{"id":7181,"date":"2018-05-10T04:21:26","date_gmt":"2018-05-10T02:21:26","guid":{"rendered":"http:\/\/news-papers.eu\/?p=7181"},"modified":"2018-05-09T21:10:09","modified_gmt":"2018-05-09T19:10:09","slug":"reboa","status":"publish","type":"post","link":"http:\/\/news-papers.eu\/?p=7181","title":{"rendered":"REBOA – Resuscitative Endovascular Balloon Occlusion of the Aorta"},"content":{"rendered":"

Ein Beitrag von PD Dr. J\u00fcrgen Knapp, Bern\/schweiz:<\/strong><\/p>\n

Verbluten ist beim Traumapatienten die h\u00e4ufigste vermeidbare Todesursache und ist Ursache von 30-40% aller Todesf\u00e4lle beim Trauma. Dabei finden sich im zivilen Rettungsdienst in Europa lebensbedrohliche Blutungen meist in nicht komprimierbaren K\u00f6rperregionen wie dem Abdomen oder dem Becken. Zur raschen Kontrolle von schwersten Blutungen in diesen Bereichen wird daher in letzter Zeit das v.a. im Bereich der Gef\u00e4\u00dfchirurgie etablierte Verfahren der aortalen Ballonokklusion auch f\u00fcr die notfallm\u00e4\u00dfige Versorgung von Traumapatienten propagiert.<\/p>\n

In einem aktuell im Anaesthesisten erschienenen Artikel wird eine umfassende \u00dcbersicht \u00fcber die Technik, m\u00f6gliche Indikationen, Kontraindikationen und Komplikationen der notfallm\u00e4\u00dfigen endovaskul\u00e4ren Ballonokklusion der Aorta (Resuscitative Endovascular Balloon Occlusion of the Aorta<\/em>, REBOA) geboten.:<\/p>\n

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Knapp J et al. <\/strong>REBOA (Resuscitative Endovascular Balloon Occlusion of the Aorta) \u2013 <\/strong>eine Option f\u00fcr nicht komprimierbare K\u00f6rperstammblutungen? Anaesthesist 2018, online first.<\/strong><\/p>\n<\/blockquote>\n

Zus\u00e4tzlich werden s\u00e4mtliche bisher berichteten Behandlungsergebnisse aus der verf\u00fcgbaren Literatur zusammengefasst und diskutiert, um hieraus m\u00f6gliche praxisrelevante Konsequenzen f\u00fcr die zuk\u00fcnftige Etablierung der REBOA im Bereich der Notfallmedizin abzuleiten.<\/p>\n

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Ein Beitrag von PD Dr. J\u00fcrgen Knapp, Bern\/schweiz: Verbluten ist beim Traumapatienten die h\u00e4ufigste vermeidbare Todesursache und ist Ursache von 30-40% aller Todesf\u00e4lle beim Trauma. Dabei finden sich im zivilen […]<\/p>\n","protected":false},"author":2,"featured_media":7182,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"__cvm_playback_settings":[],"__cvm_video_id":"","jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2}},"categories":[1210],"tags":[408],"class_list":["post-7181","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-blutungsmanagement","tag-reboa"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2018\/03\/Bildschirmfoto-2018-03-06-um-21.26.29-e1520368060218.png?fit=300%2C257","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/s7fR2g-reboa","jetpack-related-posts":[{"id":19253,"url":"http:\/\/news-papers.eu\/?p=19253","url_meta":{"origin":7181,"position":0},"title":"REBOA \u2013 Aktuelle Erkenntnisse \u00fcber Einsatz, Technik und Management","author":"Bj\u00f6rn Hossfeld","date":"Februar 24, 2025","format":false,"excerpt":"Ein Gastbeitrag von Ferdinand Maier, Ulm\u00a0 \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Blutungen geh\u00f6ren nach wie vor zu den h\u00e4ufigsten Todesursachen bei Trauma sowohl in der Zivilbev\u00f6lkerung als auch bei den Streitkr\u00e4ften. Die Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) stellt im Gegensatz zu der invasiven Notfallthorakotomie eine minimal-invasive Technik dar, die als vor\u00fcbergehende\u2026","rel":"","context":"In "REBOA"","block_context":{"text":"REBOA","link":"http:\/\/news-papers.eu\/?cat=1150"},"img":{"alt_text":"REBOA","src":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2016\/10\/2016-10-09%4016-07-36-e1476111538792.jpg?fit=500%2C827&resize=350%2C200","width":350,"height":200},"classes":[]},{"id":18470,"url":"http:\/\/news-papers.eu\/?p=18470","url_meta":{"origin":7181,"position":1},"title":"Pr\u00e4hospitaler Einsatz der REBOA bei exsanguierender subdiaphragmatischer Blutung","author":"Bj\u00f6rn Hossfeld","date":"Juli 23, 2024","format":false,"excerpt":"Ein Gastbeitrag von Ferdinand Maier, Ulm Reminder REBOA (Resuscitative Endovascular Balloon Occlusion of the Aorta) Die REBOA beschreibt ein Vorgehen, bei dem ein Katheter \u00fcber eine der Leistenarterien bis in die Aorta vorgeschoben wird. Am Katheter selbst befindet sich ein Ballon, der ganz oder partiell geblockt werden kann. Dabei sollen\u2026","rel":"","context":"In "REBOA"","block_context":{"text":"REBOA","link":"http:\/\/news-papers.eu\/?cat=1150"},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2018\/10\/Bildschirmfoto-2018-10-11-um-13.00.01.png?fit=838%2C660&resize=350%2C200","width":350,"height":200,"srcset":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2018\/10\/Bildschirmfoto-2018-10-11-um-13.00.01.png?fit=838%2C660&resize=350%2C200 1x, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2018\/10\/Bildschirmfoto-2018-10-11-um-13.00.01.png?fit=838%2C660&resize=525%2C300 1.5x, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2018\/10\/Bildschirmfoto-2018-10-11-um-13.00.01.png?fit=838%2C660&resize=700%2C400 2x"},"classes":[]},{"id":9786,"url":"http:\/\/news-papers.eu\/?p=9786","url_meta":{"origin":7181,"position":2},"title":"REBOA \u2013 taugt das jetzt was oder nicht?","author":"Michael Bernhard","date":"Juli 14, 2019","format":false,"excerpt":"Ein Beitrag von PD Dr. J\u00fcrgen Knapp, Bern\/Schweiz: Joseph B et al. Nationwide Analysis of Resuscitative Endovascular Balloon Occlusion of the Aorta in Civilian Trauma. JAMA Surg 2019; doi:10.1001\/jamasurg.2019.0096 \u00a0Nachdem die REBOA beim verblutenden Trauma-Patienten in den letzten Jahren ein ziemliches Revival erfahren hat, liegt nun eine erste gute und\u2026","rel":"","context":"In "REBOA"","block_context":{"text":"REBOA","link":"http:\/\/news-papers.eu\/?cat=1150"},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2018\/10\/Bildschirmfoto-2018-10-11-um-13.00.01.png?fit=838%2C660&resize=350%2C200","width":350,"height":200,"srcset":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2018\/10\/Bildschirmfoto-2018-10-11-um-13.00.01.png?fit=838%2C660&resize=350%2C200 1x, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2018\/10\/Bildschirmfoto-2018-10-11-um-13.00.01.png?fit=838%2C660&resize=525%2C300 1.5x, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2018\/10\/Bildschirmfoto-2018-10-11-um-13.00.01.png?fit=838%2C660&resize=700%2C400 2x"},"classes":[]},{"id":11409,"url":"http:\/\/news-papers.eu\/?p=11409","url_meta":{"origin":7181,"position":3},"title":"REBOA beim traumatischen Kreislaufstillstand","author":"Michael Bernhard","date":"April 28, 2020","format":false,"excerpt":"Ein\u00a0Beitrag von PD Dr. J\u00fcrgen Knapp.\u00a0 Eine weitere interessante Publikation zum Einsatz der REBOA wurde aktuell ver\u00f6ffentlicht: Hilbert-Carius P et al. Pre-hospital CPR and early REBOA in trauma patients \u2014 results from the\u00a0ABOTrauma Registry. World J Emerg Surg 2020; 15:23 https:\/\/doi.org\/10.1186\/s13017-020-00301-8 Die Studie kurz zusammengefasst: retrospektive Beobachtungsstudie aus dem noch\u2026","rel":"","context":"In "REBOA"","block_context":{"text":"REBOA","link":"http:\/\/news-papers.eu\/?cat=1150"},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2018\/10\/Bildschirmfoto-2018-10-11-um-13.00.01.png?fit=838%2C660&resize=350%2C200","width":350,"height":200,"srcset":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2018\/10\/Bildschirmfoto-2018-10-11-um-13.00.01.png?fit=838%2C660&resize=350%2C200 1x, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2018\/10\/Bildschirmfoto-2018-10-11-um-13.00.01.png?fit=838%2C660&resize=525%2C300 1.5x, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2018\/10\/Bildschirmfoto-2018-10-11-um-13.00.01.png?fit=838%2C660&resize=700%2C400 2x"},"classes":[]},{"id":16324,"url":"http:\/\/news-papers.eu\/?p=16324","url_meta":{"origin":7181,"position":4},"title":"REBOA pr\u00e4hospital ?","author":"Bj\u00f6rn Hossfeld","date":"Dezember 12, 2022","format":false,"excerpt":"Ein Gastbeitrag von Yannick Beres, Ulm:\u00a0\u00a0\u00a0\u00a0\u00a0\u201eResuscitative endovascular balloon occlusion of the aorta\u201c (REBOA) ist eine minimalinvasive Technik, um mittels endovaskul\u00e4re Okklusion der Aorta, eine nicht komprimierbare kritische Blutung im Bereich des Abdomens oder Beckens tempor\u00e4r zu kontrollieren. Neben der Blutungskontrolle erreicht man \u00fcber die Okklusion \u201enach unten\u201c eine Verbesserung der\u2026","rel":"","context":"In "REBOA"","block_context":{"text":"REBOA","link":"http:\/\/news-papers.eu\/?cat=1150"},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2018\/10\/Bildschirmfoto-2018-10-11-um-13.00.01.png?fit=838%2C660&resize=350%2C200","width":350,"height":200,"srcset":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2018\/10\/Bildschirmfoto-2018-10-11-um-13.00.01.png?fit=838%2C660&resize=350%2C200 1x, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2018\/10\/Bildschirmfoto-2018-10-11-um-13.00.01.png?fit=838%2C660&resize=525%2C300 1.5x, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2018\/10\/Bildschirmfoto-2018-10-11-um-13.00.01.png?fit=838%2C660&resize=700%2C400 2x"},"classes":[]},{"id":8238,"url":"http:\/\/news-papers.eu\/?p=8238","url_meta":{"origin":7181,"position":5},"title":"REBOA-Training f\u00fcr \u00fcberregionale Traumazentren sinnvoll","author":"Bj\u00f6rn Hossfeld","date":"November 7, 2018","format":false,"excerpt":"F\u00fcr die Notfallmedizin werden aktuell viele \"neue\" invasive Verfahren diskutiert. Eines davon ist REBOA (Resuscitative Endovascular Balloon Occlusion of the Aorta) - die Platzierung und Blockung eines Ballon-Katheters \u00fcber die Leistenarterie in der Aorta, um z.B. bei schwerem Beckentrauma mit massivem Blutverlust die Blutzufuhr in die untere K\u00f6rperh\u00e4lfte zu stoppen\u2026","rel":"","context":"In "REBOA"","block_context":{"text":"REBOA","link":"http:\/\/news-papers.eu\/?cat=1150"},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2018\/10\/Bildschirmfoto-2018-10-11-um-13.00.01.png?fit=838%2C660&resize=350%2C200","width":350,"height":200,"srcset":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2018\/10\/Bildschirmfoto-2018-10-11-um-13.00.01.png?fit=838%2C660&resize=350%2C200 1x, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2018\/10\/Bildschirmfoto-2018-10-11-um-13.00.01.png?fit=838%2C660&resize=525%2C300 1.5x, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2018\/10\/Bildschirmfoto-2018-10-11-um-13.00.01.png?fit=838%2C660&resize=700%2C400 2x"},"classes":[]}],"jetpack_likes_enabled":true,"_links":{"self":[{"href":"http:\/\/news-papers.eu\/index.php?rest_route=\/wp\/v2\/posts\/7181","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/news-papers.eu\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/news-papers.eu\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/news-papers.eu\/index.php?rest_route=\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"http:\/\/news-papers.eu\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=7181"}],"version-history":[{"count":4,"href":"http:\/\/news-papers.eu\/index.php?rest_route=\/wp\/v2\/posts\/7181\/revisions"}],"predecessor-version":[{"id":7514,"href":"http:\/\/news-papers.eu\/index.php?rest_route=\/wp\/v2\/posts\/7181\/revisions\/7514"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/news-papers.eu\/index.php?rest_route=\/wp\/v2\/media\/7182"}],"wp:attachment":[{"href":"http:\/\/news-papers.eu\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=7181"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/news-papers.eu\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=7181"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/news-papers.eu\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=7181"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}