잠시만 기다려 주세요. 로딩중입니다.

A course on endovascular training for resuscitative endovascular balloon occlusion of the aorta: a pilot study for residents and specialists

Annals of Surgical Treatment and Research 2020년 99권 6호 p.362 ~ 369
장예림, 박찬용, 김동헌, 마대성, 장성욱,
소속 상세정보
장예림 ( Chang Ye-Rim ) - Dankook University Hospital Department of Trauma Surgery
박찬용 ( Park Chan-Yong ) - Wonkwang University Hospital Department of Trauma Surgery
김동헌 ( Kim Dong-Hun ) - Dankook University Hospital Department of Trauma Surgery
마대성 ( Ma Dae-Sung ) - Dankook University Hospital Department of Thoracic and Cardiovasular Surgery
장성욱 ( Chang Sung-Wook ) - Dankook University Hospital Department of Thoracic and Cardiovasular Surgery

Abstract


Purpose: Resuscitative endovascular balloon occlusion of the aorta (REBOA) has emerged as a salvage technique changing the paradigm in the management of noncompressible torso hemorrhage. However, training for the REBOA procedure is rarely performed. The endovascular training for REBOA (ET-REBOA) course was conducted to develop the endovascular skills of participants.

Methods: Sixteen residents and 12 specialists participated in this educational course. All participants were provided with precourse learning materials. The ET-REBOA course consisted of 2 sections; an ultrasound-guided sheath insertion on the puncture model, and a balloon manipulation on the vascular circuit model. A 13-item procedure checklist and the time required to perform the procedure were examined. Pre/post self-reported confidence score and course satisfaction questionnaire were obtained.

Results: Twenty-eight participants performed the 56 REBOA procedures. On the first attempt, the median total time for REBOA from ultrasound-guided vascular access to balloon inflation was 1,139 ± 250 seconds in the resident group and 828 ± 280 seconds in the specialist group. The median shortened time for completion was 273 seconds and 290 seconds respectively. A significant decrease in procedure task time was observed between first and second attempts in the resident group (P = 0.016), specialist group (P = 0.004), and in total among all participants (P < 0.001).

Conclusion: The ET-REBOA course significantly decreased the time taken to perform the REBOA procedure with high satisfaction of the participants. The course could be an effective curriculum for the development of endovascular skills for performing REBOA.

키워드

Aorta; Balloon occlusion; Education; Resuscitation; Trauma

원문 및 링크아웃 정보

 

등재저널 정보