Resuscitative Endovascular Balloon Occlusion of the Aorta in a Trauma Patient with Hypovolemic Shock.
10.4266/kjccm.2015.30.2.115
- Author:
Hong Kyung SHIN
;
Ho Seong HAN
;
Taeseung LEE
;
Do Joong PARK
;
Kyuwhan JUNG
;
Kyuseok KIM
- Publication Type:Case Report
- Keywords:
aortic balloon;
hemorrhage;
hypovolemic shock;
thoracotomy trauma
- MeSH:
Aorta*;
Balloon Occlusion*;
Cause of Death;
Cicatrix;
Emergency Service, Hospital;
Hemorrhage;
Humans;
Korea;
Middle Aged;
Multiple Trauma;
Shock*;
Shock, Hemorrhagic;
Vital Signs
- From:Korean Journal of Critical Care Medicine
2015;30(2):115-118
- CountryRepublic of Korea
- Language:English
-
Abstract:
Hemorrhagic shock is one of the most common causes of death in patients with multiple trauma and therefore rapid control of bleeding is the main strategy to save these patients. Resuscitative balloon occlusion of the aorta (REBOA) has been applied in several trauma cases and because of the effectiveness of this procedure it has been adopted in the trauma field. Herein, we report the first successful case of REBOA in Korea performed on a 46-year-old man with hemorrhagic shock after a fall from a height of 14-stories. The patient visited our hospital emergency room with hypovolemic shock, we performed Resuscitative Endovascular Balloon Occlusion of the Aorta under bed side blind technique. His vital sign was stabilized after procedure, then we could performed endovascular bleeding control. The patient was discharged on his 33rd in-hospital day without invasive procedure and major scar.
