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Critical Care Reviews Podcast
UK-REBOA Trial Presentation
Oct 12, 2023
Jan Jansen and Marion Campbell present the results of the UK-REBOA trial, investigating the use of REBOA in trauma patients. They discuss the enrollment process, data collection, and clinical trial results. The podcast also covers the importance of reducing time to hemostasis in hemorrhagic deaths and the challenges of managing blunt trauma injuries. Additionally, they explore the difficulties of intubation in children and evaluating efficacy.
01:27:26
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Quick takeaways
- The UK-REBOA trial found that the addition of Riboa to standard care increased 90-day all-cause mortality, specifically due to hemorrhage, highlighting the need for further research on trauma laparotomy patients who may benefit from hemorrhage control interventions.
- The study acknowledged the learning curve and volume issues associated with introducing Riboa, suggesting that future studies in high-volume centers with stringent accreditation and credentialing processes could address these challenges.
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Main Findings of the Podcast
The UK-Riboa trial investigated the use of riboa in trauma patients with severe non-compressible torso hemorrhage. The trial found that the addition of Riboa to standard care increased 90-day all-cause mortality with a high probability. Patients in the standard care plus Riboa arm were more likely to die from hemorrhage and more likely to die from hemorrhage early on in their treatment. The study also showed that fewer patients in the standard care plus Riboa arm progressed to hemorrhage control procedures, possibly due to higher mortality rates before the procedures could be performed.
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Discover
highlights
Listen to the best highlights from the podcasts you love and dive into the full episode