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Aortic occlusion for abdominal hemorrhage

Karim Brohi karim at trauma.org
Mon Oct 10 01:59:34 BST 2005


This is a great question.  We have used the occlusion balloon in the occasional ruptured aortic aneurysm patient where we have had
all the logistical ducks in a row.  We have certainly been talking about doing this in trauma patients but have yet to use it in
anyone.  As you say it should replace the 'unnecessary' thoracotomy in the ED department for massive abdominal haemorrhage, so the
equipment and expertise must be available on patient arrival in the ED.  


-----Original Message-----
From: trauma-list-bounces at trauma.org [mailto:trauma-list-bounces at trauma.org] On Behalf Of Don Benson
Sent: 09 October 2005 18:14
To: trauma-list at trauma.org
Subject: RE: Aortic occlusion for abdominal hemorrhage

Aortic balloon catheters have been used experimentally to "cross clamp" the aorta during closed chest CPR and augment brain and
heart perfusion. Emergency thoracotomy and aortic cross-clamping has been used to control intraabdominal hemorrhage prior to
celiotomy. Does anyone have any experience with aortic balloon occlusion to temporarily control massive sub-diaphragmatic hemorrhage
in the trauma victim?

Don Benson, DO, FACEP
St. John Hospital - Detroit
bensonblues at comcast.net

-----Original Message-----
From: trauma-list-bounces at trauma.org [mailto:trauma-list-bounces at trauma.org]
On Behalf Of trauma-list-request at trauma.org
Sent: Sunday, October 09, 2005 7:00 AM
To: trauma-list at trauma.org
Subject: trauma-list Digest, Vol 28, Issue 12

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