In this Papercut we review the UK-REBOA Trial. (15 minute read)
Rapid and effective control of haemorrhage in trauma results in better outcomes. Abdominal bleeding which cannot be controlled by any other means other than surgery is challenging and results in mortality, in many cases, prior to arriving in the operating theatre.
Resuscitative endovascular balloon occlusion of the aorta (REBOA) is a technique where a percutaneous balloon can be inserted and inflated in the aorta.
The American College of Emergency Physicians and the American College of Surgeons recommend REBOA for traumatic life threatening haemorrhage below the diaphragm in patients not responding to resuscitation. These recommendations are based on retrospective studies, systematic reviews and meta-analysis results. There have been no randomised controlled trials until now.
The UK Resuscitative Endovascular Balloon Occlusion of the Aorta (UK REBOA) Trial(1) is the first randomised controlled trial on this topic.
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