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KMID : 0604020150300020115
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Korean Journal of Critical Care Medicine
2015 Volume.30 No. 2 p.115 ~ p.118
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Resuscitative Endovascular Balloon Occlusion of the Aorta in a Trauma Patient with Hypovolemic Shock
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Shin Hong-Kyung
Han Ho-Seong
Lee Tae-Seung
Park Do-Joong
Jung Kyu-Whan
Kim Kyu-Seok
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Abstract
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Hemorrhagic shock is one of the most common causes of death in patients with multiple trauma and therefore rapid control ofbleeding is the main strategy to save these patients. Resuscitative balloon occlusion of the aorta (REBOA) has been applied in severaltrauma cases and because of the effectiveness of this procedure it has been adopted in the trauma field. Herein, we report the firstsuccessful case of REBOA in Korea performed on a 46-year-old man with hemorrhagic shock after a fall from a height of 14-stories. Thepatient visited our hospital emergency room with hypovolemic shock, we performed Resuscitative Endovascular Balloon Occlusion ofthe Aorta under bed side blind technique. His vital sign was stabilized after procedure, then we could performed endovascular bleedingcontrol. The patient was discharged on his 33rd in-hospital day without invasive procedure and major scar.
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KEYWORD
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aortic balloon, hemorrhage, hypovolemic shock, thoracotomy trauma
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