Title |
Resuscitative endovascular balloon occlusion of the aorta deployed by acute care surgeons in patients with morbidly adherent placenta: a feasible solution for two lives in peril
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Published in |
World Journal of Emergency Surgery, September 2018
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DOI | 10.1186/s13017-018-0205-2 |
Pubmed ID | |
Authors |
Ramiro Manzano-Nunez, Maria F. Escobar-Vidarte, Claudia P. Orlas, Juan P. Herrera-Escobar, Samuel M. Galvagno, Juan J. Melendez, Natalia Padilla, Justin C. McCarty, Albaro J. Nieto, Carlos A. Ordoñez |
Abstract |
Morbidly adherent placenta (MAP), which includes accreta, increta, and percreta, is a condition characterized by the invasion of the uterine wall by placental tissue. The condition is associated with higher odds of massive post-partum hemorrhage. Several interventions have been developed to improve hemorrhage-related outcomes in these patients; however, there is no evidence to prefer any intervention over another. Resuscitative endovascular balloon occlusion of the aorta (REBOA) is an endovascular intervention that may be useful and effective to reduce hemorrhage and transfusions in MAP patients. The objective of this narrative review is to summarize the evidence for REBOA in patients with MAP. We posit that acute care surgeons can perform REBOA for patients with MAP. |
X Demographics
Geographical breakdown
Country | Count | As % |
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Ecuador | 1 | 20% |
United Kingdom | 1 | 20% |
United States | 1 | 20% |
Unknown | 2 | 40% |
Demographic breakdown
Type | Count | As % |
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Members of the public | 3 | 60% |
Practitioners (doctors, other healthcare professionals) | 1 | 20% |
Scientists | 1 | 20% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
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Unknown | 64 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
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Researcher | 11 | 17% |
Student > Bachelor | 7 | 11% |
Other | 6 | 9% |
Student > Doctoral Student | 4 | 6% |
Student > Ph. D. Student | 3 | 5% |
Other | 13 | 20% |
Unknown | 20 | 31% |
Readers by discipline | Count | As % |
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Medicine and Dentistry | 32 | 50% |
Nursing and Health Professions | 5 | 8% |
Immunology and Microbiology | 2 | 3% |
Business, Management and Accounting | 1 | 2% |
Pharmacology, Toxicology and Pharmaceutical Science | 1 | 2% |
Other | 4 | 6% |
Unknown | 19 | 30% |