Evidence map›Paper›PMID 34911463›Full record

Observational studyBMC emergency medicine2021

Changes in peripheral arterial blood pressure after resuscitative endovascular balloon occlusion of the aorta (REBOA) in non-traumatic cardiac arrest patients.

Jostein Rødseth Brede, Eivinn Skjærseth, Pål Klepstad, Trond Nordseth, Andreas Jørstad Krüger

Registry-linked trialAbstract readObservational Study
In one paragraph

Observational study in BMC emergency medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03534011 (Resuscitative Balloon Occlusion of the Aorta), which is not on this map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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.

NCT03534011 nacompletednot on this map

Resuscitative Balloon Occlusion of the Aorta (REBOA) in Non-traumatic Out of Hospital Cardiac Arrest - a Pilot Study

TypeinterventionalSponsorNorwegian University of Science and TechnologyRan2018 to 2021Enrolled20ConditionsOut-of-Hospital Cardiac ArrestArmsResuscitative Balloon Occlusion of the Aorta, REBOA catheter
3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. The end of balloons? Our take on the UK-REBOA trial.Scandinavian journal of trauma, resuscitation and emergency medicine · 2023
    Article
  10. Review
  11. 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

5 authors.

Jostein Rødseth BredeDepartment of Emergency Medicine and Pre-Hospital Services, St. Olav's Hospital, Trondheim University Hospital, Trondheim, Norway. Jostein.brede@norskluftambulanse.no.
Eivinn SkjærsethDepartment of Emergency Medicine and Pre-Hospital Services, St. Olav's Hospital, Trondheim University Hospital, Trondheim, Norway.
Pål KlepstadDepartment of Anesthesiology and Intensive Care Medicine, St. Olav's Hospital, Trondheim University Hospital, Trondheim, Norway.
Trond NordsethDepartment of Anesthesiology and Intensive Care Medicine, St. Olav's Hospital, Trondheim University Hospital, Trondheim, Norway.
Andreas Jørstad KrügerDepartment of Emergency Medicine and Pre-Hospital Services, St. Olav's Hospital, Trondheim University Hospital, Trondheim, Norway.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundResuscitative endovascular balloon occlusion of the aorta (REBOA) may be an adjunct treatment to cardiopulmonary resuscitation (CPR). Aortic occlusion may increase aortic pressure and increase the coronary perfusion pressure and the cerebral blood flow. Peripheral arterial blood pressure is often measured during or after CPR, however, changes in peripheral blood pressure after aortic occlusion is insufficiently described. This study aimed to assess changes in peripheral arterial blood pressure after REBOA in patients with out of hospital cardiac arrest.

methodsA prospective observational study performed at the helicopter emergency medical service in Trondheim (Norway). Eligible patients received REBOA as adjunct treatment to advanced cardiac life support. Peripheral invasive arterial blood pressure and end-tidal CO

resultsFive patients were included to the study. The median REBOA procedural time was 11 min and median time from dispatch to aortic occlusion was 50 min. Two patients achieved return of spontaneous circulation. EtCO

conclusionThis study is, to our knowledge, the first to assess the peripheral invasive arterial blood pressure response to aortic occlusion during CPR in the pre-hospital setting. REBOA application during CPR is associated with a significantly increase in peripheral artery pressures. This likely indicates improved central aortic blood pressure and warrants studies with simultaneous peripheral and central blood pressure measurement during aortic occlusion.

trial registrationThe study is registered in ClinicalTrials.gov ( NCT03534011 ).

Indexed as

Balloon OcclusionCardiopulmonary ResuscitationOut-of-Hospital Cardiac ArrestShock, HemorrhagicAortaArterial PressureBlood PressureHumansResuscitationAdvanced cardiovascular life supportAortic occlusionBlood pressureREBOAResuscitation

Identifiers

PMID34911463
PMCPMC8672343

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Registered trials

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.