Evidence map›Paper›PMID 33795897›Full record

ReviewColombia medica (Cali, Colombia)2020

Damage control resuscitation: REBOA as the new fourth pillar.

Carlos A Ordoñez, Michael W Parra, José Julián Serna, Fernando Rodríguez-Holguin, Alberto García, Alexander Salcedo, Yaset Caicedo, Natalia Padilla, Luis Fernando Pino, Adolfo González Hadad and 10 more

Open access · diamondAbstract readReview
In one paragraph

Review in Colombia medica (Cali, Colombia), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
2.4field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 32 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. REBOA is Here to Stay: How to Manage the Resulting Complications.Seminars in interventional radiology · 2025
    Review
  4. Article
  5. Article
  6. Control of Haemorrhage in Orthopaedic Trauma.Journal of clinical medicine · 2024
    Review
  7. Observational
  8. Article
  9. Observational
  10. Review
  11. Damage control in penetrating cardiac trauma.Colombia medica (Cali, Colombia) · 2021
    Review
  12. Review
  13. Review
  14. Review
  15. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

20 authors at 10 institutions in 2 countries.

Carlos A OrdoñezFundación Valle del Lili. Division of Trauma and Acute Care Surgery, Department of Surgery. Cali, Colombia.ORCID 0000-0003-4495-7405
Michael W ParraBroward General Level I Trauma Center, Department of Trauma Critical Care, Fort Lauderdale, FL - USA.ORCID 0000-0001-6496-6275
José Julián SernaFundación Valle del Lili. Division of Trauma and Acute Care Surgery, Department of Surgery. Cali, Colombia.
Fernando Rodríguez-HolguinFundación Valle del Lili. Division of Trauma and Acute Care Surgery, Department of Surgery. Cali, Colombia.ORCID 0000-0002-5326-2317
Alberto GarcíaFundación Valle del Lili. Division of Trauma and Acute Care Surgery, Department of Surgery. Cali, Colombia.ORCID 0000-0002-4096-1434
Alexander SalcedoFundación Valle del Lili. Division of Trauma and Acute Care Surgery, Department of Surgery. Cali, Colombia.
Yaset CaicedoFundación Valle del Lili, Centro de Investigaciones Clínicas (CIC), Cali, Colombia.ORCID 0000-0002-6128-0128
Natalia PadillaFundación Valle del Lili, Centro de Investigaciones Clínicas (CIC), Cali, Colombia.ORCID 0000-0003-3292-6919
Luis Fernando PinoUniversidad del Valle, Facultad de Salud, Escuela de Medicina. Cali, Colombia.ORCID 0000-0002-1179-2854
Adolfo González HadadUniversidad del Valle, Facultad de Salud, Escuela de Medicina. Cali, Colombia.ORCID 0000-0001-5862-4906
Mario Alain HerreraUniversidad del Valle, Facultad de Salud, Escuela de Medicina. Cali, Colombia.ORCID 0000-0002-4526-7636
Mauricio MillánUniversidad Icesi, Cali, Colombia.ORCID 0000-0002-5502-5745
Laureano Quintero-BarreraUniversidad del Valle, Facultad de Salud, Escuela de Medicina. Cali, Colombia.
Fabian Hernández-MedinaUniversidad del Valle, Facultad de Salud, Escuela de Medicina. Cali, Colombia.ORCID 0000-0002-2974-0649
Ricardo FerradaUniversidad del Valle, Facultad de Salud, Escuela de Medicina. Cali, Colombia.
Megan BrennerUniversity of California, Department of Surgery Riverside University Health Systems . Riverside , CA , USA.ORCID 0000-0002-6917-4768
Todd RasmussenUniformed Services University, F. Edward Hebert School of Medicine, Department of Surgery, Bethesda, Maryland. USA.ORCID 0000-0003-1120-4116
Thomas ScaleaUniversity of Maryland, Department of Surgery, School of Medicine, Baltimore, MD USA.ORCID 0000-0001-8794-4108
Rao IvaturyProfessor Emeritus Virginia Commonwealth University, Richmond, VA, USA.ORCID 0000-0001-7208-7836
John B HolcombUniversity of Alabama Center for Injury Science, Department of Surgery, Birmingham. AL, USA.ORCID 0000-0001-8312-9157
Fundación Valle del Lili · COHospital Universitario del Valle ESE · COUniversidad del Valle · COBroward Health · USCaucaseco Scientific Research Center · COUniformed Services University of the Health Sciences · USUniversity of Alabama at Birmingham · USUniversity of California, Riverside · USUniversity of Maryland, Baltimore · USVirginia Commonwealth University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Damage Control Resuscitation (DCR) seeks to combat metabolic decompensation of the severely injured trauma patient by battling on three major fronts: Permissive Hypotension, Hemostatic Resuscitation, and Damage Control Surgery (DCS). The aim of this article is to perform a review of the history of DCR/DCS and to propose a new paradigm that has emerged from the recent advancements in endovascular technology: The Resuscitative Balloon Occlusion of the Aorta (REBOA). Thanks to the advances in technology, a bridge has been created between Pre-hospital Management and the Control of Bleeding described in Stage I of DCS which is the inclusion and placement of a REBOA. We have been able to show that REBOA is not only a tool that aids in the control of hemorrhage, it is also a vital tool in the hemodynamic resuscitation of a severely injured blunt and/or penetrating trauma patient. That is why we propose a new paradigm "The Fourth Pillar": Permissive Hypotension, Hemostatic Resuscitation, Damage Control Surgery and REBOA.

Indexed as

AortaBalloon OcclusionEndovascular ProceduresHumansHypotension, ControlledInjury Severity ScoreResuscitationWounds and InjuriesDamage Control ResuscitationHemorrhageREBOAShock

Identifiers

PMID33795897
PMCPMC7968430
OpenAlexW3118599331

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.