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Sunday, December 18, 2016

Aortic occlusion: REBOA vs ACC

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Toshikazu Abe et al. Critical Care 2016; 20:400 - DOI: 10.1186/s13054-016-1577-x
"Background
Measures of aortic occlusion (AO) for resuscitation in patients with severe torso trauma remain controversial. Our aim was to characterize the current use of resuscitative endovascular balloon occlusion of the aorta (REBOA) and resuscitative open aortic cross-clamping (ACC), and to evaluate whether REBOA should be an alternative method to resuscitative open ACC...
Conclusions
Despite any residual indication bias, REBOA might be a favorable alternative method to ACC, especially for severe trauma below the diaphragm. Further study is needed to elucidate optimal indications."