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Resuscitative Endovascular Balloon Occlusion of the Aorta and the Anesthesiologist: A Case Report and Literature Review

Conti, Bianca M. MD*; Richards, Justin E. MD*; Kundi, Rishi MD, RPVI; Nascone, Jason MD; Scalea, Thomas M. MD, FACS, MCCM§; McCunn, Maureen MD, MIPP, FCCM

doi: 10.1213/XAA.0000000000000461
Case Reports: Case Report

The most common preventable cause of death after trauma is exsanguination due to uncontrolled hemorrhage. Traditionally, anterolateral emergency department thoracotomy is used for temporary control of noncompressible torso hemorrhage and to increase preload after trauma. Resuscitative endovascular balloon occlusion of the aorta is a minimally invasive technique that achieves similar goals. It is therefore imperative for the anesthesiologist to understand physiologic implications during resuscitative endovascular aortic occlusion and after balloon deflation. We report a case of a patient with significant pelvic and lower-extremity trauma who required acute resuscitative endovascular balloon occlusion of the aorta deployment, aggressive resuscitation, and extensive intraoperative hemorrhage control.

From the *Division of Trauma Anesthesiology, R Adams Cowley Shock Trauma Center; Division of Vascular Surgery, Department of Surgery; Division of Orthopaedic Traumatology; §R Adams Cowley Shock Trauma Center; and Division of Trauma Anesthesiology, R Adams Cowley Shock Trauma Center, University of Maryland School of Medicine, Baltimore, Maryland.

Accepted for publication October 10, 2016.

Funding: None.

The authors declare no conflicts of interest.

Address correspondence to Bianca M. Conti, MD, Division of Trauma Anesthesiology R Adams Cowley Shock Trauma Center, University of Maryland School of Medicine, 22 South Greene St, Baltimore, MD 21201. Address e-mail to bconti@umm.edu.

© 2017 International Anesthesia Research Society
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