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Resuscitative endovascular balloon occlusion of the aorta in Canada: a context-specific position paper from the Canadian Collaborative for Urgent Care Surgery (CANUCS). Can J Surg 2022;65(3):E310-E316

Date

05/12/2022

Pubmed ID

35545282

Pubmed Central ID

PMC9259435

DOI

10.1503/cjs.015319

Scopus ID

2-s2.0-85129923285 (requires institutional sign-in at Scopus site)

Abstract

SummaryResuscitative endovascular balloon occlusion of the aorta (REBOA) is a well-described intervention for noncompressible torso hemorrhage. Several Canadian centres have included REBOA in their hemorrhagic shock protocols. However, REBOA has known complications and equipoise regarding its use persists. The Canadian Collaborative on Urgent Care Surgery (CANUCS) comprises surgeons who provide acute trauma care and leadership in Canada, with experience in REBOA implementation, use, education and research. Our goal is to provide evidence- and experience-based recommendations regarding institutional implementation of a REBOA program, including multidisciplinary educational programs, attention to device and care pathway logistics, and a robust quality assurance program. This will allow Canadian trauma centres to maximize patient benefits and minimize risks of this potentially life-saving technology.

Author List

Bradley NL, Leeper WR, Roberts D, Ball CG, Beckett A, Engels P, Joos E, Khwaja K, Kirkpatrick A, Lampron J, Minor S, Parry N, Rezende JN, Widder S, Ahmed N, Gillman L, Gomez D, Hameed M, Kim M, Murphy P, Nenshi R, Rice T, Vogt K

Author

Patrick Murphy MD Assistant Professor in the Surgery department at Medical College of Wisconsin




MESH terms used to index this publication - Major topics in bold

Ambulatory Care
Aorta
Balloon Occlusion
Canada
Endovascular Procedures
Humans
Resuscitation
Shock, Hemorrhagic