A management algorithm for adult patients with both brain oxygen and intracranial pressure monitoring: the Seattle International Severe Traumatic Brain Injury Consensus Conference (SIBICC)

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A management algorithm for adult patients with both brain oxygen and intracranial pressure monitoring : the Seattle International Severe Traumatic Brain Injury Consensus Conference (SIBICC)

Chesnut, Randall (författare): Department of Neurological Surgery, Harborview Medical Center, University of Washington, Seattle, Washington, USA; Department of Orthopaedic Surgery, Harborview Medical Center, University of Washington, Seattle, Washington, USA

Aguilera, Sergio (författare): Almirante Nef Naval Hospital, Viña del Mar, Chile; Valparaiso University, Valparaiso, Chile

Büki, Andras, 1966- (författare): Department of Neurosurgery, Medical School and Szentágothai Research Centre, Pécs, Hungary; University of Pécs, Pécs, Hungary

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Bulger, Eileen (författare): Department of Surgery, Harborview Medical Center, University of Washington, Seattle, WA, USA

Citerio, Giuseppe (författare): School of Medicine and Surgery, University of Milan-Bicocca, Milan, Italy; Neuro-Intensive Care, Department of Emergency and Intensive Care, ASST, San Gerardo Hospital, Monza, Italy

Cooper, D. Jamie (författare): Intensive Care Medicine, Australian and New Zealand Intensive Care Research Centre, Monash University, Monash, Australia; Department of Intensive Care, Alfred Hospital, Melbourne, VIC, Australia

Arrastia, Ramon Diaz (författare): University of Pennsylvania Perelman School of Medicine, Penn Presbyterian Medical Center, Philadelphia, USA

Diringer, Michael (författare): Department of Neurology, Barnes-Jewish Hospital, Washington University School of Medicine, 1 Barnes-Jewish Hospital Plaza, St. Louis, USA

Figaji, Anthony (författare): Division of Neurosurgery and Neuroscience Institute, University of Cape Town, Groote Schuur Hospital, Observatory, South Africa

Gao, Guoyi (författare): Department of Neurosurgery, Renji Hospital, Shanghai Institute of Head Trauma, Shanghai Jiaotong University School of Medicine, Shanghai, China

Geocadin, Romer (författare): Johns Hopkins University School of Medicine, Baltimore, USA

Ghajar, Jamshid (författare): Stanford Neuroscience Health Center, Palo Alto, USA

Harris, Odette (författare): Department of Neurosurgery, Stanford, USA

Hoffer, Alan (författare): Department of Neurological Surgery, School of Medicine, Case Western Reserve University, Cleveland, USA

Hutchinson, Peter (författare): Division of Neurosurgery, Department of Clinical Neurosciences, Addenbrooke's Hospital and University of Cambridge, Cambridge Biomedical Campus, Cambridge, United Kingdom

Joseph, Mathew (författare): Department of Neurological Sciences, Christian Medical College, Tamil Nadu, India

Kitagawa, Ryan (författare): Vivian L Smith Department of Neurosurgery, McGovern Medical School at UTHealth, Houston, USA

Manley, Geoffrey (författare): University of California San Francisco, San Francisco General Hospital and Trauma Center, San Francisco, USA

Mayer, Stephan (författare): Neurology, K-11, Henry Ford Hospital, Detroit, USA

Menon, David K. (författare): Division of Anaesthesia, University of Cambridge and Addenbrooke's Hospital, Addenbrooke's Hospital, Cambridge, United Kingdom

Meyfroidt, Geert (författare): Department and Laboratory of Intensive Care Medicine, University Hospitals Leuven and KU Leuven, Leuven, Belgium

Michael, Daniel B. (författare): Oakland University William Beaumont School of Medicine, Beaumont Health, Michigan Head and Spine Institute, Southfield, USA

Oddo, Mauro (författare): Department of Intensive Care Medicine, CHUV-Lausanne University Hospital, University of Lausanne, Faculty of Biology and Medicine, Lausanne, Switzerland

Okonkwo, David (författare): Department of Neurosurgery, University of Pittsburgh Medical Center, Pittsburgh, USA

Patel, Mayur (författare): Vanderbilt University Medical Center, Nashville, USA

Robertson, Claudia (författare): Baylor College of Medicine, One Baylor Plaza, Houston, USA

Rosenfeld, Jeffrey V. (författare): Department of Neurosurgery, Alfred Hospital, Melbourne, Australia; Department of Surgery, Monash University, Melbourne, Australia

Rubiano, Andres M. (författare): INUB/MEDITECH Research Group, Neurosciences Institute, El Bosque University, Bogotá, Colombia; MEDITECH Foundation, Clinical Research, Cali, Colombia

Sahuquillo, Juan (författare): University Hospital Vall D'Hebron, Barcelona, Spain

Servadei, Franco (författare): Department of Neurosurgery, Humanitas University and Research Hospital, Milan, Italy; World Federation of Neurosurgical Societies, Nyon, Switzerland

Shutter, Lori (författare): University of Pittsburgh Medical Center, Pittsburgh, USA

Stein, Deborah (författare): Zuckerberg San Francisco General Hospital and Trauma Center, University of California, San Francisco, San Francisco, USA

Stocchetti, Nino (författare): Department of Physiopathology and Transplantation, Milan University, Milan, Italy; Neuroscience Intensive Care Unit, Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico, Milan, Italy

Taccone, Fabio Silvio (författare): Department of Intensive Care, Hospital Erasme, Université Libre de Bruxelles (ULB), Brussels, Belgium

Timmons, Shelly (författare): Department of Neurological Surgery, Penn State University Milton S. Hershey Medical Center, Hershey, USA

Tsai, Eve (författare): Suruchi Bhargava Chair in Spinal Cord and Brain Regeneration Research, University of Ottawa, The Ottawa Hospital, C2 Neurosciences Unit, The Ottawa Hosptial, Carling Avenue, Ottawa, Canada

Ullman, Jamie S. (författare): Department of Neurosurgery, Donald and Barbara Zucker School of Medicine At Hofstra/Northwell North, Shore University Hospital, Manhasset, New York, USA

Vespa, Paul (författare): Ronald Reagan UCLA Medical Center, UCLA Medical Center, Santa Monica, USA

Videtta, Walter (författare): Posadas Hospital, Buenos Aires, Argentina

Wright, David W. (författare): Emory University School of Medicine, Atlanta, USA

Zammit, Christopher (författare): School of Medicine and Dentistry, University of Rochester Medical Center, New York, USA

Hawryluk, Gregory W. J. (författare): Section of Neurosurgery, University of Manitoba, Winnipeg, Canada

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2020-01-21
2020
Engelska.
Ingår i: Intensive Care Medicine. - : Springer. - 0342-4642 .- 1432-1238. ; 46:5, s. 919-929

Relaterad länk:: https://doi.org/10.1...; visa fler...; https://link.springe...; https://urn.kb.se/re...; https://doi.org/10.1...; visa färre...

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Background: Current guidelines for the treatment of adult severe traumatic brain injury (sTBI) consist of high-quality evidence reports, but they are no longer accompanied by management protocols, as these require expert opinion to bridge the gap between published evidence and patient care. We aimed to establish a modern sTBI protocol for adult patients with both intracranial pressure (ICP) and brain oxygen monitors in place.Methods: Our consensus working group consisted of 42 experienced and actively practicing sTBI opinion leaders from six continents. Having previously established a protocol for the treatment of patients with ICP monitoring alone, we addressed patients who have a brain oxygen monitor in addition to an ICP monitor. The management protocols were developed through a Delphi-method-based consensus approach and were finalized at an in-person meeting.Results: We established three distinct treatment protocols, each with three tiers whereby higher tiers involve therapies with higher risk. One protocol addresses the management of ICP elevation when brain oxygenation is normal. A second addresses management of brain hypoxia with normal ICP. The third protocol addresses the situation when both intracranial hypertension and brain hypoxia are present. The panel considered issues pertaining to blood transfusion and ventilator management when designing the different algorithms.Conclusions: These protocols are intended to assist clinicians in the management of patients with both ICP and brain oxygen monitors but they do not reflect either a standard-of-care or a substitute for thoughtful individualized management. These protocols should be used in conjunction with recommendations for basic care, management of critical neuroworsening and weaning treatment recently published in conjunction with the Seattle International Brain Injury Consensus Conference.

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Av författaren/redakt...: Chesnut, Randall; Aguilera, Sergio; Büki, Andras, 19 ...; Bulger, Eileen; Citerio, Giusepp ...; Cooper, D. Jamie; visa fler...; Arrastia, Ramon ...; Diringer, Michae ...; Figaji, Anthony; Gao, Guoyi; Geocadin, Romer; Ghajar, Jamshid; Harris, Odette; Hoffer, Alan; Hutchinson, Pete ...; Joseph, Mathew; Kitagawa, Ryan; Manley, Geoffrey; Mayer, Stephan; Menon, David K.; Meyfroidt, Geert; Michael, Daniel ...; Oddo, Mauro; Okonkwo, David; Patel, Mayur; Robertson, Claud ...; Rosenfeld, Jeffr ...; Rubiano, Andres ...; Sahuquillo, Juan; Servadei, Franco; Shutter, Lori; Stein, Deborah; Stocchetti, Nino; Taccone, Fabio S ...; Timmons, Shelly; Tsai, Eve; Ullman, Jamie S.; Vespa, Paul; Videtta, Walter; Wright, David W.; Zammit, Christop ...; Hawryluk, Gregor ...; visa färre...

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MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Klinisk medicin; och Neurologi

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Av lärosätet: Örebro universitet

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A management algorithm for adult patients with both brain oxygen and intracranial pressure monitoring : the Seattle International Severe Traumatic Brain Injury Consensus Conference (SIBICC)

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