Details der Publikation - The effectiveness of portable ultrasound-guided resuscitative endovascular balloon occlusion of the aorta for stopping iliac artery hemorrhage during first aid pre-hospital: a randomized control animal trial

The effectiveness of portable ultrasound-guided resuscitative endovascular balloon occlusion of the aorta for stopping iliac artery hemorrhage during first aid pre-hospital: a randomized control animal trial

Purpose This study aimed at to comparing the effectiveness of portable ultrasound guided REBOA vs. traditional manual extracorporeal compression in stopping iliac artery hemostasis. Methods Twelve swine were included in this study (treatment group vs. control group, 6:6). A biopsy device was used to create an iliac artery rupture and hemorrhage in each swine. After 30 s of bleeding, the treatment group received REBOA under the guidance of ultrasound, whereas the control group received traditional manual extracorporeal compression. General physiological conditions were recorded at 0 s (baseline, T1), 30 s (initiation of therapies to stop bleeding, T2), 10 min (T3) and 30 min (T4) after bleeding. Intraperitoneal and retroperitoneal hemorrhage and specimens of iliac artery were collected after all swine were euthanized. Results One swine was excluded because of accidental death not related to the experiment; thus, 11 swine were analyzed in this study. The general physiological characteristics of the two groups showed no difference at T1. Hemorrhagic shock occurred in both groups. After the hemostatic procedure was performed, systolic pressure, diastolic pressure and heart rate first increased significantly between T2 and T3, and then became stable between T3 and T4; these indicators in the control group deteriorated over time. The total blood loss in the treatment group (1245.23 ± 190.07 g) was much significantly less than that in the control group (2605.63 ± 291.67 g) with p < 0.001. Conclusions Performing REBOA under the guidance of portable ultrasound is an effective way to stop bleeding. It suggests a potential alternative method for iliac artery hemostasis in the pre-hospital setting..

Medienart:	E-Artikel

Erscheinungsjahr:	2022
Erschienen:	2022

Enthalten in:	Zur Gesamtaufnahme - volume:48
Enthalten in:	European journal of trauma and emergency surgery - 48(2022), 4 vom: 12. Apr., Seite 2841-2848

Sprache:	Englisch

Beteiligte Personen:	Huang, Yuqing [VerfasserIn] Kou, Haiyan [VerfasserIn] Kong, Yuhao [VerfasserIn] Shan, Xuexia [VerfasserIn] Wu, Shengzheng [VerfasserIn] Chen, Xianghui [VerfasserIn] Lin, Xingxi [VerfasserIn] Zhang, Liye [VerfasserIn] Lv, Faqin [VerfasserIn] Li, Zhihui [VerfasserIn]

Links:	Volltext [kostenfrei]

BKL:	44.80$jUnfallmedizin$jNotfallmedizin 44.65$jChirurgie
Themen:	Iliac artery hemostasis Portable ultrasound Randomized control trial Resuscitative endovascular balloon occlusion of the aorta

Anmerkungen:	© The Author(s) 2022

doi:	10.1007/s00068-022-01895-1

funding:
Förderinstitution / Projekttitel:

PPN (Katalog-ID):	OLC2131605005

Internformat


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245	1	0	\|a The effectiveness of portable ultrasound-guided resuscitative endovascular balloon occlusion of the aorta for stopping iliac artery hemorrhage during first aid pre-hospital: a randomized control animal trial
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520			\|a Purpose This study aimed at to comparing the effectiveness of portable ultrasound guided REBOA vs. traditional manual extracorporeal compression in stopping iliac artery hemostasis. Methods Twelve swine were included in this study (treatment group vs. control group, 6:6). A biopsy device was used to create an iliac artery rupture and hemorrhage in each swine. After 30 s of bleeding, the treatment group received REBOA under the guidance of ultrasound, whereas the control group received traditional manual extracorporeal compression. General physiological conditions were recorded at 0 s (baseline, T1), 30 s (initiation of therapies to stop bleeding, T2), 10 min (T3) and 30 min (T4) after bleeding. Intraperitoneal and retroperitoneal hemorrhage and specimens of iliac artery were collected after all swine were euthanized. Results One swine was excluded because of accidental death not related to the experiment; thus, 11 swine were analyzed in this study. The general physiological characteristics of the two groups showed no difference at T1. Hemorrhagic shock occurred in both groups. After the hemostatic procedure was performed, systolic pressure, diastolic pressure and heart rate first increased significantly between T2 and T3, and then became stable between T3 and T4; these indicators in the control group deteriorated over time. The total blood loss in the treatment group (1245.23 ± 190.07 g) was much significantly less than that in the control group (2605.63 ± 291.67 g) with p < 0.001. Conclusions Performing REBOA under the guidance of portable ultrasound is an effective way to stop bleeding. It suggests a potential alternative method for iliac artery hemostasis in the pre-hospital setting.
650		4	\|a Randomized control trial
650		4	\|a Iliac artery hemostasis
650		4	\|a Resuscitative endovascular balloon occlusion of the aorta
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700	1		\|a Kou, Haiyan \|4 aut
700	1		\|a Kong, Yuhao \|4 aut
700	1		\|a Shan, Xuexia \|4 aut
700	1		\|a Wu, Shengzheng \|4 aut
700	1		\|a Chen, Xianghui \|4 aut
700	1		\|a Lin, Xingxi \|4 aut
700	1		\|a Zhang, Liye \|4 aut
700	1		\|a Lv, Faqin \|4 aut
700	1		\|a Li, Zhihui \|4 aut
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The effectiveness of portable ultrasound-guided resuscitative endovascular balloon occlusion of the aorta for stopping iliac artery hemorrhage during first aid pre-hospital: a randomized control animal trial

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