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Leading Article

Resuscitative endovascular balloon occlusion of aorta (REBOA): expanding the window of survival in massive bleeding

Authors:

M. R. N. Cassim ,

Faculty of Medicine, University of Colombo, LK
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Amila Sanjiva Ratnayake,

Army Hospital Colombo, LK
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Ajith Malalasekera,

Faculty of Medicine,University of Colombo, LK
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David T. McGreevy,

Örebro University Hospital, Faculty of Medicine and Health, Örebro University, SE
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Mandika Wijeyaratne,

Faculty of Medicine, Unversity of Colombo, LK
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Tal M. Hörer

Örebro University Hospital, Faculty of Medicine and Health, Örebro University, SE
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Abstract

Exsanguinating hemorrhage is responsible for 30 to 40% of early deaths from trauma and most of these deaths occur within the first few hours of injury 1. A study by A. Alarhyem et al. in 2016 revealed a precipitous rise in trauma deaths in victims with high grade injuries with pre-hospital time <30 min 2.The tenet of limiting time at the scene with rapid transport to definitive care (scoop and run) within this time frame is unrealistic and requires a different approach. It was estimated that nearly half of the deaths in the resuscitation room of the National Hospital of Sri Lanka are due to unattended exsanguination from trauma to the torso. An immediate intervention to stop exsanguination from torso trauma has been the focus for several decades. Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) is being explored primarily for this purpose. Advancing this novel strategy to trauma victims in the early phase of care may expand the window of survival to definitive care.
How to Cite: Cassim MRN, Ratnayake AS, Malalasekera A, McGreevy DT, Wijeyaratne M, Hörer TM. Resuscitative endovascular balloon occlusion of aorta (REBOA): expanding the window of survival in massive bleeding. Sri Lanka Journal of Surgery. 2021;39(2):1–4.
Published on 31 Jul 2021.
Peer Reviewed

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