Endovascular Resuscitation and Trauma Management

Bleeding and haemodynamic control

Endovascular Resuscitation and Trauma Management

Bleeding and haemodynamic control

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This book focuses on endovascular methods for resuscitation and trauma management. Written by highly qualified and clinically active physicians from around the world, it shares information gathered over the past decade, providing a comprehensive database of clinical knowledge for a wide range of practicing clinicians and researchers.

Moreover, it describes basic methods for vascular access, methods for REBOA (Resuscitative Endovascular Balloon Occlusion of the Aorta), endo-grafts and embolization methods, as well as other, more advanced methods for endovascular and hybrid resuscitation (CPR REBOA, ECHMO etc.) from the pre-hospital to the post-surgical phase. As the body of literature in this field has grown considerably over the past five years, the book also focuses on summarizing what is known, what the clinical and research evidence is, and 'how to actually use' the various methods. It will help readers understand basic and advanced modern techniques for bleeding control and modern resuscitation, and how to apply them in clinical practice.

 



Tal Hörer, MD PhD, works as a vascular surgeon in Sweden. He is an Associate Professor of Surgery at Örebro University Hospital, where he is responsible for the surgical and vascular residency program. Former military and reserve IDF, his major interests are in clinical research on advanced endovascular and hybrid methods for bleeding control, and in trauma and resuscitation. He is Primary investigator for several studies including the ABOTrauma Registry and works on educations matters and hands-on training. He is a firm believer in REBOA (for correct indications) and EVTM.

Todd E. Rasmussen, MD, FACS is a Colonel USAF MC, Director of the DoD Combat Casualty Care Research Program in Fort Detrick, Maryland, and a Professor of Surgery at the Uniformed Service University. Further, he currently operates as a surgeon at the Veterans Administration Medical Center in Baltimore. He began his surgical training at Wilford Hall Medical Center on Lackland Air Force Base and completed his training in vascular surgery back at Mayo. He was assigned to the National Capital Area two months before 9/11/2001 and after September 11th began caring for the first of the injured returning from Afghanistan at Walter Reed Army Medical Center in Washington. Then he initiated a vascular injury and hemorrhage control research and innovation program. His research efforts have resulted in 130 publications, 25 book chapters, 2 textbooks and 4 patents. Colonel Rasmussen served as Deputy Commander of the Army's Institute of Surgical Research in San Antonio and was subsequently assigned to direct the broader DoD Combat Casualty Care Research Program at Fort Detrick. His awards include the Gold Headed Cane for outstanding clinical and academic practice and the Baron Dominique Jean Larrey Award for Excellence in Military Surgery. In 2015 Colonel Rasmussen was recognized as a Hero in Military Medicine by the Center for Public-Private Partnerships.

 
Joseph J. DuBose, MD FAC FCCM, is a vascular and trauma surgeon with the United States Air Force, presently stationed at Travis Air Force Base in Northern California, USA.   He presently serves as the Secretary of the Aortic Trauma Foundation and as Primary Investigator of the American Association for the Surgery of Trauma's (AAST's) Aortic Occlusion in Trauma and Acute Care Surgery (AORTA) Registry, as well as the PROspective Observational Vascular Injury Treatment (PROOVIT) Registry.  He is an Associate Professor of Surgery at the Uniformed Services University of the Health Sciences and the University of California - Davis.


Joseph M. White is Associate Program Director, Vascular Surgery Fellowship Assistant and Professor of Surgery at The Department of Surgery at Uniformed Services  University of the Health Sciences and Walter Reed National Military Medical Center of Bethesda




1;Foreword;6 2;Foreword;7 3;Foreword;8 4;Preface;10 5;Acknowledgments;12 6;About the Book;13 7;Contents;14 8;Contributors;16 9;1: The Concept of Endovascular Resuscitation and Trauma Management: Building the EVTM Team;21 9.1;1.1 Introduction: Major Hemorrhage and Adjuncts for Its Detection and Control;21 9.2;1.2 The Concept of EndoVascular Resuscitation and Trauma Management;23 9.3;1.3 Building the EVTM/REBOA Team: Resources Needed for Optimal EVTM;25 9.3.1;1.3.1 Why Waste Time on Imaging?;26 9.4;1.4 Optimal Provider Training and Challenges to Skillset Acquisition and Maintenance;27 9.5;Expert's Comments by Ernest E. Moore;28 9.6;References;30 10;2: Principles of Modern Trauma Resuscitation;33 10.1;2.1 Background on Hemorrhage and Resuscitation;33 10.2;2.2 A History of Resuscitation Strategies;34 10.3;2.3 Finding the Appropriate Ratio;36 10.3.1;2.3.1 Component Therapy;38 10.3.1.1;2.3.1.1 Tranexamic Acid;40 10.3.1.2;2.3.1.2 Cryoprecipitate and Fibrinogen Concentrates;43 10.3.1.3;2.3.1.3 Factor Concentrate-Based Resuscitation Strategies;44 10.3.1.4;2.3.1.4 Factor VIIa;45 10.3.2;2.3.2 Indications and Alternate Endpoints;47 10.4;Conclusion;49 10.5;Expert's Comments by Federico Coccolini and Fausto Catena;50 10.6;References;50 11;3: Endovascular Management of Cervical Vascular Trauma;55 11.1;3.1 Blunt Cerebrovascular Injuries;55 11.2;3.2 Epidemiology and Presentation;56 11.3;3.3 Screening and Diagnosis;57 11.4;3.4 Medical Treatment;59 11.5;3.5 Endovascular Treatment;60 11.6;3.6 Penetrating Cervical Vascular Injuries;62 11.7;References;66 12;4: Endovascular Management of Thoracic and Abdominal Trauma;69 12.1;4.1 Introduction;69 12.2;4.2 Initial Evaluation;70 12.3;4.3 Line Placement Considerations;70 12.4;4.4 Angiography for Diagnosis and Treatment of Hemorrhage;71 12.5;4.5 Embolization Agents;73 12.6;4.6 Gelfoam;73 12.7;4.7 Particles;73 12.8;4.8 Metallic Coils;73 12.9;4.9 Amplatzer Vascular Plugs;74 12.10;4.10 Liver Endovascular Embolization;74 12.11;4.11 Spleen Endovascular Embolization;74 12.12;4.12 Kidney Endovascular Embolization;75 12.13;4.13 Pelvic Endovascular Embolization;75 12.14;4.14 Endovascular Stent Grafts;75 12.15;4.15 Axillosubclavian Injuries;76 12.16;4.16 Thoracic Endovascular Aortic Repair;77 12.17;4.17 Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA);81 12.18;Conclusion;82 12.19;Expert's Comments by Yoram Kluger;82 12.20;References;83 13;5: Endovascular Surgery for Extremity Trauma;86 13.1;5.1 Introduction;86 13.2;5.2 Endovascular Damage Control;87 13.3;5.3 Lower Extremity Vascular Injuries;87 13.3.1;5.3.1 Common Femoral Artery;88 13.3.2;5.3.2 Profunda Femoris;89 13.3.3;5.3.3 Superficial Femoral Artery;89 13.3.4;5.3.4 Popliteal Artery;89 13.3.5;5.3.5 Infrapopliteal Arteries;90 13.4;5.4 Venous Injuries;91 13.5;5.5 Traumatic Arteriovenous Fistula and Pseudoaneurysm;91 13.6;5.6 Upper Extremity Vascular Injuries;91 13.6.1;5.6.1 Axillo-subclavian Arteries;92 13.6.2;5.6.2 Brachial Artery and Forearm Arteries;94 13.7;5.7 Postoperative Care;95 13.8;References;95 14;6: Principles of REBOA;99 14.1;6.1 Introduction;99 14.2;6.2 History;100 14.3;6.3 Indications;101 14.4;6.4 Procedure;104 14.4.1;6.4.1 Arterial Access;104 14.4.2;6.4.2 Special Considerations for Access;104 14.4.3;6.4.3 Sheath Placement;105 14.4.4;6.4.4 Balloon Position and Inflation;105 14.4.5;6.4.5 Management While Occluded;106 14.4.6;6.4.6 Balloon Deflation;107 14.4.7;6.4.7 Sheath Removal and Post-resuscitation Care;108 14.5;6.5 Current Research;108 14.6;Conclusion;110 14.7;Expert's Comments by Catherine Arvieux;110 14.8;References;111 15;7: Partial REBOA;115 15.1;7.1 Introduction;115 15.2;7.2 Physiology;119 15.2.1;7.2.1 The Effects of Complete Aortic Occlusion;119 15.2.2;7.2.2 The Effects of Partial REBOA;120 15.3;7.3 Development of the Technique;121 15.4;7.4 Preclinical and Translational Studies of P-REBOA;122 15.5;7.5 Clinical Evidence and Case Reports;124 15.6;7.6 Feasibility;124 15.7;7.7 Future Directions;124 15.8;Conclusion;125 15.9;Refer
ISBN 9783030253417
Artikelnummer 9783030253417
Medientyp E-Book - PDF
Copyrightjahr 2019
Verlag Springer-Verlag
Umfang 271 Seiten
Sprache Englisch
Kopierschutz Digitales Wasserzeichen