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Could resuscitative endovascular balloon occlusion of the aorta improve survival among severely injured patients with post-intubation hypotension?

  • Ramiro Manzano-Nunez
  • Juan Pablo Herrera-Escobar
  • Joseph DuBose
  • Tal Hörer
  • Samuel Galvagno
  • Claudia Patricia Orlas
  • Michael W. Parra
  • Federico Coccolini
  • Massimo Sartelli
  • Juan Camilo Falla-Martinez
  • Alberto Federico García
  • Julian Chica
  • Maria Paula Naranjo
  • Alvaro Ignacio Sanchez
  • Camilo Jose Salazar
  • Luis Eduardo Calderón-Tapia
  • Valeria Lopez-Castilla
  • Paula Ferrada
  • Ernest E. Moore
  • Carlos A. Ordonez
Review Article

Abstract

Current literature shows the association of post-intubation hypotension and increased odds of mortality in critically ill non-trauma and trauma populations. However, there is a lack of research on potential interventions that can prevent or ameliorate the consequences of endotracheal intubation and thus improve the prognosis of trauma patients with post-intubation hypotension. This review paper hypothesizes that the deployment of REBOA among trauma patients with PIH, by its physiologic effects, will reduce the odds of mortality in this population. The objective of this paper is to review the current literature on REBOA and post-intubation hypotension, and, furthermore, to provide a rational hypothesis on the potential role of REBOA in severely injured patients with post-intubation hypotension.

Keywords

Intubation Intratracheal Hypotension REBOA Endovascular procedures Shock Hemorrhagic Trauma 

Notes

Acknowledgements

The authors thank Dr. Fernando Rosso and Dr. Marcela Granados at Fundacion Valle del Lili for their constant support.

Funding

None.

Compliance with ethical standards

Conflict of interest

RMN, JPH, JDB, TH, SG, CPO, MWP, FC, MS, JCF, AFG, JC, MPN, AIS, CJS, LEC, VLC, PF, EM, and CAO declare no conflict of interest relevant to this manuscript.

Research involving human’s participants and/or animals

This article does not contain any studies with human participants or animals performed by any of the authors.

Informed consent

Not applicable.

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Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2018

Authors and Affiliations

  • Ramiro Manzano-Nunez
    • 1
    • 2
  • Juan Pablo Herrera-Escobar
    • 3
  • Joseph DuBose
    • 4
  • Tal Hörer
    • 5
    • 6
  • Samuel Galvagno
    • 7
  • Claudia Patricia Orlas
    • 1
    • 2
  • Michael W. Parra
    • 8
  • Federico Coccolini
    • 9
  • Massimo Sartelli
    • 10
  • Juan Camilo Falla-Martinez
    • 1
  • Alberto Federico García
    • 2
  • Julian Chica
    • 1
    • 2
  • Maria Paula Naranjo
    • 1
  • Alvaro Ignacio Sanchez
    • 1
    • 2
  • Camilo Jose Salazar
    • 11
  • Luis Eduardo Calderón-Tapia
    • 1
  • Valeria Lopez-Castilla
    • 11
  • Paula Ferrada
    • 12
  • Ernest E. Moore
    • 13
  • Carlos A. Ordonez
    • 2
  1. 1.Clinical Research CenterFundacion Valle del LiliCaliColombia
  2. 2.Division of Trauma and Acute Care Surgery, Department of SurgeryFundacion Valle del LiliCaliColombia
  3. 3.Center for Surgery and Public Health, Brigham and Women’s Hospital, Harvard Medical SchoolHarvard T.H Chan School of Public HealthBostonUSA
  4. 4.R Adams Cowley Shock Trauma CenterBaltimoreUSA
  5. 5.Department of Cardiothoracic and Vascular Surgery, Örebro University HospitalÖrebro UniversityÖrebroSweden
  6. 6.Department of General Surgery, Örebro University HospitalÖrebro UniversityÖrebroSweden
  7. 7.Department of AnesthesiologyR Adams Cowley Shock Trauma CenterBaltimoreUSA
  8. 8.Department of Trauma Critical CareBroward General Level I Trauma CenterFort LauderdaleUSA
  9. 9.Department of General, Emergency and Trauma SurgeryBufalini HospitalCesenaItaly
  10. 10.Department of SurgeryMacerata HospitalMacerataItaly
  11. 11.School of MedicineICESI UniversityCaliColombia
  12. 12.Surgical and Trauma Intensive Care Unit, VCU Health SystemVirginia Commonwealth UniversityRichmondUSA
  13. 13.Department of Surgery, Trauma Research CenterUniversity of ColoradoDenverUSA

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