This patient has four devices.
- There is an endotracheal tube that is malpositioned into the right mainstem bronchi.
- A right subclavian central line can be seen positioned in the right atrium
- A right sided chest tube is in good position
- Coursing up from the femoral area is a REBOA catheter.
What is a REBOA catheter? REBOA = Resuscitative Endovascular Balloon Occlusion of the Aorta. It is relatively new technology in which a specialized catheter is used with a balloon that occludes the aorta. It is predominantly used in lieu of cross-clamping the aorta for severely ill trauma patients with uncontrolled abdominal hemorrhage as a temporizing device to allow time for transport to the OR and definitive control.
The patient’s lungs also appear with contusions and possibly a posterior hemothorax (patient is supine) on the left.
For a detailed discussion of REBOA including radiologic placement please refer to Life in the Fast Lane:
Author: Russell Jones, MD