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dc.contributor.authorFrassini, Simone
dc.contributor.authorGupta, Shailvi
dc.contributor.authorGranieri, Stefano
dc.contributor.authorCimbanassi, Stefania
dc.contributor.authorSammartano, Fabrizio
dc.contributor.authorChiara, Osvaldo
dc.contributor.authorScalea, Thomas
dc.date.accessioned2021-09-14T13:04:50Z
dc.date.available2021-09-14T13:04:50Z
dc.date.issued2021-01-01
dc.identifier.urihttp://hdl.handle.net/10713/16626
dc.description.abstractPelvic trauma continues to have a high mortality rate despite damage control techniques for bleeding control. The aim of our study was to evaluate how Extra-peritoneal Pelvic Packing (EPP) and Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) impact the efficacy on mortality and hemodynamic impact. We retrospectively evaluated patients who sustained blunt trauma, pelvic fracture and hemodynamic instability from 2002 to 2018. We excluded a concomitant severe brain injury, resuscitative thoracotomy, penetrating trauma and age below 14 years old. The study population was divided in EPP and REBOA Zone III group. Propensity score matching was used to adjust baseline differences and then a one-to-one matched analysis was performed. We selected 83 patients, 10 for group: survival rate was higher in EPP group, but not significantly in each outcome we analyzed (24 h, 7 day, overall). EPP had a significant increase in main arterial pressure after procedure (+20.13 mmHg, p < 0.001), but this was not as great as the improvement seen in the REBOA group (+45.10 mmHg, p < 0.001). EPP and REBOA are effective and improve hemodynamic status: both are reasonable first steps in a multidisciplinary management. Zone I REBOA may be useful in patients 'in extremis condition' with multiple sites of torso hemorrhage, particularly those in extremis.en_US
dc.description.urihttps://doi.org/10.3390/jcm10010129en_US
dc.language.isoenen_US
dc.publisherMDPI AGen_US
dc.relation.ispartofJournal of Clinical Medicineen_US
dc.subjectREBOAen_US
dc.subjectbleedingen_US
dc.subjectextra-peritoneal packingen_US
dc.subjectpackingen_US
dc.subjectpelvic traumaen_US
dc.subjectresuscitationen_US
dc.titleEmergency Management of Pelvic Bleedingen_US
dc.typeArticleen_US
dc.identifier.doi10.3390/jcm10010129
dc.identifier.pmid33401504
dc.source.volume10
dc.source.issue1
dc.source.countrySwitzerland


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