Question

“REBOA” technique used in massive trauma.

Hint:

REBOA is a life-saving technique for controlling bleeding in trauma patients, especially in those with pelvic or abdominal hemorrhage.

Answer 1

Step 1: Understanding REBOA.
REBOA (Resuscitative Endovascular Balloon Occlusion of the Aort is a technique used in trauma patients to control life-threatening hemorrhage, particularly from the torso or pelvis. A balloon catheter is inserted into the aorta and inflated to occlude blood flow, temporarily controlling bleeding while resuscitation efforts are carried out.

Step 2: Steps in REBOA.
1. Insertion of the balloon catheter: The catheter is inserted into the femoral artery and advanced to the level of the aorta. Once positioned, the balloon is inflated to occlude blood flow and stop arterial bleeding.
2. Maintaining occlusion: The balloon remains inflated for as long as necessary to stabilize the patient, typically under close monitoring.
3. Deflation and removal: Once bleeding is controlled and the patient is stable, the balloon is deflated, and the catheter is removed. The goal is to perform definitive surgical repair once the patient has been stabilized.

Step 3: Conclusion.
REBOA is a valuable tool in the management of traumatic hemorrhage, particularly when rapid hemorrhage control is needed before definitive surgical intervention can be performed. It allows for temporary stabilization and can improve survival in critically injured patients.