重症肝損傷の長距離転院搬送に際してREBOAが有用であった1例

松岡 綾華; 三池 徹; 永嶋 太; 井上 聡; 岩永 幸子; 朝日 美穂; 吉武 邦将; 鳴海 翔悟; 木庭 真由子; 小網 博之; 阪本 雄一郎

doi:10.11382/jjast.36.3_09

This article has now been updated. Please use the final version.

A CASE OF SEVERE LIVER INJURY IN WHICH REBOA WAS USEFUL IN LONG-DISTANCE TRANSFER TO HOSPITAL : A CASE REPORT

Ayaka MATSUOKA, Toru MIIKE, Futoshi NAGASHIMA, Satoshi INOUE, Sachiko IWANAGA, Miho ASAHI, Kunimasa YOSHITAKE, Shogo NARUMI, Mayuko KOBA, Hiroyuki KOAMI, Yuichirou SAKAMOTO

Author information

Ayaka MATSUOKA
Department of Emergency and Critical Care Medicine, Faculty of Medicine, Saga University
Toru MIIKE
Department of Emergency and Critical Care Medicine, Faculty of Medicine, Saga University
Futoshi NAGASHIMA
Tajima Emergency and Critical Care Medical Center, Toyooka Public Hospital
Satoshi INOUE
Inoue Clinic
Sachiko IWANAGA
Department of Emergency and Critical Care Medicine, Faculty of Medicine, Saga University
Miho ASAHI
Department of Emergency and Critical Care Medicine, Faculty of Medicine, Saga University
Kunimasa YOSHITAKE
Department of Emergency and Critical Care Medicine, Faculty of Medicine, Saga University
Shogo NARUMI
Department of Emergency and Critical Care Medicine, Faculty of Medicine, Saga University
Mayuko KOBA
Department of Emergency and Critical Care Medicine, Faculty of Medicine, Saga University
Hiroyuki KOAMI
Division of Translational Research in Intensive Care Medicine, Faculty of Medicine, Saga University
Yuichirou SAKAMOTO
Department of Emergency and Critical Care Medicine, Faculty of Medicine, Saga University

Keywords: long-distance transfer, hemorrhagic shock, damage control strategy

JOURNAL FREE ACCESS Advance online publication

Article ID: 36.3_09

DOI https://doi.org/10.11382/jjast.36.3_09

The final version of this article is now available: Vol. 36 (2022), No. 3 pp. 310-314

Details

Abstract

　　A 46-year-old man was diagnosed with severe liver injury with hemorrhagic shock, and required transfer to our hospital. Blood transfusion and resuscitative endovascular balloon occlusion of the aorta (REBOA) had already been performed at the previous hospital, and damage-control surgery was performed on admission to our hospital. A total of 148 minutes of aortic blockade management was performed. In general, ischemic complications occur when REBOA is used for longer than 40 minutes ; however, a combination of partial REBOA and intermittent REBOA avoided REBOA-related complications. Maintenance of circulation by REBOA may be an option for transferring patients with hemorrhagic shock.

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