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The end of balloons? Our take on the UK-REBOA trial

BACKGROUND: Resuscitative endovascular balloon occlusion of the aorta (REBOA) is increasingly used. The recently published UK-REBOA trial aimed to investigate patients suffering haemorrhagic shock and randomized to standard care alone or REBOA as adjunct to standard care and concludes that REBOA may...

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Detalles Bibliográficos
Autores principales: Brede, Jostein Rødseth, Rehn, Marius
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10619299/
https://www.ncbi.nlm.nih.gov/pubmed/37908007
http://dx.doi.org/10.1186/s13049-023-01142-5
Descripción
Sumario:BACKGROUND: Resuscitative endovascular balloon occlusion of the aorta (REBOA) is increasingly used. The recently published UK-REBOA trial aimed to investigate patients suffering haemorrhagic shock and randomized to standard care alone or REBOA as adjunct to standard care and concludes that REBOA may increase the mortality. MAIN BODY: In this commentary we try to balance the discussion on use of REBOA and address limitations in the UK-REBOA trial that may have influenced the outcome of the study. CONCLUSION: The situation is complex, and the patients are in extremis. In summary, we do not think this is the end of balloons.