BEST Workshop
Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) is an interventional vascular trauma procedure used to control major abdominal and pelvic hemorrhage. By sustaining afterload in a traumatic arrest or hemorrhagic shock state, REBOA can maintain perfusion to vital organs during a resuscitation without the need of a thoracotomy and aorta cross-clamping (1). In an emergency department setting REBOA has been demonstrated to maintain a higher mean systolic blood pressure compared to open thoracotomy without any difference in mortality (2). To be performed in the resuscitative suite under x-ray guidance or in the operating room under fluoroscopy, REBOA is becoming an increasingly desired skill as a catheter-based treatment in a trauma setting.
We are privileged to have this workshop led by Dr. Laura Moore (Trauma Surgery & Critical Care) who is visiting from the University of Texas (Memorial Hermann-Texas Medical Center). Dr. Moore has taught at several BEST workshops/courses (more here) and will be sharing valuable experience with participants. We are also happy to have our very own Dr. Rob Leeper (Trauma Surgery & Critical Care), Dr. Adam Power (Vascular Surgery, clinical and academic interest in REBOA), and Dr. John Landau (Vascular Surgery & current Critical Care Fellow) instruct at this workshop.
What
You will learn about and practice the skills necessary to perform REBOA. Realistic, technically advanded training equipment with a variety of catheter and balloon options will be available for high-fidelity simulation (more here). Teaching will be done in small groups and you will engage in resuscitation simulation cases with the use of ultrasound.
Who
Acute care / trauma surgeons and surgical fellows are encouraged to participate in this workshop following our ultrasound course OR as a standalone half-day course. This course is also open to non-surgical providers such as emergency medicine and critical care providers who wish to gain more experience and practical knowledge of the REBOA technique.
Where & When
The workshop will take place on August 17 from 1300-1630 at Western Universit's CSTAR facility. For a more in depth schedule, click here
1. RIBEIRO JÚNIOR, MARCELO AUGUSTO FONTENELLE, BRENNER, MEGAN, NGUYEN, ALEXANDER T. M., FENG, CÉLIA Y. D., DE-MOURA, RAÍSSA REIS, RODRIGUES, VINICIUS C., & PRADO, RENATA L.. (2018). Resuscitative endovascular balloon occlusion of the aorta (REBOA): an updated review. Revista do Colégio Brasileiro de Cirurgiões, 45(1), e1709. Epub March 26, 2018.https://dx.doi.org/10.1590/0100-6991e-20181709
2. DuBose, J. J., Scalea, T. M., Brenner, M., Skiada, D., Inaba, K., Cannon, J., ... & Kirkpatrick, A. (2016). The AAST prospective Aortic Occlusion for Resuscitation in Trauma and Acute Care Surgery (AORTA) registry: data on contemporary utilization and outcomes of aortic occlusion and resuscitative balloon occlusion of the aorta (REBOA). Journal of Trauma and Acute Care Surgery, 81(3), 409-419.