| About the author: |
I. A. Lurin, E. M. Khoroshun, S. I. Panasenko, V. V. Makarov, V. V. Negoduiko, S. A. Shypilov, N. R. Kerbazh |
| Heading |
CLINICAL MEDICINE |
| Type of article |
Scentific article |
| Annotation |
The performed scientific analysis of our own experience of applying different methods of temporary compression of the aorta in combat surgical trauma allowed us to identify the optimal conditions to perform aortic occlusion with the use of abdominal bandage, resuscitation endovascular balloon occlusion of the aorta, and application of an atraumatic clamp on the aorta. We verified a total of 76 cases of temporary aortic occlusion and performed a statistical and expert analysis on the applicability of the mentioned methods during medical evacuation. As a result, we identified that abdominal bandaging should be used when providing “basic” prehospital care and during CASEVAC mission; the resuscitation endovascular balloon occlusion of the aorta should be used when providing “extended” pre-hospital care and during MEDEVAC mission; applying an atraumatic clamp to the aorta should be used at hospital stages during resuscitation thoracotomies. At the same time, all methods of temporary compression of the aorta cannot be considered as the alternatives to each other since they act as “bridge procedures” before the final surgical hemostasis. |
| Tags |
temporary occlusion of the aorta,hemostasis,combat surgical trauma,resuscitation surgery |
| Bibliography |
- Abdullayev RYa, Bahriy OS, Bespalenko AA, Bibichenko SI, Boyko VV, Bondarenko VV. Atlas boiovoi khirurhichnoi travmy (dosvid antyterorystychnoi operatsii/operatsii obiednanykh syl). Tsymbaliuk VI, redaktor. Kharkiv: Kolehium; 2021. 385 p.[in Ukrainian].
- Budzan IM, Vovk MS, Honcharuk VS, Humenyuk KV, Zinchenko VB, Korolʹ SO. Khirurhichna taktyka pry poranenniakh sertsia ta sudyn hrudnoi porozhnyny. Humeniuk KV, redaktor. Kyiv: Vydavnytstvo Liudmyla; 2023. 32 p. [in Ukrainian].
- Korol SO, Aslanian SA, Chelishvili AL, Vovk MS, Honcharuk VS, Palii IP. Kliniko-instrumentalni osoblyvosti diahnostyky boyovoyi khirurhichnoyi travmy hrudnoyi klitky z defektamy tkanyn. World of medicine and biology. 2023;85(3):107–112. doi: 10.26724/2079-8334-2023-3-85-107-112[in Ukrainian].
- Lurin IA, Khoroshun EA, Humeniuk KV, Makarov VV, Nehoduiko VV. Likuvannia poranenykh z boiovymy ushkodzhenniamy hrudei. Tsymbaliuk VI, redaktor. Ternopil: Ternopilskyi natsionalnyi medychnyi universytet imeni I. Ya. Horbachevskoho MOZ Ukrainy; 2023. 236 p. [in Ukrainian].
- Panasenko SI. Torakoabdominalna politravma iz dominuiuchym ushkodzhenniam hrudei (kliniko-epidemiolohichne, kliniko-eksperymentalne ta klinichne doslidzhennia) [dysertatsiia]. Vinnytsia: Vinnytskyi natsionalnyi medychnyi universytet imeni M. I. Pyrohova; 2018. 369 p. [in Ukrainian].
- Brännström A, Dahlquist A, Gustavsson J, Arborelius UP, Günther M. Transition from abdominal aortic and junctional tourniquet to zone 3 resuscitative endovascular balloon occlusion of the aorta is feasible with hemodynamic support after porcine class IV hemorrhage. J Trauma Acute Care Surg. 2019 Oct;87(4):849–855. doi: 10.1097/TA.0000000000002426.
- Emergent Resuscitative Thoracotomy (ERT) (CPG ID: 20). 18 Jul 2018. https://tccc.org.ua/en/guide/emergent-resuscitative-thoracotomy-ert-cpg.
- Handford C, Parker PJ. The Potential Use of the Abdominal Aortic Junctional Tourniquet® in a Military Population: A Review of Requirement, Effectiveness, and Usability. J Spec Oper Med. 2019 Winter;19(4):74–79. doi: 10.55460/39ZK-FAZZ.
- Hendriks IF, Zhuravlev DA, Bovill JG, Boer F, Gaivoronskii IV, Hogendoorn PCW, et al. Nikolay Ivanovich Pirogov (1810-1881): Anatomical research to develop surgery. Clin Anat. Jul 2020; 33(5):714–730. doi: 10.1002/ca.23493.
- Joseph B, Zeeshan M, Sakran JV, Hamidi M, Kulvatunyou N, Khan M, et al. Nationwide analysis of resuscitative endovascular balloon occlusion of the aorta in civilian trauma. JAMA Surg. 2019 Jun 1;154(6):500–508. doi: 10.1001/jamasurg.2019.0096.
- Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) for Hemorrhagic Shock. 31 Mar 2020. https://tccc.org.ua/en/guide/reboa-for-hemorrhagic-shock-cpg
- Schechtman DW, Kauvar DS, De Guzman R, Polykratis IA, Prince MD, Kheirabadi BS, et al. Abdominal aortic and junctional tourniquet versus zone III resuscitative endovascular balloon occlusion of the aorta in a swine junctional hemorrhage model. J Trauma Acute Care Surg. 2020 Feb;88(2):292–297. doi: 10.1097/TA.0000000000002553.
- Schwartz RB, Shiver SA, Reynolds BZ, Lowry J, Holsten SB, Akers TW, et al. The Use of the Abdominal Aortic and Junctional Tourniquet Versus Combat Gauze in a Porcine Hemicorporectomy Model. J Spec Oper Med. 2019 Summer;19(2):69–72. doi: 10.55460/DIA2-IDCY.
- Tibbits EM, Hoareau GL, Simon MA, Davidson AJ, DeSoucy ES, Faulconer ER, et al. Location is everything: the hemodynamic effects of REBOA in zone 1 versus zone 3 of the aorta. J Trauma Acute Care Surg. 2018;85(1):101–107. doi: 10.1097/TA.0000000000001858.
|
| Publication of the article |
«World of Medicine and Biology» №4(90), 2024 year, 088-092 pages, index UDK 617-001.45-036.11:617-089.811/814-039.74:611.132 |
| DOI |
10.26724/2079-8334-2024-4-90-88-92 |
