Novel interventions for non-compressible torso hemorrhage: Secondary considerations in consequences of aortic occlusion

Alicia M. Bonanno; James D. Ross

doi:10.26676/jevtm.v2i3.58

Novel interventions for non-compressible torso hemorrhage: Secondary considerations in consequences of aortic occlusion

Alicia M. Bonanno, James D. Ross

Surgery

Research output: Contribution to journal › Article › peer-review

Abstract

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.

Original language	English (US)
Pages (from-to)	103-110
Number of pages	8
Journal	Journal of Endovascular Resuscitation and Trauma Management
Volume	2
Issue number	3
DOIs	https://doi.org/10.26676/jevtm.v2i3.58
State	Published - 2018

Keywords

Cytosorbants
Junctional Tourniquets
Non-Compressible Torso Hemorrhage
REBOA
Selective Aortic Arch Perfusion

ASJC Scopus subject areas

Critical Care and Intensive Care Medicine
Emergency Medicine
Surgery

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abstract = "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.",

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