Resuscitative endovascular balloon occlusion of the aorta in Canada: a context-specific position paper from the Canadian Collaborative for Urgent Care Surgery (CANUCS)

Nori L Bradley¹, W Robert Leeper², Derek Roberts², Chad G Ball², Andrew Beckett², Paul Engels², Emilie Joos², Kosar Khwaja², Andrew Kirkpatrick², Jacinthe Lampron², Sam Minor², Neil Parry², Joao Neto Rezende², Sandy Widder², Najma Ahmed², Lawrence Gillman², David Gomez², Morad Hameed², Michael Kim², Patrick Murphy², Rahima Nenshi², Timothy Rice², Kelly Vogt²

Affiliations

¹ From the Department of Surgery, University of Alberta, Edmonton, Alta. (Bradley, Widder, Kim); the Department of Surgery, Western University, London, Ont. (Leeper, Parry, Vogt); the Department of Surgery, University of Ottawa, Ottawa, Ont. (Roberts, Lampron); the Department of Surgery, University of Calgary, Calgary, Alta. (Ball, Kirkpatrick); the Department of Surgery, University of Toronto, Toronto, Ont. (Beckett, Neto Rezende, Ahmed, Gomez); the Department of Surgery, McMaster University, Hamilton, Ont. (Engels, Nenshi, Rice); the Department of Surgery, University of British Columbia, Vancouver, BC (Joos, Hameed), the Departments of Surgery and of Critical Care Medicine, McGill University, Montréal, Que. (Khwaja); the Department of Surgery, Dalhousie University, Halifax, NS (Minor); the Department of Surgery, University of Manitoba, Winnipeg, Man. (Gillman); the Department of Surgery, Medical College of Wisconsin, Milwaukee, Wis. (Murphy) nlbradle@ulaberta.ca.
² From the Department of Surgery, University of Alberta, Edmonton, Alta. (Bradley, Widder, Kim); the Department of Surgery, Western University, London, Ont. (Leeper, Parry, Vogt); the Department of Surgery, University of Ottawa, Ottawa, Ont. (Roberts, Lampron); the Department of Surgery, University of Calgary, Calgary, Alta. (Ball, Kirkpatrick); the Department of Surgery, University of Toronto, Toronto, Ont. (Beckett, Neto Rezende, Ahmed, Gomez); the Department of Surgery, McMaster University, Hamilton, Ont. (Engels, Nenshi, Rice); the Department of Surgery, University of British Columbia, Vancouver, BC (Joos, Hameed), the Departments of Surgery and of Critical Care Medicine, McGill University, Montréal, Que. (Khwaja); the Department of Surgery, Dalhousie University, Halifax, NS (Minor); the Department of Surgery, University of Manitoba, Winnipeg, Man. (Gillman); the Department of Surgery, Medical College of Wisconsin, Milwaukee, Wis. (Murphy).

PMID: 35545282
PMCID: PMC9259435
DOI: 10.1503/cjs.015319

Resuscitative endovascular balloon occlusion of the aorta in Canada: a context-specific position paper from the Canadian Collaborative for Urgent Care Surgery (CANUCS)

Nori L Bradley et al. Can J Surg. 2022.

. 2022 May 11;65(3):E310-E316.

doi: 10.1503/cjs.015319. Print 2022 May-Jun.

Authors

Affiliations

¹ From the Department of Surgery, University of Alberta, Edmonton, Alta. (Bradley, Widder, Kim); the Department of Surgery, Western University, London, Ont. (Leeper, Parry, Vogt); the Department of Surgery, University of Ottawa, Ottawa, Ont. (Roberts, Lampron); the Department of Surgery, University of Calgary, Calgary, Alta. (Ball, Kirkpatrick); the Department of Surgery, University of Toronto, Toronto, Ont. (Beckett, Neto Rezende, Ahmed, Gomez); the Department of Surgery, McMaster University, Hamilton, Ont. (Engels, Nenshi, Rice); the Department of Surgery, University of British Columbia, Vancouver, BC (Joos, Hameed), the Departments of Surgery and of Critical Care Medicine, McGill University, Montréal, Que. (Khwaja); the Department of Surgery, Dalhousie University, Halifax, NS (Minor); the Department of Surgery, University of Manitoba, Winnipeg, Man. (Gillman); the Department of Surgery, Medical College of Wisconsin, Milwaukee, Wis. (Murphy) nlbradle@ulaberta.ca.
² From the Department of Surgery, University of Alberta, Edmonton, Alta. (Bradley, Widder, Kim); the Department of Surgery, Western University, London, Ont. (Leeper, Parry, Vogt); the Department of Surgery, University of Ottawa, Ottawa, Ont. (Roberts, Lampron); the Department of Surgery, University of Calgary, Calgary, Alta. (Ball, Kirkpatrick); the Department of Surgery, University of Toronto, Toronto, Ont. (Beckett, Neto Rezende, Ahmed, Gomez); the Department of Surgery, McMaster University, Hamilton, Ont. (Engels, Nenshi, Rice); the Department of Surgery, University of British Columbia, Vancouver, BC (Joos, Hameed), the Departments of Surgery and of Critical Care Medicine, McGill University, Montréal, Que. (Khwaja); the Department of Surgery, Dalhousie University, Halifax, NS (Minor); the Department of Surgery, University of Manitoba, Winnipeg, Man. (Gillman); the Department of Surgery, Medical College of Wisconsin, Milwaukee, Wis. (Murphy).

PMID: 35545282
PMCID: PMC9259435
DOI: 10.1503/cjs.015319

Abstract

SummaryResuscitative endovascular balloon occlusion of the aorta (REBOA) is a well-described intervention for noncompressible torso hemorrhage. Several Canadian centres have included REBOA in their hemorrhagic shock protocols. However, REBOA has known complications and equipoise regarding its use persists. The Canadian Collaborative on Urgent Care Surgery (CANUCS) comprises surgeons who provide acute trauma care and leadership in Canada, with experience in REBOA implementation, use, education and research. Our goal is to provide evidence- and experience-based recommendations regarding institutional implementation of a REBOA program, including multidisciplinary educational programs, attention to device and care pathway logistics, and a robust quality assurance program. This will allow Canadian trauma centres to maximize patient benefits and minimize risks of this potentially life-saving technology.

PubMed Disclaimer

Conflict of interest statement

Competing interests: Andrew Kirkpatrick has consulted for Zoll, Innovative Trauma Care, CSL Behring and SAM Medical Corporations, and is the principal investigator of a prospective randomized controlled trial that is partially supported by the Acelity Corporation (https://clinicaltrials.gov/ct2/show/NCT03163095). No other competing interests were declared.

References

1. DuBose JJ, Scalea TM, Brenner ML, et al. . 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). J Trauma Acute Care Surg 2016;81:409–19. - PubMed
1. Bekdache O, Paradis T, Shen YBH, et al. . Resuscitative endovascular balloon occlusion of the aorta (REBOA): indications, advantages and challenges of implementation in traumatic non-compressible torso hemorrhage. Trauma Surg Acute Care Open 2019;4:e000262. - PMC - PubMed
1. Bulger EM, Perina DG, Qasim Z, et al. . Clinical use of resuscitation endovascular balloon occlusion of the aorta in civilian trauma systems in the USA, 2019: a joint statement from the American College of Surgeons Committee on Trauma, the American Emergency Physicians, the National Association of Emergency Medical Services Physicians and the National Association fo Emergency Medical Technicians. Trauma Surg Acute Care Open 2019;4:e000376. - PMC - PubMed
1. Manzano-Nunez R, McGreevy D, Orlas CP, et al. . Outcomes and management approaches of resuscitative endovascular balloon occlusion of the aorta based on the income of countries. World J Emerg Surg 2020;15:57. - PMC - PubMed
1. Osborn LA, Brenner M, Prater SJ, et al. . Resuscitative endovascular balloon occlusion of the aorta: current evidence. Open Access Emerg Med 2019;11:29–38. - PMC - PubMed

MeSH terms

Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions

LinkOut - more resources

Full Text Sources

Save citation to file

Email citation

Add to Collections

Add to My Bibliography

Your saved search

Create a file for external citation management software

Your RSS Feed

Resuscitative endovascular balloon occlusion of the aorta in Canada: a context-specific position paper from the Canadian Collaborative for Urgent Care Surgery (CANUCS)

Affiliations

Resuscitative endovascular balloon occlusion of the aorta in Canada: a context-specific position paper from the Canadian Collaborative for Urgent Care Surgery (CANUCS)

Authors

Affiliations

Abstract

Conflict of interest statement

References

MeSH terms

LinkOut - more resources

Full Text Sources