Stop Massive Bleeding (Abdominal and Pelvic) with REBOA | Behind the Knife – Bedside Procedures Ep 4

OVERVIEW

Massive hemorrhage that is non-compressible (such as abdominal and pelvic bleeding) is an EMERGENCY! Learn about a new technique to temporarily stop abdominal and pelvic bleeding, called REBOA – Resuscitative Endovascular Balloon Occlusion of the Aorta.

If you haven’t seen my ARTERIAL LINES episode yet, that will be very helpful before you watch this video! https://www.youtube.com/watch?v=nyZeuMrwBH8

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Sources of clips used under Fair Use doctrine for this educational video:
Larry Mellick: https://youtu.be/8BlPxQI2C90
UF PRO: https://youtu.be/XXbaByUzKe0
Global News: https://youtu.be/B6fE2JkvVoo
CoTCCC Committee-on-TCCC: https://youtu.be/JU43hsCUFrI
MedCram: https://youtu.be/ooLzAUVbhZ8
Orlando Health: https://youtu.be/VmEpL9Jo0uQ
EVTM: https://youtu.be/WYg7xjhq6UE
SAM Medical: https://youtu.be/8o7myD-u8KM

Intro: (0:00)
Indications and Contraindications: (1:54)
Set-up: (3:13)
Features of the REBOA catheter: (4:54)
Procedural Steps: (7:18)
After REBOA is deployed: (13:28)
Outro: (14:42)

Supplies you should gather:
REBOA Catheter
REBOA Convenience Kit (contains 7 Fr sheath, introducer needle, guidewire, syringe, saline flushes, suture, scalpel, catheter fastener, and sterile drape)
If you want to use a 5 Fr sheath, you need to get this separately!

Key Steps of the Procedure:
Obtain (early, if possible) common femoral arterial access
Measure the catheter length to the patient
Empty the balloon at the BAL port
Flush the catheter with the arterial line tubing after hooking it up
Insert the catheter using the orange peel-away
Inflate the balloon (remember: start 2, start 8, don’t overinflate)
Secure the catheter

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May 13, 2022

Presented by Dr. Elizabeth Carpenter, MD (San Antonio Military Medical Center) Please review SCORE’s TWIS module on Pancreaticoduodenectomy (https://www.surgicalcore.org/modulecontent.aspx?id=145049)