Use of Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) in Trauma Patients in French Level-1 Trauma Centers: A National Survey
Background: The goal of the present national survey was to describe the practices and use of resuscitative endovascular balloon occlusion of the aorta (REBOA) in France in level-1 trauma centers. Methods: Between January and December 2023, the ACUTE SFAR (Société Française d’Anesthésie et de Réan...
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Örebro University
2025-01-01
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| Series: | Journal of Endovascular Resuscitation and Trauma Management |
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| Online Access: | https://publicera.kb.se/jevtm/article/view/34828 |
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| author | Pauline Glasman Thomas Clavier Hervé Quintard Jonathan Charbit |
| author_facet | Pauline Glasman Thomas Clavier Hervé Quintard Jonathan Charbit |
| author_sort | Pauline Glasman |
| collection | DOAJ |
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Background: The goal of the present national survey was to describe the practices and use of resuscitative endovascular balloon occlusion of the aorta (REBOA) in France in level-1 trauma centers.
Methods: Between January and December 2023, the ACUTE SFAR (Société Française d’Anesthésie et de Réanimation) committee sent a numeric survey to each French level-1 trauma center. This survey was focused on REBOA in trauma management including: use, protocol (indications, placement, aortic occlusion durations), aortic occlusion location (Zone 1/Zone 3), partial occlusion (pREBOA), device characteristics, operator, specific complications.
Results: Among the 41 French level-1 trauma centers, 18 (44%) had incorporated REBOA in their algorithm. In 2022, 78% (14/18) of these centers had experienced between 1 and 5 REBOA placements, 11% (2/18) between 6 and 10, and 6% (1/18) 10 or more placements. The frequency of REBOA procedures increased with the duration of REBOA availability at the center. A protocol for REBOA placement was present in 28% (5/18) of centers. An anesthesiologistintensivist was the operator in 50% (9/18), a surgeon in 28% (5/18), and a radiologist in 22% (4/18) of centers. The proportion of centers using REBOA in Zone 1 was 39% (7/18), and pREBOA 33% (6/18). The maximum duration of complete aortic occlusion was specified in 50% of centers for Zone 1 and 78% for Zone 3.
Conclusions: Use of REBOA is modestly spread among the French trauma centers, and in less than half of centers. Specific protocols are present. Anesthesiologist-intensivists are the operators in only half of these centers.
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| format | Article |
| id | doaj-art-433489f857fd4079aca1abcb3c35a579 |
| institution | Kabale University |
| issn | 2002-7567 2003-539X |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Örebro University |
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| series | Journal of Endovascular Resuscitation and Trauma Management |
| spelling | doaj-art-433489f857fd4079aca1abcb3c35a5792025-02-02T01:42:14ZengÖrebro UniversityJournal of Endovascular Resuscitation and Trauma Management2002-75672003-539X2025-01-0110.26676/jevtm.34828Use of Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) in Trauma Patients in French Level-1 Trauma Centers: A National SurveyPauline Glasman0Thomas Clavier1Hervé Quintard2Jonathan Charbit3Department of Anesthesiology and Critical Care, Hôpital La Pitié Salpêtrière, APHP, F-75013 Paris, France and ACUTE committee of Société Française d'Anesthésie et de Réanimation (SFAR), F-75016 Paris, FranceDepartment of Anesthesiology, Critical Care and Perioperative Medicine, Rouen University Hospital, Rouen, France, Rouen University, INSERM U1096, EnVi, 76000, Rouen, France and ACUTE committee of Société Française d'Anesthésie et de Réanimation (SFAR), F-75016 Paris, FranceDivision of Intensive Care Medicine, Department of Anesthesiology, Clinical Pharmacology, Intensive Care, and Emergency Medicine, Geneva University Hospital, Geneva, Switzerland and ACUTE committee of Société Française d'Anesthésie et de Réanimation (SFAR), F-75016 Paris, FranceTrauma and Polyvalent Critical Care Unit, Lapeyronie University Hospital, Montpellier, France and ACUTE committee of Société Française d'Anesthésie et de Réanimation (SFAR), F-75016 Paris, France Background: The goal of the present national survey was to describe the practices and use of resuscitative endovascular balloon occlusion of the aorta (REBOA) in France in level-1 trauma centers. Methods: Between January and December 2023, the ACUTE SFAR (Société Française d’Anesthésie et de Réanimation) committee sent a numeric survey to each French level-1 trauma center. This survey was focused on REBOA in trauma management including: use, protocol (indications, placement, aortic occlusion durations), aortic occlusion location (Zone 1/Zone 3), partial occlusion (pREBOA), device characteristics, operator, specific complications. Results: Among the 41 French level-1 trauma centers, 18 (44%) had incorporated REBOA in their algorithm. In 2022, 78% (14/18) of these centers had experienced between 1 and 5 REBOA placements, 11% (2/18) between 6 and 10, and 6% (1/18) 10 or more placements. The frequency of REBOA procedures increased with the duration of REBOA availability at the center. A protocol for REBOA placement was present in 28% (5/18) of centers. An anesthesiologistintensivist was the operator in 50% (9/18), a surgeon in 28% (5/18), and a radiologist in 22% (4/18) of centers. The proportion of centers using REBOA in Zone 1 was 39% (7/18), and pREBOA 33% (6/18). The maximum duration of complete aortic occlusion was specified in 50% of centers for Zone 1 and 78% for Zone 3. Conclusions: Use of REBOA is modestly spread among the French trauma centers, and in less than half of centers. Specific protocols are present. Anesthesiologist-intensivists are the operators in only half of these centers. https://publicera.kb.se/jevtm/article/view/34828AnesthesiologistAortic OcclusionBleeding ControlHemorrhagic ShockTrauma Management |
| spellingShingle | Pauline Glasman Thomas Clavier Hervé Quintard Jonathan Charbit Use of Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) in Trauma Patients in French Level-1 Trauma Centers: A National Survey Journal of Endovascular Resuscitation and Trauma Management Anesthesiologist Aortic Occlusion Bleeding Control Hemorrhagic Shock Trauma Management |
| title | Use of Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) in Trauma Patients in French Level-1 Trauma Centers: A National Survey |
| title_full | Use of Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) in Trauma Patients in French Level-1 Trauma Centers: A National Survey |
| title_fullStr | Use of Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) in Trauma Patients in French Level-1 Trauma Centers: A National Survey |
| title_full_unstemmed | Use of Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) in Trauma Patients in French Level-1 Trauma Centers: A National Survey |
| title_short | Use of Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) in Trauma Patients in French Level-1 Trauma Centers: A National Survey |
| title_sort | use of resuscitative endovascular balloon occlusion of the aorta reboa in trauma patients in french level 1 trauma centers a national survey |
| topic | Anesthesiologist Aortic Occlusion Bleeding Control Hemorrhagic Shock Trauma Management |
| url | https://publicera.kb.se/jevtm/article/view/34828 |
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