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

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

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

Aguilera, Sergio (författare): Almirante Nef Naval Hospital, Valparaiso University, 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, USA

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

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

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

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

Figaji, Anthony (författare): Division of Neurosurgery and Neuroscience Institute, Groote Schuur Hospital¸University of Cape Town, H53 Old Main Building, South Africa

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

Geocadin, Romergryko (författare): Department of Neurology, Johns Hopkins University School of Medicine, Baltimore, USA

Ghajar, Jamshid (författare): Department of Neurosurgery, 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, University of Cambridge and Cambridge Biomedical Campus, Cambridge, UK

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

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

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

Mayer, Stephan (författare): Department of Neurology, Henry Ford Hospital, Detroit, USA

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

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

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

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

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

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

Robertson, Claudia (författare): Department of Neurosurgery, Baylor College of Medicine, 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, Bogotá, Colombia

Sahuquillo, Juan (författare): Department of Neurosurgery, University Hospital Vall d'Hebron, Barcelona, Spain

Servadei, Franco (författare): Department of Neurosurgery, Humanitas University and Research Hospital, Milan, Italy

Shutter, Lori (författare): Department of Critical Care Medicine, Neurology and Neurosurgery, University of Pittsburgh Medical Center, Pittsburgh, USA

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

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

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): 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

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

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

Zammit, Christopher (författare): Department of Emergency Medicine, University of Rochester Medical Center, Rochester, New York, USA

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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2019-10-28
2019
Engelska.
Ingår i: Intensive Care Medicine. - : Springer. - 0342-4642 .- 1432-1238. ; 45:12, s. 1783-1794

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: 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.

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Av författaren/redakt...: Hawryluk, Gregor ...; Aguilera, Sergio; Büki, Andras, 19 ...; Bulger, Eileen; Citerio, Giusepp ...; Cooper, D. Jamie; visa fler...; Arrastia, Ramon ...; Diringer, Michae ...; Figaji, Anthony; Gao, Guoyi; Geocadin, Romerg ...; 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 ...; Chesnut, Randall ...; visa färre...

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Av lärosätet: Örebro universitet

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

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