New ideas rely on innovators and early adopters to advance into mainstream practice. Brenner and colleagues1 at the R. Adams Cowley Shock Trauma Center at the University of Maryland are true early adopters. Building on the innovation of Hughes2 from the 1950s, Brenner et al1 have applied resuscitative endovascular balloon occlusion of the aorta (REBOA) to the trauma and acute care surgery settings. Their results are remarkable, but represent only the experience of early adopters at a single institution.
Galante JM. Early Adoption of Resuscitative Endovascular Balloon Occlusion of the Aorta: The Beginning of a Journey. JAMA Surg. 2018;153(2):136. doi:10.1001/jamasurg.2017.3552
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