Resuscitative endovascular balloon occlusion of the aorta (REBOA) in a pediatric swine liver injury model: A pilot study
Author / Expert
Kaeli J. Yamashiro, Andrew M. Wishy, Carl A. Beyer, Harris W. Kashtan, Laura A. Galganski, J. Kevin Grayson, M. Austin Johnson, Jacob T. Stephenson, A. Francois Trappey
Topic overview
Abstract
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
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