TEE guided REBOA deflation following ROSC for non-traumatic cardiac arrest - 03/12/22
Abstract |
Resuscitative endovascular balloon occlusion of the aorta (REBOA) is most commonly used to manage non-compressible torso hemorrhage. It is also emerging as a promising treatment for non-traumatic refractory cardiac arrest. Aortic occlusion during chest compressions increases cardio-cerebral perfusion, increasing the potential for sustained return of spontaneous circulation (ROSC) or serving as a bridge to extracorporeal cardiopulmonary resuscitation (ECPR). Optimal patient selection and post-ROSC management in such cases is uncertain and not well reported in the literature. We present a case of non-traumatic out-of-hospital cardiac arrest in which REBOA was placed in the emergency department with subsequent ROSC. Transesophageal echocardiography was used to guide post-ROSC REBOA management and balloon deflation.
Le texte complet de cet article est disponible en PDF.Keywords : Cardiac arrest, REBOA, TEE
Plan
Vol 63
P. 182.e5-182.e7 - janvier 2023 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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