Resuscitative endovascular balloon occlusion of the aorta (REBOA) in a pediatric swine liver injury model: A pilot study
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In brief
In brief
This pilot study evaluated resuscitative endovascular balloon occlusion of the aorta (REBOA) in a pediatric swine liver injury model. REBOA significantly reduced blood loss and improved survival time compared to controls, demonstrating feasibility for pediatric hemorrhage control in trauma settings.
Written by the GCMD Library team from the article.
Background
Resuscitative endovascular balloon occlusion of the aorta (REBOA) has not been studied in children. We hypothesized that REBOA was feasible and would improve hemorrhage control and survival time, compared to no aortic occlusion, in a pediatric swine liver injury model.
Methods
Pediatric swine were randomized to Zone 1 REBOA or no intervention (control). Piglets underwent a partial liver amputation and free hemorrhage followed by either REBOA or no intervention for 30 min, then a damage control laparotomy and critical care for 4 h.
Results
Compared to control piglets (n = 5), REBOA piglets (n = 6) had less blood loss (34.0 ± 1.6 vs 61.3 ± 2.5 mL/kg, p