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Sökning: onr:"swepub:oai:DiVA.org:oru-103176" > Early management of...

Early management of isolated severe traumatic brain injury patients in a hospital without neurosurgical capabilities : a consensus and clinical recommendations of the World Society of Emergency Surgery (WSES)

Picetti, Edoardo (författare)
Department of Anesthesia and Intensive Care, Parma University Hospital, Parma, Italy
Catena, Fausto (författare)
Department of General and Emergency Surgery, Bufalini Hospital, Cesena, Italy
Abu-Zidan, Fikri (författare)
The Research Office, College of Medicine and Health Sciences, United Arab Emirates University, Al-Ain, United Arab Emirates
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Ansaloni, Luca (författare)
Unit of General Surgery, San Matteo Hospital Pavia, University of Pavia, Pavia, Italy
Armonda, Rocco A. (författare)
Department of Neurosurgery, 71541 MedStar Georgetown University Hospital, Washington, DC, USA; Department of Neurosurgery, 8405 MedStar Washington Hospital Center, Washington, DC, USA
Bala, Miklosh (författare)
Acute Care Surgery and Trauma Unit, Department of General Surgery, Hadassah Medical Center and Faculty of Medicine, Hebrew University of Jerusalem Kiriat Hadassah, Jerusalem, Israel
Balogh, Zsolt J. (författare)
Department of Traumatology, John Hunter Hospital, Hunter Medical Research Institute and University of Newcastle, Newcastle, NSW, Australia
Bertuccio, Alessandro (författare)
Department of Neurosurgery, SS Antonio E Biagio E Cesare Arrigo Alessandria Hospital, Alessandria, Italy
Biffl, Walt L. (författare)
Scripps Clinic Medical Group, La Jolla, CA, USA
Bouzat, Pierre (författare)
Inserm, U1216, CHU Grenoble Alpes, Grenoble Institut Neurosciences, Université Grenoble Alpes, Grenoble, France
Büki, Andras, 1966- (författare)
Örebro universitet,Institutionen för medicinska vetenskaper,Department of Neurosurgery, Faculty of Medicine and Health, Örebro University, Örebro, Sweden
Cerasti, Davide (författare)
Neuroradiology Unit, Azienda Ospedaliero-Universitaria of Parma, Parma, Italy
Chesnut, Randall M. (författare)
Department of Neurological Surgery, University of Washington, Seattle, WA, USA; Department of Orthopedics and Sports Medicine, University of Washington, Seattle, WA, USA; Department of Global Health, University of Washington, Seattle, WA, USA
Citerio, Giuseppe (författare)
School of Medicine and Surgery, University of Milano-Bicocca, Monza, Italy; Neuroscience Department, NeuroIntensive Care Unit, Hospital San Gerardo, ASST Monza, Monza, Italy
Coccolini, Federico (författare)
Department of Emergency and Trauma Surgery, Pisa University Hospital, Pisa, Italy
Coimbra, Raul (författare)
Riverside University Health System Medical Center, Loma Linda University School of Medicine, Riverside, CA, USA
Coniglio, Carlo (författare)
Department of Anesthesia, Intensive Care and Prehospital Emergency, Ospedale Maggiore Carlo Alberto Pizzardi, Bologna, Italy
Fainardi, Enrico (författare)
Neuroradiology Unit, Department of Experimental and Clinical Biomedical Sciences, University of Florence, Florence, Italy
Gupta, Deepak (författare)
Department of Neurosurgery, Neurosciences Centre and JPN Apex Trauma Centre, All India Institute of Medical Sciences, New Delhi, India
Gurney, Jennifer M. (författare)
Department of Trauma, San Antonio Military Medical Center and the U.S. Army Institute of Surgical Research, San Antonio, TX, 78234, USA; The Department of Defense Center of Excellence for Trauma, Joint Trauma System (JTS), JBSA Fort Sam Houston, San Antonio, TX, 78234, USA
Hawrylux, Gregory W. J. (författare)
Cleveland Clinic, 762 S. Cleveland-Massillon Rd, Akron, OH, 44333, USA
Helbok, Raimund (författare)
Neurological Intensive Care Unit, Department of Neurology, Medical University of Innsbruck, Innsbruck, Austria
Hutchinson, Peter J. A. (författare)
Department of Neurosurgery, Department of Clinical Neurosciences, University of Cambridge, Cambridge, UK
Iaccarino, Corrado (författare)
Neurosurgery Unit, Department of Biomedical, Metabolic and Neural Sciences, University of Modena and Reggio Emilia, Azienda Ospedaliero-Universitaria di Modena, Modena, Italy
Kolias, Angelos (författare)
National Institute for Health Research Global Health Research Group on Neurotrauma, University of Cambridge, Cambridge, UK; Division of Neurosurgery, Department of Clinical Neurosciences, Addenbrooke's Hospital, University of Cambridge, Cambridge, UK
Maier, Ronald W. (författare)
Harborview Medical Center, University of Washington, Seattle, WA, USA
Martin, Matthew J. (författare)
Division of Trauma and Acute Care Surgery, Los Angeles County + USC Medical Center, Los Angeles, CA, USA
Meyfroidt, Geert (författare)
Department of Intensive Care, University Hospitals Leuven, Louvain, Belgium; Laboratory of Intensive Care Medicine, Katholieke Universiteit Leuven, Louvain, Belgium
Okonkwo, David O. (författare)
Department of Neurological Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA, USA
Rasulo, Frank (författare)
Department of Anesthesia, Critical Care and Emergency, Spedali Civili University Hospital, Brescia, Italy
Rizoli, Sandro (författare)
Surgery Department, Section of Trauma Surgery, Hamad General Hospital (HGH), Doha, Qatar
Rubiano, Andres (författare)
INUB-MEDITECH Research Group, Institute of Neurosciences, Universidad El Bosque, Bogotá, Colombia
Sahuquillo, Juan (författare)
Department of Neurosurgery, Vall d'Hebron University Hospital, Universitat Autònoma de Barcelona, Barcelona, Spain
Sams, Valerie G. (författare)
Trauma Critical Care and Acute Care Surgery, Air Force Center for Sustainment of Trauma and Readiness Skills, University of Cincinnati Medical Center, Cincinnati, OH, USA
Servadei, Franco (författare)
Department of Biomedical Sciences, Humanitas University, Pieve Emanuele, Milan, Italy; Department of Neurosurgery, IRCCS Humanitas Research Hospital, Rozzano, Milan, Italy
Sharma, Deepak (författare)
Department of Anesthesiology and Pain Medicine and Neurological Surgery, University of Washington, Seattle, WA, USA
Shutter, Lori (författare)
Department of Critical Care Medicine, UPMC/University of Pittsburgh School of Medicine, Pittsburgh, PA, USA
Stahel, Philip F. (författare)
College of Osteopathic Medicine, Rocky Vista University, Parker, CO, USA
Taccone, Fabio S. (författare)
Department of Intensive Care, Hôpital Universitaire de Bruxelles, Brussels, Belgium
Udy, Andrew (författare)
Department of Intensive Care and Hyperbaric Medicine, The Alfred, Melbourne, VIC, 3004, Australia
Zoerle, Tommaso (författare)
Department of Pathophysiology and Transplantation, University of Milan, Milan, Italy; Department of Anesthesia, Critical Care and Emergency, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy
Agnoletti, Vanni (författare)
Anesthesia and Intensive Care Unit, AUSL Romagna, M. Bufalini Hospital, Cesena, Italy
Bravi, Francesca (författare)
Healthcare Administration, Santa Maria Delle Croci Hospital, Ravenna, Italy
De Simone, Belinda (författare)
Department of General, Digestive and Metabolic Minimally Invasive Surgery, Centre Hospitalier Intercommunal De Poissy/St Germain en Laye, Poissy, France
Kluger, Yoram (författare)
Department of General Surgery, Rambam Health Care Campus, Haifa, Israel
Martino, Costanza (författare)
Department of Anesthesiology and Acute Care, Umberto I Hospital of Lugo, Ausl Della Romagna, Lugo, Italy
Moore, Ernest E. (författare)
Ernest E Moore Shock Trauma Center at Denver Health, University of Colorado, Denver, CO, USA
Sartelli, Massimo (författare)
Department of Surgery, Macerata Hospital, Macerata, Italy
Weber, Dieter (författare)
Department of General Surgery, Royal Perth Hospital, The University of Western Australia, Perth, Australia
Robba, Chiara (författare)
Anesthesia and Intensive Care, San Martino Policlinico Hospital, IRCCS for Oncology and Neuroscience, Genoa, Italy; Department of Surgical Sciences and Integrated Sciences, University of Genoa, Genoa, Italy
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 (creator_code:org_t)
2023-01-09
2023
Engelska.
Ingår i: World Journal of Emergency Surgery. - : BioMed Central (BMC). - 1749-7922. ; 18:1
  • Tidskriftsartikel (refereegranskat)
Abstract Ämnesord
Stäng  
  • BACKGROUND: Severe traumatic brain-injured (TBI) patients should be primarily admitted to a hub trauma center (hospital with neurosurgical capabilities) to allow immediate delivery of appropriate care in a specialized environment. Sometimes, severe TBI patients are admitted to a spoke hospital (hospital without neurosurgical capabilities), and scarce data are available regarding the optimal management of severe isolated TBI patients who do not have immediate access to neurosurgical care.METHODS: A multidisciplinary consensus panel composed of 41 physicians selected for their established clinical and scientific expertise in the acute management of TBI patients with different specializations (anesthesia/intensive care, neurocritical care, acute care surgery, neurosurgery and neuroradiology) was established. The consensus was endorsed by the World Society of Emergency Surgery, and a modified Delphi approach was adopted.RESULTS: A total of 28 statements were proposed and discussed. Consensus was reached on 22 strong recommendations and 3 weak recommendations. In three cases, where consensus was not reached, no recommendation was provided.CONCLUSIONS: This consensus provides practical recommendations to support clinician's decision making in the management of isolated severe TBI patients in centers without neurosurgical capabilities and during transfer to a hub center.

Ämnesord

MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Neurologi (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Neurology (hsv//eng)

Nyckelord

Hub
Management
Spoke
Transfer
Traumatic brain injury

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