Exanguination, NCTH, Polytrauma
Conditions
Keywords
NCTH, Exanguination, Aortic occlusion
Brief summary
This study seeks to evaluate the feasibility of a Abdominal Aortic Balloon Occlusion of the Aorta (AAJT-S) in exanguinating trauma patients with non-compressible truncal haemorrhage in the emergency room and the pre-hospital setting.
Detailed description
Much like REBOA, AAJT-S can potentially stop blood flow distal to the device and therefore improve proximal aortic perfusion, minimize haemorrhage and stabilize patients until definite surgical repair/bleeding control is feasible. In contrast to REBOA, there is no need of femoral access and therefore, appropriate training is easily achieved. This study seeks to gather further information on the benefits and potential harms of this intervention on a multicentre level.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
1. Written consent of the participant after being informed 2. Aged, or believed to be aged, 18 years or above 3. Confirmed or suspected life-threatening lower body trauma (i.e. signs of inadequate perfusion of tissues, tachycardia, hypotension, suspected blood loss) 4. Thought to benefit from trauma resuscitation with AAJT-S or REBOA zone III 5. Traumatic cardiac arrest
Exclusion criteria
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Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| effective placement of the device | 1 hour | cessation of bloodflow distal to the device |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Outcome Measure | 30 days | 30-day in hospital mortality |
| Complications | 90 days | Occurrence of complications of device application |
| hemodynamic improvement after application | 1 hour | lower hart rate / higher blood pressure (improvement in bpm/mmHg) |
Countries
Austria