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A management algori...
A management algorithm for patients with intracranial pressure monitoring : the Seattle International Severe Traumatic Brain Injury Consensus Conference (SIBICC)
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- Hawryluk, Gregory W. J. (författare)
- Section of Neurosurgery, University of Manitoba, Winnipeg, Canada
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- Aguilera, Sergio (författare)
- Almirante Nef Naval Hospital, Valparaiso University, Viña Del Mar, Chile; Valparaiso University, Valparaiso, Chile
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- 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, USA
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- Citerio, Giuseppe (författare)
- School of Medicine and Surgery, University of Milan-Bicocca, Milan, Italy; Anaesthesia and Intensive Care, San Gerardo and Desio Hospitals, ASST-Monza, Monza, Italy
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- Cooper, D. Jamie (författare)
- Intensive Care Medicine, Australian and New Zealand Intensive Care Research Centre, Monash University, Melbourne, Australia; Department of Intensive Care and Hyperbaric Medicine, The Alfred Hospital, Melbourne, Australia
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- Arrastia, Ramon Diaz (författare)
- Department of Neurology, Penn Presbyterian Medical Center, University of Pennsylvania Perelman School of Medicine, Philadelphia, USA
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- Diringer, Michael (författare)
- Department of Neurology, Washington University School of Medicine, St. Louis, USA; Department of Neurology, Barnes-Jewish Hospital, 1 Barnes Jewish Hospital Plaza, St. Louis, USA
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- Figaji, Anthony (författare)
- Division of Neurosurgery and Neuroscience Institute, Groote Schuur Hospital¸University of Cape Town, H53 Old Main Building, South Africa
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- Gao, Guoyi (författare)
- Department of Neurosurgery, Renji Hospital, Shanghai Institute of Head Trauma, Shanghai Jiaotong University School of Medicine, Shanghai, China
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- Geocadin, Romergryko (författare)
- Department of Neurology, Johns Hopkins University School of Medicine, Baltimore, USA
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- Ghajar, Jamshid (författare)
- Department of Neurosurgery, Stanford Neuroscience Health Center, Palo Alto, USA
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- Harris, Odette (författare)
- Department of Neurosurgery, Stanford, USA
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- Hoffer, Alan (författare)
- Department of Neurological Surgery, School of Medicine, Case Western Reserve University, Cleveland, USA
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- Hutchinson, Peter (författare)
- Division of Neurosurgery, Department of Clinical Neurosciences, Addenbrooke's Hospital, University of Cambridge and Cambridge Biomedical Campus, Cambridge, UK
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- Joseph, Mathew (författare)
- Department of Neurological Sciences, Christian Medical College, Vellore, Tamil Nadu, India
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- Kitagawa, Ryan (författare)
- Vivian L Smith Department of Neurosurgery, McGovern Medical School at UTHealth, Houston, USA
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- Manley, Geoffrey (författare)
- Department of Neurosurgery, San Francisco General Hospital and Trauma Center, University of California, San Francisco, USA
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- Mayer, Stephan (författare)
- Department of Neurology, Henry Ford Hospital, Detroit, USA
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- Menon, David K. (författare)
- Division of Anaesthesia, Addenbrooke's Hospital, University of Cambridge and Addenbrooke's Hospital, Cambridge, UK
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- Meyfroidt, Geert (författare)
- Department and Laboratory of Intensive Care Medicine, University Hospitals Leuven and KU Leuven, Leuven, Belgium
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- Michael, Daniel B. (författare)
- Department of Neurosurgery, Beaumont Health, Michigan Head and Spine Institute, Oakland University William Beaumont School of Medicine, Southfield, USA
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- Oddo, Mauro (författare)
- Department of Intensive Care Medicine, Faculty of Biology and Medicine, CHUV-Lausanne University Hospital, University of Lausanne, Lausanne, Switzerland
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- Okonkwo, David (författare)
- Department of Neurosurgery, University of Pittsburgh Medical Center Presbyterian, Pittsburgh, USA
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- Patel, Mayur (författare)
- Department of Surgery, Vanderbilt University Medical Center, Nashville, USA
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- Robertson, Claudia (författare)
- Department of Neurosurgery, Baylor College of Medicine, Houston, USA
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- Rosenfeld, Jeffrey V. (författare)
- Department of Neurosurgery, Alfred Hospital, Melbourne, Australia; Department of Surgery, Monash University, Melbourne, Australia
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- Rubiano, Andres M. (författare)
- INUB/MEDITECH Research Group, Neurosciences Institute, El Bosque University, Bogotá, Colombia; MEDITECH Foundation, Clinical Research, Bogotá, Colombia
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- Sahuquillo, Juan (författare)
- Department of Neurosurgery, University Hospital Vall d'Hebron, Barcelona, Spain
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- Servadei, Franco (författare)
- Department of Neurosurgery, Humanitas University and Research Hospital, Milan, Italy
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- Shutter, Lori (författare)
- Department of Critical Care Medicine, Neurology and Neurosurgery, University of Pittsburgh Medical Center, Pittsburgh, USA
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- Stein, Deborah (författare)
- Department of Surgery, Zuckerberg San Francisco General Hospital and Trauma Center, University of California, San Francisco, USA
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- 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
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- Taccone, Fabio Silvio (författare)
- Department of Intensive Care, Hospital Erasme, Université Libre de Bruxelles (ULB), Brussels, Belgium
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- Timmons, Shelly (författare)
- Department of Neurological Surgery, Indianapolis, USA
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- Tsai, Eve (författare)
- Suruchi Bhargava Chair in Spinal Cord and Brain Regeneration Research, The Ottawa Hospital, Department of Surgery, Division of Neurosurgery, University of Ottawa, Civic Campus, Ottawa, Canada
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- 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
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- Vespa, Paul (författare)
- Gary L. Brinderson Family Chair in Neurocritical Care, UCLA School of Medicine, Los Angeles, USA; Critical Care Medicine Research, UCLA School of Medicine, Santa Monica, USA; Neurosurgery and Neurology, UCLA School of Medicine, Santa Monica, USA; Neurocritical Care, Ronald Reagan UCLA Medical Center, Santa Monica, USA
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- Videtta, Walter (författare)
- Intensive Care, Posadas Hospital, Buenos Aires, Argentina
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- Wright, David W. (författare)
- Department of Emergency Medicine, Emory University School of Medicine, Atlanta, USA
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- Zammit, Christopher (författare)
- Department of Emergency Medicine, University of Rochester Medical Center, Rochester, New York, USA
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- Chesnut, Randall M. (författare)
- Department of Neurological Surgery, University of Washington, Seattle, USA; Department of Orthopaedic Surgery, University of Washington, Seattle, USA; School of Global Health, University of Washington, Seattle, USA; Harborview Medical Center, University of Washington, USA
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(creator_code:org_t)
- 2019-10-28
- 2019
- Engelska.
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Ingår i: Intensive Care Medicine. - : Springer. - 0342-4642 .- 1432-1238. ; 45:12, s. 1783-1794
- Relaterad länk:
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https://doi.org/10.1...
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https://link.springe...
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https://urn.kb.se/re...
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https://doi.org/10.1...
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Abstract
Ämnesord
Stäng
- Background: Management algorithms for adult severe traumatic brain injury (sTBI) were omitted in later editions of the Brain Trauma Foundation's sTBI Management Guidelines, as they were not evidence-based.Methods: We used a Delphi-method-based consensus approach to address management of sTBI patients undergoing intracranial pressure (ICP) monitoring. Forty-two experienced, clinically active sTBI specialists from six continents comprised the panel. Eight surveys iterated queries and comments. An in-person meeting included whole- and small-group discussions and blinded voting. Consensus required 80% agreement. We developed heatmaps based on a traffic-light model where panelists' decision tendencies were the focus of recommendations.Results: We provide comprehensive algorithms for ICP-monitor-based adult sTBI management. Consensus established 18 interventions as fundamental and ten treatments not to be used. We provide a three-tier algorithm for treating elevated ICP. Treatments within a tier are considered empirically equivalent. Higher tiers involve higher risk therapies. Tiers 1, 2, and 3 include 10, 4, and 3 interventions, respectively. We include inter-tier considerations, and recommendations for critical neuroworsening to assist the recognition and treatment of declining patients. Novel elements include guidance for autoregulation-based ICP treatment based on MAP Challenge results, and two heatmaps to guide (1) ICP-monitor removal and (2) consideration of sedation holidays for neurological examination.Conclusions: Our modern and comprehensive sTBI-management protocol is designed to assist clinicians managing sTBI patients monitored with ICP-monitors alone. Consensus-based (class III evidence), it provides management recommendations based on combined expert opinion. It reflects neither a standard-of-care nor a substitute for thoughtful individualized management.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Neurologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Neurology (hsv//eng)
Nyckelord
- algorithm
- brain injury
- consensus
- head trauma
- intracranial pressure
- protocol
- SIBICC
- Seattle
- tiers
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- Av författaren/redakt...
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Hawryluk, Gregor ...
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Aguilera, Sergio
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Büki, Andras, 19 ...
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Bulger, Eileen
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Citerio, Giusepp ...
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Cooper, D. Jamie
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visa fler...
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Arrastia, Ramon ...
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Diringer, Michae ...
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Figaji, Anthony
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Gao, Guoyi
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Geocadin, Romerg ...
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Ghajar, Jamshid
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Harris, Odette
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Hoffer, Alan
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Hutchinson, Pete ...
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Joseph, Mathew
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Kitagawa, Ryan
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Manley, Geoffrey
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Mayer, Stephan
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Menon, David K.
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Meyfroidt, Geert
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Michael, Daniel ...
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Oddo, Mauro
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Okonkwo, David
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Patel, Mayur
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Robertson, Claud ...
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Rosenfeld, Jeffr ...
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Rubiano, Andres ...
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Sahuquillo, Juan
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Servadei, Franco
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Shutter, Lori
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Stein, Deborah
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Stocchetti, Nino
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Taccone, Fabio S ...
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Timmons, Shelly
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Tsai, Eve
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Ullman, Jamie S.
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Vespa, Paul
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Videtta, Walter
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Wright, David W.
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Zammit, Christop ...
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Chesnut, Randall ...
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