DOI QR코드

DOI QR Code

Educational Simulation Videos for Performing Resuscitative Endovascular Balloon Occlusion of the Aorta

  • Chang, Sung Wook (Department of Thoracic and Cardiovascular Surgery, Trauma Center, Dankook University Hospital) ;
  • Kim, Dong Hun (Department of Trauma Surgery, Trauma Center, Dankook University Hospital) ;
  • Chang, Ye Rim (Department of Trauma Surgery, Trauma Center, Dankook University Hospital)
  • 투고 : 2020.08.07
  • 심사 : 2020.09.15
  • 발행 : 2020.09.30

초록

Resuscitative endovascular balloon occlusion of the aorta (REBOA) has been accepted as an adjunct procedure for non-compressible torso hemorrhage in patients with hemorrhagic shock. With appropriate indications, REBOA should be performed for resuscitation regardless of the physician's specialty. Despite its effectiveness in traumatized patients with hemorrhagic shock, performing REBOA has been challenging due to physicians' lack of experience. Even though training in endovascular skills is mandatory, many physicians cannot undergo sufficient training because of the limited number of endovascular simulation programs. Herein, we share simulation video clips, including those of a vascular circuit model for simulation; sheath preparation; long guidewire and balloon catheter preparation; ultrasound-guided arterial access; sheath insertion or upsizing; and balloon positioning, inflation, and migration. The aim of this study was to provide educational video clips to improve physicians' endovascular skills for REBOA.

키워드

참고문헌

  1. Stannard A, Eliason JL, Rasmussen TE. Resuscitative endovascular balloon occlusion of the aorta (REBOA) as an adjunct for hemorrhagic shock. J Trauma 2011;71:1869-72. https://doi.org/10.1097/TA.0b013e31823fe90c
  2. Kim DH, Chang SW, Matsumoto J. The utilization of resuscitative endovascular balloon occlusion of the aorta: preparation, technique, and the implementation of a novel approach to stabilizing hemorrhage. J Thorac Dis 2018;10:5550-9. https://doi.org/10.21037/jtd.2018.08.71
  3. Bulger EM, Perina DG, Qasim Z, Beldowicz B, Brenner M, Guyette F, et al. Clinical use of resuscitative endovascular balloon occlusion of the aorta (REBOA) in civilian trauma systems in the USA, 2019: a joint statement from the American College of Surgeons Committee on Trauma, the American College of Emergency Physicians, the National Association of Emergency Medical Services Physicians and the National Association of Emergency Medical Technicians. Trauma Surg Acute Care Open 2019;4:e000376. https://doi.org/10.1136/tsaco-2019-000376
  4. Daley J, Morrison JJ, Sather J, Hile L. The role of resuscitative endovascular balloon occlusion of the aorta (REBOA) as an adjunct to ACLS in non-traumatic cardiac arrest. Am J Emerg Med 2017;35:731-6. https://doi.org/10.1016/j.ajem.2017.01.010
  5. Gray S, Dieudonne B. Resuscitative endovascular balloon occlusion of the aorta as an adjunct in a patient with neurogenic shock. Cureus 2018;10:e3375.
  6. Chang SW, Chang YR, Seon YJ, Park JW, Kim JS. Intraoperative use of resuscitative endovascular balloon occlusion of the aorta for hemorrhage control in woman with placenta percreta involving the bladder. Perinatology 2019;30:175-8. https://doi.org/10.14734/PN.2019.30.3.175
  7. Andres J, Scott J, Giannoudis PV. Resuscitative endovascular balloon occlusion of the aorta (REBOA): what have we learned?. Injury 2016;47:2603-5. https://doi.org/10.1016/j.injury.2016.10.024
  8. Villamaria CY, Eliason JL, Napolitano LM, Stansfield RB, Spencer JR, Rasmussen TE. Endovascular skills for trauma and resuscitative surgery (ESTARS) course: curriculum development, content validation, and program assessment. J Trauma Acute Care Surg 2014;76:929-935; discussion 935-6. https://doi.org/10.1097/TA.0000000000000164
  9. Kim DH, Chang SW. Resuscitative endovascular balloon occlusion of the aorta: focusing on the procedure. Trauma Image Proced 2017;2:92-3. https://doi.org/10.24184/tip.2017.2.2.92
  10. Vernamonti JP, Holcomb J, Mick NW, Falank C, Ontengco JB, Rappold J, et al. 'Step Up' approach to the application of REBOA technology in a rural trauma system. Trauma Surg Acute Care Open 2019;4:e000335. https://doi.org/10.1136/tsaco-2019-000335
  11. Zakaluzny SA, Beldowicz BC, Salcedo ES, DuBose JJ, Moore LJ, Brenner M. Guidelines for a system-wide multidisciplinary approach to institutional resuscitative endovascular balloon occlusion of the aorta implementation. J Trauma Acute Care Surg 2019;86:337-43. https://doi.org/10.1097/TA.0000000000002138
  12. Kandarpa K, Machan L, Durham J. Handbook of interventional radiologic procedures. 5th ed. Philadelphia: Wolters Kluwer; 2016.
  13. Ahn HY, Lee HJ, Lee HJ, Yang JH, Yi JS, Lee IW. Assessment of the optimal site of femoral artery puncture and angiographic anatomical study of the common femoral artery. J Korean Neurosurg Soc 2014;56:91-7. https://doi.org/10.3340/jkns.2014.56.2.91
  14. Son SY, Cho KC, Cho P, Lee JH, Myoung SU, Choi JH. Prepuncture ultrasound examination facilitates safe and accurate common femoral artery access for transfemoral cerebral angiography. J Cerebrovasc Endovasc Neurosurg 2017;19:276-83. https://doi.org/10.7461/jcen.2017.19.4.276
  15. Matsumoto J, Lohman BD, Morimoto K, Ichinose Y, Hattori T, Taira Y. Damage control interventional radiology (DCIR) in prompt and rapid endovascular strategies in trauma occasions (PRESTO): a new paradigm. Diagn Interv Imaging 2015;96:687-91. https://doi.org/10.1016/j.diii.2015.06.001