Open AccessAnesthetic Management of Patients After Traumatic Injury With Resuscitative Endovascular Balloon Occlusion of the Aorta
Author(s) -
Ashton J. Engdahl,
Christopher R. Parrino,
Philip J. Wasicek,
Samuel M. Galvagno,
Megan Brenner,
Megan Anders,
Bianca Conti,
Peter Rock,
Maureen McCunn
Publication year - 2019
Publication title -
anesthesia and analgesia/anesthesia and analgesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.404
H-Index - 201
eISSN - 1526-7598
pISSN - 0003-2999
DOI - 10.1213/ane.0000000000004130
Subject(s) - medicine , anesthesia , anesthetic , coagulopathy , aorta , hypothermia , resuscitation , torso , surgery , anatomy
Resuscitative endovascular balloon occlusion of the aorta (REBOA) is a temporizing maneuver for noncompressible torso hemorrhage. To our knowledge, this single-center brief report provides the most extensive anesthetic data published to date on patients who received REBOA. As anticipated, patients were critically ill, exhibiting lactic acidosis, hypotension, hyperglycemia, hypothermia, and coagulopathy. All patients received blood products during their index operations and received less inhaled anesthetic gas than normally required for healthy patients of the same age. This study serves as an important starting point for clinician education and research into anesthetic management of patients undergoing REBOA.