A Life Saving Emergency Department Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) with Open Groin Technique

Abstract

Panu Teeratakulpisarn, Phati Angkasith, Parichat Tanmit, Chaiyut Thanapaisal, Supatcha Prasertcharoensuk, Narongchai Wongkonkitsin Department of Surgery, Faculty of Medicine, Khonkaen University, Khon Kaen, ThailandCorrespondence: Panu TeeratakulpisarnDepartment of Surgery, Faculty of Medicine, Khonkaen University, 123, Moo16, Mittraphap Road, Nai-Muang, Muang District, Khon Kaen, 40002, ThailandTel [phone]Email [email protected]: A 53-year-old male pedestrian was hit by a car and arrived at our hospital with a blunt abdominal injury and hemorrhagic shock. Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) was performed in a timely fashion using the open groin technique in the emergency room. The procedure resulted in rapid improvement of hemodynamic status while the bleeding source was controlled. Recently, REBOA is a proper adjunctive procedure in major non-compressible torso hemorrhage patients. The procedure requires a portable X-ray or fluoroscopic machine in the ER to confirm the balloon’s position. This method has likely limited the use of REBOA in developing countries. The procedure with open groin technique, using anatomical landmarks and physiologic change to confirm the position of the balloon, has been developed to address these concerns. Here we report on the treatment’s success with this technique and believe that it can benefit trauma patient care.Keywords: REBOA, torso hemorrhage, shock, abdominal trauma, resuscitation, balloon

Keywords

• reboa
• torso hemorrhage
• shock
• abdominal trauma
• resuscitation
• balloon.