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  • Picetti, EdoardoDepartment of Anesthesia and Intensive Care, Parma University Hospital, Parma, Italy (author)

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)

  • Article/chapterEnglish2023

Publisher, publication year, extent ...

  • 2023-01-09
  • BioMed Central (BMC),2023
  • printrdacarrier

Numbers

  • LIBRIS-ID:oai:DiVA.org:oru-103176
  • https://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-103176URI
  • https://doi.org/10.1186/s13017-022-00468-2DOI

Supplementary language notes

  • Language:English
  • Summary in:English

Part of subdatabase

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  • Subject category:ref swepub-contenttype
  • Subject category:art swepub-publicationtype

Notes

  • Correction: 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, E., Catena, F., Abu-Zidan, F. et al. World J Emerg Surg 18, 29 (2023). https://doi.org/10.1186/s13017-023-00489-5
  • 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.

Subject headings and genre

Added entries (persons, corporate bodies, meetings, titles ...)

  • Catena, FaustoDepartment of General and Emergency Surgery, Bufalini Hospital, Cesena, Italy (author)
  • Abu-Zidan, FikriThe Research Office, College of Medicine and Health Sciences, United Arab Emirates University, Al-Ain, United Arab Emirates (author)
  • Ansaloni, LucaUnit of General Surgery, San Matteo Hospital Pavia, University of Pavia, Pavia, Italy (author)
  • Armonda, Rocco A.Department of Neurosurgery, 71541 MedStar Georgetown University Hospital, Washington, DC, USA; Department of Neurosurgery, 8405 MedStar Washington Hospital Center, Washington, DC, USA (author)
  • Bala, MikloshAcute Care Surgery and Trauma Unit, Department of General Surgery, Hadassah Medical Center and Faculty of Medicine, Hebrew University of Jerusalem Kiriat Hadassah, Jerusalem, Israel (author)
  • Balogh, Zsolt J.Department of Traumatology, John Hunter Hospital, Hunter Medical Research Institute and University of Newcastle, Newcastle, NSW, Australia (author)
  • Bertuccio, AlessandroDepartment of Neurosurgery, SS Antonio E Biagio E Cesare Arrigo Alessandria Hospital, Alessandria, Italy (author)
  • Biffl, Walt L.Scripps Clinic Medical Group, La Jolla, CA, USA (author)
  • Bouzat, PierreInserm, U1216, CHU Grenoble Alpes, Grenoble Institut Neurosciences, Université Grenoble Alpes, Grenoble, France (author)
  • Büki, Andras,1966-Örebro universitet,Institutionen för medicinska vetenskaper,Department of Neurosurgery, Faculty of Medicine and Health, Örebro University, Örebro, Sweden(Swepub:oru)asbi (author)
  • Cerasti, DavideNeuroradiology Unit, Azienda Ospedaliero-Universitaria of Parma, Parma, Italy (author)
  • Chesnut, Randall M.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 (author)
  • Citerio, GiuseppeSchool of Medicine and Surgery, University of Milano-Bicocca, Monza, Italy; Neuroscience Department, NeuroIntensive Care Unit, Hospital San Gerardo, ASST Monza, Monza, Italy (author)
  • Coccolini, FedericoDepartment of Emergency and Trauma Surgery, Pisa University Hospital, Pisa, Italy (author)
  • Coimbra, RaulRiverside University Health System Medical Center, Loma Linda University School of Medicine, Riverside, CA, USA (author)
  • Coniglio, CarloDepartment of Anesthesia, Intensive Care and Prehospital Emergency, Ospedale Maggiore Carlo Alberto Pizzardi, Bologna, Italy (author)
  • Fainardi, EnricoNeuroradiology Unit, Department of Experimental and Clinical Biomedical Sciences, University of Florence, Florence, Italy (author)
  • Gupta, DeepakDepartment of Neurosurgery, Neurosciences Centre and JPN Apex Trauma Centre, All India Institute of Medical Sciences, New Delhi, India (author)
  • Gurney, Jennifer M.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 (author)
  • Hawrylux, Gregory W. J.Cleveland Clinic, 762 S. Cleveland-Massillon Rd, Akron, OH, 44333, USA (author)
  • Helbok, RaimundNeurological Intensive Care Unit, Department of Neurology, Medical University of Innsbruck, Innsbruck, Austria (author)
  • Hutchinson, Peter J. A.Department of Neurosurgery, Department of Clinical Neurosciences, University of Cambridge, Cambridge, UK (author)
  • Iaccarino, CorradoNeurosurgery Unit, Department of Biomedical, Metabolic and Neural Sciences, University of Modena and Reggio Emilia, Azienda Ospedaliero-Universitaria di Modena, Modena, Italy (author)
  • Kolias, AngelosNational 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 (author)
  • Maier, Ronald W.Harborview Medical Center, University of Washington, Seattle, WA, USA (author)
  • Martin, Matthew J.Division of Trauma and Acute Care Surgery, Los Angeles County + USC Medical Center, Los Angeles, CA, USA (author)
  • Meyfroidt, GeertDepartment of Intensive Care, University Hospitals Leuven, Louvain, Belgium; Laboratory of Intensive Care Medicine, Katholieke Universiteit Leuven, Louvain, Belgium (author)
  • Okonkwo, David O.Department of Neurological Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA, USA (author)
  • Rasulo, FrankDepartment of Anesthesia, Critical Care and Emergency, Spedali Civili University Hospital, Brescia, Italy (author)
  • Rizoli, SandroSurgery Department, Section of Trauma Surgery, Hamad General Hospital (HGH), Doha, Qatar (author)
  • Rubiano, AndresINUB-MEDITECH Research Group, Institute of Neurosciences, Universidad El Bosque, Bogotá, Colombia (author)
  • Sahuquillo, JuanDepartment of Neurosurgery, Vall d'Hebron University Hospital, Universitat Autònoma de Barcelona, Barcelona, Spain (author)
  • Sams, Valerie G.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 (author)
  • Servadei, FrancoDepartment of Biomedical Sciences, Humanitas University, Pieve Emanuele, Milan, Italy; Department of Neurosurgery, IRCCS Humanitas Research Hospital, Rozzano, Milan, Italy (author)
  • Sharma, DeepakDepartment of Anesthesiology and Pain Medicine and Neurological Surgery, University of Washington, Seattle, WA, USA (author)
  • Shutter, LoriDepartment of Critical Care Medicine, UPMC/University of Pittsburgh School of Medicine, Pittsburgh, PA, USA (author)
  • Stahel, Philip F.College of Osteopathic Medicine, Rocky Vista University, Parker, CO, USA (author)
  • Taccone, Fabio S.Department of Intensive Care, Hôpital Universitaire de Bruxelles, Brussels, Belgium (author)
  • Udy, AndrewDepartment of Intensive Care and Hyperbaric Medicine, The Alfred, Melbourne, VIC, 3004, Australia (author)
  • Zoerle, TommasoDepartment 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 (author)
  • Agnoletti, VanniAnesthesia and Intensive Care Unit, AUSL Romagna, M. Bufalini Hospital, Cesena, Italy (author)
  • Bravi, FrancescaHealthcare Administration, Santa Maria Delle Croci Hospital, Ravenna, Italy (author)
  • De Simone, BelindaDepartment of General, Digestive and Metabolic Minimally Invasive Surgery, Centre Hospitalier Intercommunal De Poissy/St Germain en Laye, Poissy, France (author)
  • Kluger, YoramDepartment of General Surgery, Rambam Health Care Campus, Haifa, Israel (author)
  • Martino, CostanzaDepartment of Anesthesiology and Acute Care, Umberto I Hospital of Lugo, Ausl Della Romagna, Lugo, Italy (author)
  • Moore, Ernest E.Ernest E Moore Shock Trauma Center at Denver Health, University of Colorado, Denver, CO, USA (author)
  • Sartelli, MassimoDepartment of Surgery, Macerata Hospital, Macerata, Italy (author)
  • Weber, DieterDepartment of General Surgery, Royal Perth Hospital, The University of Western Australia, Perth, Australia (author)
  • Robba, ChiaraAnesthesia 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 (author)
  • Department of Anesthesia and Intensive Care, Parma University Hospital, Parma, ItalyDepartment of General and Emergency Surgery, Bufalini Hospital, Cesena, Italy (creator_code:org_t)

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  • In:World Journal of Emergency Surgery: BioMed Central (BMC)18:11749-7922

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