加拿大主动脉血管内球囊阻断复苏：加拿大紧急护理外科学协作组（CANUCS）的特定国情立场文件。
Resuscitative endovascular balloon occlusion of the aorta in Canada: a context-specific position paper from the Canadian Collaborative for Urgent Care Surgery (CANUCS).
机构信息
From the Department of Surgery, University of Alberta, Edmonton, Alta. (Bradley, Widder, Kim); the Department of Surgery, Western University, London, Ont. (Leeper, Parry, Vogt); the Department of Surgery, University of Ottawa, Ottawa, Ont. (Roberts, Lampron); the Department of Surgery, University of Calgary, Calgary, Alta. (Ball, Kirkpatrick); the Department of Surgery, University of Toronto, Toronto, Ont. (Beckett, Neto Rezende, Ahmed, Gomez); the Department of Surgery, McMaster University, Hamilton, Ont. (Engels, Nenshi, Rice); the Department of Surgery, University of British Columbia, Vancouver, BC (Joos, Hameed), the Departments of Surgery and of Critical Care Medicine, McGill University, Montréal, Que. (Khwaja); the Department of Surgery, Dalhousie University, Halifax, NS (Minor); the Department of Surgery, University of Manitoba, Winnipeg, Man. (Gillman); the Department of Surgery, Medical College of Wisconsin, Milwaukee, Wis. (Murphy)
From the Department of Surgery, University of Alberta, Edmonton, Alta. (Bradley, Widder, Kim); the Department of Surgery, Western University, London, Ont. (Leeper, Parry, Vogt); the Department of Surgery, University of Ottawa, Ottawa, Ont. (Roberts, Lampron); the Department of Surgery, University of Calgary, Calgary, Alta. (Ball, Kirkpatrick); the Department of Surgery, University of Toronto, Toronto, Ont. (Beckett, Neto Rezende, Ahmed, Gomez); the Department of Surgery, McMaster University, Hamilton, Ont. (Engels, Nenshi, Rice); the Department of Surgery, University of British Columbia, Vancouver, BC (Joos, Hameed), the Departments of Surgery and of Critical Care Medicine, McGill University, Montréal, Que. (Khwaja); the Department of Surgery, Dalhousie University, Halifax, NS (Minor); the Department of Surgery, University of Manitoba, Winnipeg, Man. (Gillman); the Department of Surgery, Medical College of Wisconsin, Milwaukee, Wis. (Murphy).
出版信息
Can J Surg. 2022 May 11;65(3):E310-E316. doi: 10.1503/cjs.015319. Print 2022 May-Jun.
Resuscitative endovascular balloon occlusion of the aorta (REBOA) is a well-described intervention for noncompressible torso hemorrhage. Several Canadian centres have included REBOA in their hemorrhagic shock protocols. However, REBOA has known complications and equipoise regarding its use persists. The Canadian Collaborative on Urgent Care Surgery (CANUCS) comprises surgeons who provide acute trauma care and leadership in Canada, with experience in REBOA implementation, use, education and research. Our goal is to provide evidence- and experience-based recommendations regarding institutional implementation of a REBOA program, including multidisciplinary educational programs, attention to device and care pathway logistics, and a robust quality assurance program. This will allow Canadian trauma centres to maximize patient benefits and minimize risks of this potentially life-saving technology.
主动脉球囊阻断复苏术（REBOA）是一种针对非压迫性躯干出血的成熟介入治疗方法。加拿大的几个中心已经将 REBOA 纳入其失血性休克方案中。然而，REBOA 存在已知的并发症，其使用的平衡仍在持续。加拿大急症外科协作组（CANUCS）由在加拿大提供急性创伤护理和领导的外科医生组成，他们在 REBOA 的实施、使用、教育和研究方面拥有丰富经验。我们的目标是提供基于证据和经验的建议，以指导 REBOA 项目的机构实施，包括多学科教育计划、关注设备和护理路径的后勤以及强有力的质量保证计划。这将使加拿大创伤中心能够最大限度地提高患者的受益，同时最大限度地降低这种潜在救生技术的风险。
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