NDLI: RESUSCITATIVE RECTAL BALLOON COMPRESSION COMBINED WITH PELVIC BINDER EFFICIENTLY CONTROLLED FATAL VENOUS HEMORRHAGE IN A HEMODYNAMICALLY UNSTABLE PELVIC FRACTURE CANINE MODEL.

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RESUSCITATIVE RECTAL BALLOON COMPRESSION COMBINED WITH PELVIC BINDER EFFICIENTLY CONTROLLED FATAL VENOUS HEMORRHAGE IN A HEMODYNAMICALLY UNSTABLE PELVIC FRACTURE CANINE MODEL.

Content Provider	Europe PMC
Author	Chu, Qinjun Jin, Xiaogao Bing, Hailong Zhang, Chenxi Bai, Jingyue Li, Fang Lou, Junge Sun, Liwei Lin, Lin Li, Liumei Wang, Haibo Zhou, Zhanfeng Lian, Hongkai
Copyright Year	2023
Abstract	ABSTRACTObjective: This study evaluated the feasibility of a combination of pelvic binder and rectal balloon compression in managing fatal venous hemorrhage in a canine model of pelvic fracture. Methods: Rectums from humans (rectal cancer patients), swine, and canines were retrieved to determine their elasticity by measuring their stress and strain. Canines were selected as the animal model in this study because their rectum demonstrated more reversible strain than swine rectum. Doppler ultrasound was used to assess the effect of rectal balloon volume on the blood flow of pelvic iliac blood vessels in three canines. A rectal balloon of 250 mL was chosen to control pelvic venous bleeding as it could provide a peak effect in reducing the blood flow of bilateral internal iliac veins. Then, the open-book pelvic fracture with fatal bleeding of both internal iliac veins animal model was built. The animals were divided into four groups after the modeled surgery to undergo no treatment, pelvic binder, rectal balloon compression, or a combination of pelvic binder and rectal balloon compression. The treatment efficacy was evaluated based on their survival time, survival rate, blood loss, bleeding rate, infusion rate, blood pH, lactate concentration, the stability of hemodynamics, blood loss, and fluid infusion volume. Results: Our results showed that after the reproducible injuries in both internal iliac veins, the combination of pelvic binder and rectal balloon compression was associated with the best survival rate and survival time compared with the other treatment groups. In addition, the combination of pelvic binder and rectal balloon compression exhibited more stable hemodynamics than the pelvic binder or rectal balloon compression treatment alone. Conclusions: This study demonstrated the potential feasibility of using pelvic binder combined with rectal balloon compression to manage the fatal venous bleeding in pelvic fractures.
Related Links	https://europepmc.org/backend/ptpmcrender.fcgi?accid=PMC10227942&blobtype=pdf
ISSN	10732322
Journal	Shock (Augusta, Ga.) [Shock]
Volume Number	59
PubMed Central reference number	PMC10227942
Issue Number	6
PubMed reference number	37001912
e-ISSN	15400514
DOI	10.1097/shk.0000000000002116
Language	English
Publisher	Lippincott Williams & Wilkins
Publisher Date	2023-04-23
Access Restriction	Open
Rights License	This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal. Copyright © 2023 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of the Shock Society.
Subject Keyword	Pelvic fracture vein hemorrhage rectum compression CI–cardiac index HR—heart rate LEIA—left external iliac artery LEIV—left external iliac vein LIIA—left internal iliac artery LIIV—left internal iliac vein PCWP—pulmonary capillary wedge pressure REIA—right external iliac artery REIV—right external iliac vein RIIA—right internal iliac artery RIIV—right internal iliac vein SVR—systemic vascular resistance
Content Type	Text
Resource Type	Article
Subject	Emergency Medicine Critical Care and Intensive Care Medicine

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