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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...
Autores principales: | , , , , , , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Universidad del Valle
2020
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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. |
format | Online Article Text |
id | pubmed-7968430 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Universidad del Valle |
record_format | MEDLINE/PubMed |
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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