Whole Blood Administration During Inflation of a Zone I Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA); a 30 vs. 60 Minutes Comparison

Abstract

Traumatic hemorrhage is the leading cause of death in civilian and military environments, with a mortality of 56% and 78% respectively. Efforts to stop non-compressible thoracic hemorrhage have resulted in the development of a resuscitative endovascular balloon occlusion of the aorta (REBOA). REBOA is an alternative to resuscitative thoracotomy for treatment of hemorrhagic shock. Little is known about the cardiovascular effects of simultaneous whole blood (WB) administration and REBOA following hemorrhagic shock. Information about the feasibility of this resuscitation strategy would be invaluable in en route scenarios where damage control resuscitation needs to be initiated immediately. We hypothesized that administration of WB during REBOA, will maintain a normal blood pressure and increase survival after balloon deflation.

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Document Details

Document Type
Technical Report
Publication Date
Oct 23, 2019
Accession Number
AD1086604

Entities

People

  • Edward S Barnard
  • Jason Rall
  • Joseph K Maddry
  • Kaysie Canellis
  • Leopold Cancio
  • Maria Castaneda
  • Perry Blough
  • R Paredes
  • Ryan Newberry
  • Theodore Redman

Organizations

  • 59th Medical Wing

Tags

Communities of Interest

  • Biomedical

DTIC Thesaurus Topics

  • Blood
  • Blood Gases
  • Cardiovascular Physiological Phenomena
  • Chemistry
  • Department Of Defense
  • Health Services
  • Hemorrhage
  • Hemorrhagic Shock
  • Laboratory Animals
  • North Carolina
  • Resuscitation
  • Vascular System Injuries

Fields of Study

  • Medicine

Readers

  • Trauma Surgery or Emergency Medicine.