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      Intraoperative combination of resuscitative endovascular balloon occlusion of the aorta and a median sternotomy in hemodynamically unstable patients with penetrating chest trauma: Is this feasible?

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          Abstract

          Recent evidence suggests that resuscitative endovascular balloon occlusion of the aorta (REBOA) is an effective life-saving intervention in patients with severe torso trauma. However, the deployment of REBOA in patients with isolated penetrating intrathoracic injuries remains controversial. We propose that a median sternotomy be performed in conjunction with REBOA as a feasible and effective means of hemorrhage control in patients suffering from penetrating chest trauma who present hemodynamically unstable. The objective of our study was to present our initial experience with this approach.

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          Author and article information

          Journal
          J Trauma Acute Care Surg
          The journal of trauma and acute care surgery
          Ovid Technologies (Wolters Kluwer Health)
          2163-0763
          2163-0755
          May 2018
          : 84
          : 5
          Affiliations
          [1 ] From the Division of Trauma and Acute Care Surgery, Department of Surgery (C.A.O., R.M.-N., P.R.O., F.R.), Fundación Valle del Lili, Cali, Colombia; Department of Trauma Critical Care (M.W.P.), Broward General Level I Trauma Center, Fort Lauderdale, FL; Clinical Research Center (R.M.-N.), Fundacion Valle del Lili, Cali, Colombia; Center for Surgery and Public Health, Department of Surgery (J.P.H.-E.), Brigham and Women's Hospital, Harvard Medical School and Harvard T.H. Chan School of Public Health, Boston, MA; Trauma and Acute Care Surgery Fellowship (C.A.O., J.J.S., A.M.D.V., A.S.), Universidad del Valle, Cali, Colombia; Division of Trauma and Acute Care Surgery (D.M.), Universidad de Antioquia, Medellín, Colombia; and Division of Trauma and Emergency Surgery, Department of Surgery (J.C.S.), Hospital Vicente Corral Moscoso and Universidad del Azuay, Cuenca, Ecuador.
          Article
          01586154-201805000-00009
          10.1097/TA.0000000000001807
          29697519
          d625a984-8cc8-4dd1-b84e-f3ea0c88bde4
          History

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