TY - JOUR
T1 - Novel interventions for non-compressible torso hemorrhage
T2 - Secondary considerations in consequences of aortic occlusion
AU - Bonanno, Alicia M.
AU - Ross, James D.
N1 - Publisher Copyright:
© 2018 CC BY 4.0 – in cooperation with Depts. of Cardiothoracic/ Vascular Surgery, General Surgery and Anesthesia, Örebro University Hospital and Örebro University, Sweden.
PY - 2018
Y1 - 2018
N2 - Non-compressible torso hemorrhage in trauma remains a leading cause of death in austere environments. Advance-ments for treatment include resuscitative endovascular balloon occlusion of the aorta (REBOA), selective aortic arch perfusion (SAAP), and external compression approaches (junctional tourniquets and abdominal aortic tourniquets), which have provided several promising avenues. However, the application of these devices carries the risk of distal ischemia and the consequences associated with reperfusion injury. This review aims to look at these novel interventions and the physiologic burden associated with them. Following a review of these new advents, we will evaluate the possible solutions to reverse the physiologic penalties.
AB - Non-compressible torso hemorrhage in trauma remains a leading cause of death in austere environments. Advance-ments for treatment include resuscitative endovascular balloon occlusion of the aorta (REBOA), selective aortic arch perfusion (SAAP), and external compression approaches (junctional tourniquets and abdominal aortic tourniquets), which have provided several promising avenues. However, the application of these devices carries the risk of distal ischemia and the consequences associated with reperfusion injury. This review aims to look at these novel interventions and the physiologic burden associated with them. Following a review of these new advents, we will evaluate the possible solutions to reverse the physiologic penalties.
KW - Cytosorbants
KW - Junctional Tourniquets
KW - Non-Compressible Torso Hemorrhage
KW - REBOA
KW - Selective Aortic Arch Perfusion
UR - http://www.scopus.com/inward/record.url?scp=85093068894&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85093068894&partnerID=8YFLogxK
U2 - 10.26676/jevtm.v2i3.58
DO - 10.26676/jevtm.v2i3.58
M3 - Article
AN - SCOPUS:85093068894
VL - 2
SP - 103
EP - 110
JO - Journal of Endovascular Resuscitation and Trauma Management
JF - Journal of Endovascular Resuscitation and Trauma Management
SN - 2002-7567
IS - 3
ER -