ABSTRACT
: Hemorrhage is the leading cause of preventable death in trauma patients. In recent years, technological innovations and research efforts aimed at preventing death from hemorrhagic shock have resulted in the emergence of resuscitative endovascular balloon occlusion of the aorta (REBOA). REBOA offers a less invasive option for emergent hemorrhage control in noncompressible areas of the body without the added risks and morbidities of an ED thoracotomy. This article outlines the procedure and device used, describes the procedure's evolution, and discusses various considerations, pitfalls, and nursing implications.
Subject(s)
Aorta/injuries , Aorta/surgery , Balloon Occlusion/methods , Resuscitation/nursing , Shock, Hemorrhagic/nursing , Shock, Hemorrhagic/therapy , Balloon Occlusion/history , Balloon Occlusion/nursing , Catheterization, Peripheral/methods , Catheterization, Peripheral/nursing , Female , History, 20th Century , History, 21st Century , Humans , Middle Aged , Shock, Hemorrhagic/etiology , Wounds and Injuries/complications , Wounds and Injuries/therapySubject(s)
Balloon Occlusion/nursing , Fetal Diseases/nursing , Fetal Diseases/therapy , Fetoscopy/nursing , Hernia, Diaphragmatic/nursing , Hernias, Diaphragmatic, Congenital , Trachea , Balloon Occlusion/methods , Female , Hernia, Diaphragmatic/therapy , Humans , Infant, Newborn , Pregnancy , Pregnancy Trimester, Second , Prenatal Diagnosis/nursing , Prognosis , Ultrasonography, Interventional/nursingSubject(s)
Balloon Occlusion/methods , Balloon Occlusion/nursing , Carotid Stenosis/therapy , Stents , Balloon Occlusion/adverse effects , Balloon Occlusion/instrumentation , Carotid Arteries/anatomy & histology , Carotid Stenosis/diagnosis , Carotid Stenosis/etiology , Endarterectomy, Carotid , Humans , Monitoring, Physiologic/methods , Monitoring, Physiologic/nursing , Nurse's Role , Nursing Assessment , Patient Education as Topic , Perioperative Care/methods , Perioperative Care/nursing , Risk Factors , Risk Reduction Behavior , Treatment Outcome , Vertebral Artery/anatomy & histologyABSTRACT
In recent years, enormous technological advances have occurred that allow intervention for many congenital heart defects in the pediatric cardiac catheterization laboratory. Therapeutic catheterization procedures, including valvuloplasty, angioplasty, stent implantation, coil embolization, and device occlusion, are employed to treat heart defects in infants and children. This report describes these interventional procedures, outcomes, potential complications, and implications for nursing care.
