Survival of a hemodynamically unstable pediatric liver trauma patient with aortic balloon occlusion catheter during air transport: A case report.

Miyake, Yuichi; Okishio, Yuko; Shibata, Naoaki; Kawashima, Shuji; Nasu, Toru; Ueda, Kentaro.

Afiliação

Miyake Y; Department of Emergency and Critical Care Medicine Wakayama Medical University Wakayama Japan.
Okishio Y; Department of Emergency and Critical Care Medicine Wakayama Medical University Wakayama Japan.
Shibata N; Department of Emergency and Critical Care Medicine Wakayama Medical University Wakayama Japan.
Kawashima S; Department of Emergency Medicine National Hospital Organization Minami Wakayama Medical Center Wakayama Japan.
Nasu T; Department of Emergency and Critical Care Medicine Wakayama Medical University Wakayama Japan.
Ueda K; Department of Emergency and Critical Care Medicine Wakayama Medical University Wakayama Japan.

Acute Med Surg ; 11(1): e955, 2024.

Article em En | MEDLINE | ID: mdl-38655505

ABSTRACT

Background:

The utility of resuscitative endovascular balloon occlusion of the aorta (REBOA) in children remains unclear. Case Presentation An 11-year-old patient with liver trauma with massive extravasation was transported to a local hospital, where an emergency trauma surgery was unavailable. Following the placement of REBOA as a bridge to hemostasis, she was transferred to our hospital by a firefighting helicopter with balloon occlusion. Immediately, she underwent damage control laparotomy and transcatheter arterial embolization. She was subsequently discharged from the hospital 6 months after the accident without complications.