Use of resuscitative endovascular balloon occlusion of the aorta in a patient with gastrointestinal bleeding
Clinical and Experimental Emergency Medicine
; (4): 55-58, 2016.
Article
in English
| WPRIM (Western Pacific)
| ID: wpr-649186
Responsible library:
WPRO
ABSTRACT
Resuscitative endovascular balloon occlusion of the aorta (REBOA) was developed for controlling intra-abdominal arterial bleeding before definitive bleeding control, and is commonly used in patients with ruptured abdominal aortic aneurysms. Although there is limited evidence for other uses of REBOA, we used REBOA in a patient with massive gastrointestinal bleeding. A 53-year-old man with hematochezia was admitted to our emergency department with an initial systolic blood pressure (SBP) of 83 mmHg. His SBP decreased to 40 mmHg in 10 minutes despite rapid fluid infusion. We decided to resuscitate the patient with REBOA in the emergency department and then move him to an intervention room after stabilization. After aortic occlusion, SBP abruptly increased from 57 to 108 mmHg, and the patient could be transferred to an intervention room. The patient was admitted to intensive care, but died of massive rebleeding 24 hours after admission to the emergency department.
Full text:
Available
Database:
WPRIM (Western Pacific)
Main subject:
Aorta
/
Resuscitation
/
Shock
/
Blood Pressure
/
Aortic Aneurysm, Abdominal
/
Critical Care
/
Balloon Occlusion
/
Emergency Service, Hospital
/
Hemorrhage
/
Gastrointestinal Hemorrhage
Limits:
Humans
Language:
English
Journal:
Clinical and Experimental Emergency Medicine
Year:
2016
Document type:
Article