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Damage control resuscitation: REBOA as the new fourth pillar

Damage Control Resuscitation (DCR) seeks to combat metabolic decompensation of the severely injured trauma patient by battling on three major fronts: Permissive Hypotension, Hemostatic Resuscitation, and Damage Control Surgery (DCS). The aim of this article is to perform a review of the history of D...

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Autores principales: Ordoñez, Carlos A., Parra, Michael W., Serna, José Julián, Rodríguez-Holguin, Fernando, García, Alberto, Salcedo, Alexander, Caicedo, Yaset, Padilla, Natalia, Pino, Luis Fernando, Hadad, Adolfo González, Herrera, Mario Alain, Millán, Mauricio, Quintero-Barrera, Laureano, Hernández-Medina, Fabian, Ferrada, Ricardo, Brenner, Megan, Rasmussen, Todd, Scalea, Thomas, Ivatury, Rao, Holcomb, John B
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Universidad del Valle 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7968430/
https://www.ncbi.nlm.nih.gov/pubmed/33795897
http://dx.doi.org/10.25100/cm.v51i4.4353
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author Ordoñez, Carlos A.
Parra, Michael W.
Serna, José Julián
Rodríguez-Holguin, Fernando
García, Alberto
Salcedo, Alexander
Caicedo, Yaset
Padilla, Natalia
Pino, Luis Fernando
Hadad, Adolfo González
Herrera, Mario Alain
Millán, Mauricio
Quintero-Barrera, Laureano
Hernández-Medina, Fabian
Ferrada, Ricardo
Brenner, Megan
Rasmussen, Todd
Scalea, Thomas
Ivatury, Rao
Holcomb, John B
author_facet Ordoñez, Carlos A.
Parra, Michael W.
Serna, José Julián
Rodríguez-Holguin, Fernando
García, Alberto
Salcedo, Alexander
Caicedo, Yaset
Padilla, Natalia
Pino, Luis Fernando
Hadad, Adolfo González
Herrera, Mario Alain
Millán, Mauricio
Quintero-Barrera, Laureano
Hernández-Medina, Fabian
Ferrada, Ricardo
Brenner, Megan
Rasmussen, Todd
Scalea, Thomas
Ivatury, Rao
Holcomb, John B
author_sort Ordoñez, Carlos A.
collection PubMed
description Damage Control Resuscitation (DCR) seeks to combat metabolic decompensation of the severely injured trauma patient by battling on three major fronts: Permissive Hypotension, Hemostatic Resuscitation, and Damage Control Surgery (DCS). The aim of this article is to perform a review of the history of DCR/DCS and to propose a new paradigm that has emerged from the recent advancements in endovascular technology: The Resuscitative Balloon Occlusion of the Aorta (REBOA). Thanks to the advances in technology, a bridge has been created between Pre-hospital Management and the Control of Bleeding described in Stage I of DCS which is the inclusion and placement of a REBOA. We have been able to show that REBOA is not only a tool that aids in the control of hemorrhage, it is also a vital tool in the hemodynamic resuscitation of a severely injured blunt and/or penetrating trauma patient. That is why we propose a new paradigm “The Fourth Pillar”: Permissive Hypotension, Hemostatic Resuscitation, Damage Control Surgery and REBOA.
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spelling pubmed-79684302021-03-31 Damage control resuscitation: REBOA as the new fourth pillar Ordoñez, Carlos A. Parra, Michael W. Serna, José Julián Rodríguez-Holguin, Fernando García, Alberto Salcedo, Alexander Caicedo, Yaset Padilla, Natalia Pino, Luis Fernando Hadad, Adolfo González Herrera, Mario Alain Millán, Mauricio Quintero-Barrera, Laureano Hernández-Medina, Fabian Ferrada, Ricardo Brenner, Megan Rasmussen, Todd Scalea, Thomas Ivatury, Rao Holcomb, John B Colomb Med (Cali) Article Review Damage Control Resuscitation (DCR) seeks to combat metabolic decompensation of the severely injured trauma patient by battling on three major fronts: Permissive Hypotension, Hemostatic Resuscitation, and Damage Control Surgery (DCS). The aim of this article is to perform a review of the history of DCR/DCS and to propose a new paradigm that has emerged from the recent advancements in endovascular technology: The Resuscitative Balloon Occlusion of the Aorta (REBOA). Thanks to the advances in technology, a bridge has been created between Pre-hospital Management and the Control of Bleeding described in Stage I of DCS which is the inclusion and placement of a REBOA. We have been able to show that REBOA is not only a tool that aids in the control of hemorrhage, it is also a vital tool in the hemodynamic resuscitation of a severely injured blunt and/or penetrating trauma patient. That is why we propose a new paradigm “The Fourth Pillar”: Permissive Hypotension, Hemostatic Resuscitation, Damage Control Surgery and REBOA. Universidad del Valle 2020-12-30 /pmc/articles/PMC7968430/ /pubmed/33795897 http://dx.doi.org/10.25100/cm.v51i4.4353 Text en Copyright © 2020 Colombia Medica https://creativecommons.org/licenses/by-nc-nd/4.0/This article is distributed under the terms of the Creative Commons Attribution License http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/) ), which permits unrestricted use and redistribution provided that the original author and source are credited.
spellingShingle Article Review
Ordoñez, Carlos A.
Parra, Michael W.
Serna, José Julián
Rodríguez-Holguin, Fernando
García, Alberto
Salcedo, Alexander
Caicedo, Yaset
Padilla, Natalia
Pino, Luis Fernando
Hadad, Adolfo González
Herrera, Mario Alain
Millán, Mauricio
Quintero-Barrera, Laureano
Hernández-Medina, Fabian
Ferrada, Ricardo
Brenner, Megan
Rasmussen, Todd
Scalea, Thomas
Ivatury, Rao
Holcomb, John B
Damage control resuscitation: REBOA as the new fourth pillar
title Damage control resuscitation: REBOA as the new fourth pillar
title_full Damage control resuscitation: REBOA as the new fourth pillar
title_fullStr Damage control resuscitation: REBOA as the new fourth pillar
title_full_unstemmed Damage control resuscitation: REBOA as the new fourth pillar
title_short Damage control resuscitation: REBOA as the new fourth pillar
title_sort damage control resuscitation: reboa as the new fourth pillar
topic Article Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7968430/
https://www.ncbi.nlm.nih.gov/pubmed/33795897
http://dx.doi.org/10.25100/cm.v51i4.4353
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