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Educational Simulation Videos for Performing Resuscitative Endovascular Balloon Occlusion of the Aorta

Journal of Trauma and Injury 2020년 33권 3호 p.140 ~ 143
장성욱, 김동헌, 장예림,
소속 상세정보
장성욱 ( Chang Sung-Wook ) - Dankook University Hospital Department of Thoracic and Cardiovasular Surgery
김동헌 ( Kim Dong-Hun ) - Dankook University Hospital Department of Trauma Surgery
장예림 ( Chang Ye-Rim ) - Dankook University Hospital Department of Trauma Surgery

Abstract


Resuscitative endovascular balloon occlusion of the aorta (REBOA) has been accepted as an adjunct procedure for non-compressible torso hemorrhage in patients with hemorrhagic shock. With appropriate indications, REBOA should be performed for resuscitation regardless of the physician’s specialty. Despite its effectiveness in traumatized patients with hemorrhagic shock, performing REBOA has been challenging due to physicians’ lack of experience. Even though training in endovascular skills is mandatory, many physicians cannot undergo sufficient training because of the limited number of endovascular simulation programs. Herein, we share simulation video clips, including those of a vascular circuit model for simulation; sheath preparation; long guidewire and balloon catheter preparation; ultrasound-guided arterial access; sheath insertion or upsizing; and balloon positioning, inflation, and migration. The aim of this study was to provide educational video clips to improve physicians’ endovascular skills for REBOA.

키워드

Trauma; Resuscitation; Aorta; Balloon occlusion; Instructional video

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