1007/978-3-030-83628-3_16

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  • DOI: https://doi.org/10.1007/978-3-030-83628-3_16

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-83627-6

  • Online ISBN: 978-3-030-83628-3

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