Intraoperative management of REBOA: experiences and lessons learned from the London Trauma Network – 10 points for consideration

Abstract

Non-compressible torso haemorrhage resulting from vascular injury is the leading cause of death in trauma patients. Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) provides temporary haemorrhage control, permits transfer for definitive care and is becoming established in trauma systems throughout Europe. Drawing on experience of managing these critically injured patients, it is clear that involvement of vascular surgeons is highly important. Surgical management of vascular injury and of potential procedural risks and distal ischaemia associated with REBOA is essential for delivering time critical, safe care. We share 10 key points for intraoperative REBOA management for the vascular surgeon, wider surgical team and the endovascular resuscitation team to jointly consider.