Damage control resuscitation: REBOA as the new fourth pillar
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| Format: | Artículo científico |
| Langue: | en |
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Universidad del Valle
2020
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| _version_ | 1876480972296290304 |
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| author | Carlos A. Ordoñez |
| author_facet | Carlos A. Ordoñez |
| contents | Damage control resuscitation: REBOA as the new fourth pillar Carlos A. Ordoñez Michael W. Parra José Julián Serna Fernando Rodríguez-Holguin Alberto García Alexander Salcedo Yaset Caicedo Natalia Padilla Luis Fernando Pino Adolfo González Hadad Mario Alain Herrera Mauricio Millán Laureano Quintero-Barrera Fabian Hernández-Medina Ricardo Ferrada Megan Brenner Todd Rasmussen Thomas Scalea Rao Ivatury John B. Holcomb Medicina REBOA triage fibrinogen tourniquets hypothermia Damage Control Resuscitation (DCR) seeks to combat metabolic decompensation of the severely injured trauma patient by battling on three major fronts: Permissive Hypotension, Hemostatic Resuscitation, and Damage Control Surgery (DCS). The aim of this article is to perform a review of the history of DCR/DCS and to propose a new paradigm that has emerged from the recent advancements in endovascular technology: The Resuscitative Balloon Occlusion of the Aorta (REBOA). Thanks to the advances in technology, a bridge has been created between Pre-hospital Management and the Control of Bleeding described in Stage I of DCS which is the inclusion and placement of a REBOA. We have been able to show that REBOA is not only a tool that aids in the control of hemorrhage, it is also a vital tool in the hemodynamic resuscitation of a severely injured blunt and/or penetrating trauma patient. That is why we propose a new paradigm “The Fourth Pillar”: Permissive Hypotension, Hemostatic Resuscitation, Damage Control Surgery and REBOA. 2020 artículo científico 0120-8322 https://www.redalyc.org/articulo.oa?id=28366176003 https://www.redalyc.org/journal/283/28366176003/ https://www.redalyc.org/journal/283/28366176003/html/ https://www.redalyc.org/journal/283/28366176003/28366176003.epub https://www.redalyc.org/journal/283/28366176003/movil 10.25100/cm.v51i4.4353 en http://www.redalyc.org/revista.oa?id=283 Colombia Médica application/pdf Universidad del Valle Colombia Médica (Colombia) Num.4 Vol.51 |
| format | Artículo científico |
| id | redalyc_28366176003 |
| institution | Redalyc |
| language | en |
| publishDate | 2020 |
| publisher | Universidad del Valle |
| spellingShingle | Damage control resuscitation: REBOA as the new fourth pillar Carlos A. Ordoñez Medicina REBOA triage fibrinogen tourniquets hypothermia Damage control resuscitation: REBOA as the new fourth pillar Carlos A. Ordoñez Michael W. Parra José Julián Serna Fernando Rodríguez-Holguin Alberto García Alexander Salcedo Yaset Caicedo Natalia Padilla Luis Fernando Pino Adolfo González Hadad Mario Alain Herrera Mauricio Millán Laureano Quintero-Barrera Fabian Hernández-Medina Ricardo Ferrada Megan Brenner Todd Rasmussen Thomas Scalea Rao Ivatury John B. Holcomb Medicina REBOA triage fibrinogen tourniquets hypothermia Damage Control Resuscitation (DCR) seeks to combat metabolic decompensation of the severely injured trauma patient by battling on three major fronts: Permissive Hypotension, Hemostatic Resuscitation, and Damage Control Surgery (DCS). The aim of this article is to perform a review of the history of DCR/DCS and to propose a new paradigm that has emerged from the recent advancements in endovascular technology: The Resuscitative Balloon Occlusion of the Aorta (REBOA). Thanks to the advances in technology, a bridge has been created between Pre-hospital Management and the Control of Bleeding described in Stage I of DCS which is the inclusion and placement of a REBOA. We have been able to show that REBOA is not only a tool that aids in the control of hemorrhage, it is also a vital tool in the hemodynamic resuscitation of a severely injured blunt and/or penetrating trauma patient. That is why we propose a new paradigm “The Fourth Pillar”: Permissive Hypotension, Hemostatic Resuscitation, Damage Control Surgery and REBOA. 2020 artículo científico 0120-8322 https://www.redalyc.org/articulo.oa?id=28366176003 https://www.redalyc.org/journal/283/28366176003/ https://www.redalyc.org/journal/283/28366176003/html/ https://www.redalyc.org/journal/283/28366176003/28366176003.epub https://www.redalyc.org/journal/283/28366176003/movil 10.25100/cm.v51i4.4353 en http://www.redalyc.org/revista.oa?id=283 Colombia Médica application/pdf Universidad del Valle Colombia Médica (Colombia) Num.4 Vol.51 |
| title | Damage control resuscitation: REBOA as the new fourth pillar |
| topic | Medicina REBOA triage fibrinogen tourniquets hypothermia |
| url | https://www.redalyc.org/articulo.oa?id=28366176003 https://www.redalyc.org/journal/283/28366176003/ https://www.redalyc.org/journal/283/28366176003/html/ https://www.redalyc.org/journal/283/28366176003/28366176003.epub https://www.redalyc.org/journal/283/28366176003/movil |