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      A systematic review of the use of resuscitative endovascular balloon occlusion of the aorta in the management of hemorrhagic shock.

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          Abstract

          Torso hemorrhage remains a leading cause of potentially preventable death within trauma, acute care, vascular, and obstetric practice. A proportion of patients exsanguinate before hemorrhage control. Resuscitative endovascular balloon occlusion of the aorta (REBOA) is an adjunct designed to sustain the circulation until definitive hemostasis. A systematic review was conducted to characterize the current clinical use of REBOA and its effect on hemodynamic profile and mortality.

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          Death on the battlefield (2001–2011)

          Brian Eastridge, Robert Mabry, Peter G. Seguin … (2012)
          Journal of Trauma and Acute Care Surgery, 73, S431-S437
          Article 0 comments Cited 295 times – based on 0 reviews     Review now
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            Challenges in evaluating surgical innovation.

            Patrick Ergina, Jonathan A Cook, Jane Blazeby … (2009)
            Research on surgical interventions is associated with several methodological and practical challenges of which few, if any, apply only to surgery. However, surgical evaluation is especially demanding because many of these challenges coincide. In this report, the second of three on surgical innovation and evaluation, we discuss obstacles related to the study design of randomised controlled trials and non-randomised studies assessing surgical interventions. We also describe the issues related to the nature of surgical procedures-for example, their complexity, surgeon-related factors, and the range of outcomes. Although difficult, surgical evaluation is achievable and necessary. Solutions tailored to surgical research and a framework for generating evidence on which to base surgical practice are essential.
            Article 0 comments Cited 183 times – based on 0 reviews     Review now
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              Epidemiology of postpartum haemorrhage: a systematic review.

              Edgardo Abalos, Metin A. Gülmezoglu, Cristina Cuesta … (2008)
              Postpartum haemorrhage (PPH) is an important cause of maternal mortality. We conducted a systematic review of the prevalence of PPH with the objective of evaluating its magnitude both globally and in different regions and settings: global figures, as well as regional, country and provincial variations, are likely to exist but are currently unknown. We used prespecified criteria to select databases, recorded the database characteristics and assessed their methodological quality. After establishing PPH (>or=500 mL blood loss) and severe PPH (SSPH) (>or=1000 mL blood loss) as main outcomes, we found 120 datasets (involving a total of 3,815,034 women) that reported PPH and 70 datasets (505,379 women) that reported SPPH in the primary analysis. The prevalence of PPH and SPPH is approximately 6% and 1.86% of all deliveries, respectively, with a wide variation across regions of the world. The figures we obtained give a rough estimate of the prevalence of PPH and suggest the existence of some variations. For a reliable picture of PPH worldwide - its magnitude, distribution and consequences - a global survey tackling this condition is necessary.
              Article 0 comments Cited 133 times – based on 0 reviews     Review now
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                Author and article information

                Journal
                Journal ID (iso-abbrev): J Trauma Acute Care Surg
                Title: The journal of trauma and acute care surgery
                ISSN (Electronic): 2163-0763
                ISSN (Print): 2163-0755
                Publication date (Electronic): Feb 2016
                Volume: 80
                Issue: 2
                Affiliations
                [1 ] From the Academic Unit of Surgery (J.J.M.), Glasgow Royal Infirmary, Glasgow; Academic Department of Military Surgery and Trauma (J.J.M.), Royal Centre for Defence Medicine, Birmingham; and Departments of Surgery and Intensive Care Medicine (J.O.J.), Aberdeen Royal Infirmary and Health Services Research Unit, University of Aberdeen, Aberdeen, United Kingdom; Department of Anesthesiology (R.E.G.), University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin; and Division of Traumatology, Surgical Critical Care and Emergency Surgery (J.W.C.), Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania; US Combat Casualty Care Research Program (T.E.R.), Fort Detrick, Frederick; The Norman M. Rich Department of Surgery (T.E.R.), The Uniformed Services University of the Health Sciences, Bethesda, Maryland; and The Section of Vascular Surgery (J.L.E.), University of Michigan, Ann Arbor, Michigan.
                Article
                Publisher Item ID: 01586154-201602000-00022
                DOI: 10.1097/TA.0000000000000913
                PubMed ID: 26816219
                SO-VID: 99920568-8a24-4642-84f1-460fdeb1fce8
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