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.
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.
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.
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.