Skip to main content

Main menu

  • Latest content
    • Latest content
  • Archive
  • About the journal
    • About the journal
    • Editorial board
    • Information for authors
    • FAQs
    • Thank you to our reviewers
    • The American Association for the Surgery of Trauma
  • Submit a paper
    • Online submission site
    • Information for authors
  • Email alerts
    • Email alerts
  • Help
    • Contact us
    • Feedback form
    • Reprints
    • Permissions
    • Advertising
  • BMJ Journals

User menu

  • Login

Search

  • Advanced search
  • BMJ Journals
  • Login
  • Facebook
  • Twitter
TSACO

Advanced Search

  • Latest content
    • Latest content
  • Archive
  • About the journal
    • About the journal
    • Editorial board
    • Information for authors
    • FAQs
    • Thank you to our reviewers
    • The American Association for the Surgery of Trauma
  • Submit a paper
    • Online submission site
    • Information for authors
  • Email alerts
    • Email alerts
  • Help
    • Contact us
    • Feedback form
    • Reprints
    • Permissions
    • Advertising
Open Access

Determination of optimal deployment strategy for REBOA in patients with non-compressible hemorrhage below the diaphragm

Nicholas L Johnson, Charles E Wade, Erin E Fox, David E Meyer, Charles J Fox, Ernest E Moore, Jonathan Morrison, Thomas Scalea, Eileen M Bulger, Kenji Inaba, Bryan C Morse, Laura J Moore
DOI: 10.1136/tsaco-2020-000660 Published 23 February 2021
Nicholas L Johnson
1Department of Surgery, The University of Texas Health Science Center at Houston John P and Katherine G McGovern Medical School, Houston, Texas, USA
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • ORCID record for Nicholas L Johnson
Charles E Wade
1Department of Surgery, The University of Texas Health Science Center at Houston John P and Katherine G McGovern Medical School, Houston, Texas, USA
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Erin E Fox
1Department of Surgery, The University of Texas Health Science Center at Houston John P and Katherine G McGovern Medical School, Houston, Texas, USA
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
David E Meyer
1Department of Surgery, The University of Texas Health Science Center at Houston John P and Katherine G McGovern Medical School, Houston, Texas, USA
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Charles J Fox
2Department of Surgery, University of Colorado Denver Health Medical Center, Denver, Colorado, USA
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Ernest E Moore
2Department of Surgery, University of Colorado Denver Health Medical Center, Denver, Colorado, USA
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Jonathan Morrison
3Shock Trauma Center, University of Maryland School of Medicine, Baltimore, Maryland, USA
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • ORCID record for Jonathan Morrison
Thomas Scalea
4Department of Surgery, University of Maryland, Baltimore, Maryland, USA
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Eileen M Bulger
5Department of Surgery, University of Washington, Seattle, Washington, USA
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Kenji Inaba
6Department of Surgery, Keck School of Medicine of the University of Southern California, Los Angeles, California, USA
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Bryan C Morse
7Department of Surgery, Emory University School of Medicine Atlanta, Atlanta, Georgia, USA
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Laura J Moore
8Department of Surgery, University of Texas McGovern Medical School, Houston, Texas, USA
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • Article
  • Figures & Data
  • eLetters
  • Info & Metrics
  • PDF
Loading

Article Figures & Data

Figures

  • Tables
  • Figure 1
    • Download figure
    • Open in new tab
    • Download powerpoint
    Figure 1

    Aortic zones of deployment and current resuscitative endovascular balloon occlusion of the aorta (REBOA) algorithm. CXR, chest X-ray; FAST, focused assessment with sonography in trauma; SBP, systolic blood pressure.

  • Figure 2
    • Download figure
    • Open in new tab
    • Download powerpoint
    Figure 2

    Proposed resuscitative endovascular balloon occlusion of the aorta (REBOA) algorithm for blunt and penetrating trauma. CXR, chest X-ray; FAST, focused assessment with sonography in trauma; SBP, systolic blood pressure.

Tables

  • Figures
  • Table 1

    Patient characteristics of study comparison groups

    Patient characteristicsMedian ageSex
    (% male)
    Mechanism
    (% penetrating)
    Median SBP (mm Hg)Median Injury Severity Score (ISS)Median serum lactate (mmol/L)
    Zone 1, followed algorithm (n=32)3378.131.36031.59.1
    Zone 1, violated algorithm (n=4)50100068.5289.7
    Zone 3, followed algorithm (n=8)2787.507738.57.1
    Zone 3, violated algorithm (n=13)4876.915.475337.4
    • SBP, systolic blood pressure.

  • Table 2

    Mortality rates compared between appropriate and inappropriate zone deployment, according to the algorithm

    Mortality rateFollowed algorithmViolated algorithmP value
    Zone 162.5% (n=32)75.0% (n=4)0.62
    Zone 325.0% (n=8)23.1% (n=13)0.92
  • Table 3

    Rates of exsanguination among patients that died compared between appropriate and inappropriate zone 3 deployment, according to the algorithm

    Exsanguination rateFollowed algorithmViolated algorithmP value
    Zone 30% (n=2)100% (n=3)0.10
PreviousNext
Back to top
Email

Thank you for your interest in spreading the word on TSACO.

NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. We do not capture any email address.

Enter multiple addresses on separate lines or separate them with commas.
Determination of optimal deployment strategy for REBOA in patients with non-compressible hemorrhage below the diaphragm
(Your Name) has sent you a message from TSACO
(Your Name) thought you would like to see the TSACO web site.
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
Print
Alerts
Sign In to Email Alerts with your Email Address
Citation Tools
Determination of optimal deployment strategy for REBOA in patients with non-compressible hemorrhage below the diaphragm
Nicholas L Johnson, Charles E Wade, Erin E Fox, David E Meyer, Charles J Fox, Ernest E Moore, Jonathan Morrison, Thomas Scalea, Eileen M Bulger, Kenji Inaba, Bryan C Morse, Laura J Moore
Trauma Surg Acute Care Open Feb 2021, 6 (1) e000660; DOI: 10.1136/tsaco-2020-000660

Citation Manager Formats

  • BibTeX
  • Bookends
  • EasyBib
  • EndNote (tagged)
  • EndNote 8 (xml)
  • Medlars
  • Mendeley
  • Papers
  • RefWorks Tagged
  • Ref Manager
  • RIS
  • Zotero
Cite This
  • APA
  • Chicago
  • Endnote
  • MLA
Loading
Determination of optimal deployment strategy for REBOA in patients with non-compressible hemorrhage below the diaphragm
Nicholas L Johnson, Charles E Wade, Erin E Fox, David E Meyer, Charles J Fox, Ernest E Moore, Jonathan Morrison, Thomas Scalea, Eileen M Bulger, Kenji Inaba, Bryan C Morse, Laura J Moore
Trauma Surg Acute Care Open Feb 2021, 6 (1) e000660; DOI: 10.1136/tsaco-2020-000660
Download PDF

Share
Determination of optimal deployment strategy for REBOA in patients with non-compressible hemorrhage below the diaphragm
Nicholas L Johnson, Charles E Wade, Erin E Fox, David E Meyer, Charles J Fox, Ernest E Moore, Jonathan Morrison, Thomas Scalea, Eileen M Bulger, Kenji Inaba, Bryan C Morse, Laura J Moore
Trauma Surgery & Acute Care Open Feb 2021, 6 (1) e000660; DOI: 10.1136/tsaco-2020-000660
del.icio.us logo Digg logo Reddit logo Twitter logo CiteULike logo Facebook logo Google logo Mendeley logo
Respond to this article
  • Tweet Widget
  • Facebook Like
  • Google Plus One
  • Article
    • Abstract
    • Introduction
    • Methods
    • Results
    • Discussion
    • Conclusion
    • Acknowledgments
    • Footnotes
    • References
  • Figures & Data
  • eLetters
  • Info & Metrics
  • PDF

Related Articles

Cited By...

More in this TOC Section

  • SUNBURN: a protocol for delivering bad news in trauma and acute care surgery
  • Rhabdomyolysis: an American Association for the Surgery of Trauma Critical Care Committee Clinical Consensus Document
  • Penetrating gluteal injuries in North West London: a retrospective cohort study and initial management guideline
Show more Guidelines/Algorithms

Similar Articles

 
 

CONTENT

  • Latest content
  • Archive
  • eLetters
  • Sign up for email alerts
  • RSS

JOURNAL

  • About the journal
  • Editorial board
  • Thank you to our reviewers
  • The American Association for the Surgery of Trauma

AUTHORS

  • Information for authors
  • Submit a paper
  • Track your article
  • Open Access at BMJ

HELP

  • Contact us
  • Reprints
  • Permissions
  • Advertising
  • Feedback form

©Copyright 2022 The American Association for the Surgery of Trauma