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A management algori...
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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- 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
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- Aguilera, Sergio (författare)
- Almirante Nef Naval Hospital, 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, WA, USA
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- 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
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- 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
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- Arrastia, Ramon Diaz (författare)
- University of Pennsylvania Perelman School of Medicine, Penn Presbyterian Medical Center, Philadelphia, USA
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- Diringer, Michael (författare)
- Department of Neurology, Barnes-Jewish Hospital, Washington University School of Medicine, 1 Barnes-Jewish Hospital Plaza, St. Louis, USA
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- Figaji, Anthony (författare)
- Division of Neurosurgery and Neuroscience Institute, University of Cape Town, Groote Schuur Hospital, Observatory, 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, Romer (författare)
- Johns Hopkins University School of Medicine, Baltimore, USA
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- Ghajar, Jamshid (författare)
- 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 and University of Cambridge, Cambridge Biomedical Campus, Cambridge, United Kingdom
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- Joseph, Mathew (författare)
- Department of Neurological Sciences, Christian Medical College, 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)
- University of California San Francisco, San Francisco General Hospital and Trauma Center, San Francisco, USA
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- Mayer, Stephan (författare)
- Neurology, K-11, Henry Ford Hospital, Detroit, USA
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- Menon, David K. (författare)
- Division of Anaesthesia, University of Cambridge and Addenbrooke's Hospital, Addenbrooke's Hospital, Cambridge, United Kingdom
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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)
- Oakland University William Beaumont School of Medicine, Beaumont Health, Michigan Head and Spine Institute, Southfield, USA
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- Oddo, Mauro (författare)
- Department of Intensive Care Medicine, CHUV-Lausanne University Hospital, University of Lausanne, Faculty of Biology and Medicine, Lausanne, Switzerland
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- Okonkwo, David (författare)
- Department of Neurosurgery, University of Pittsburgh Medical Center, Pittsburgh, USA
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- Patel, Mayur (författare)
- Vanderbilt University Medical Center, Nashville, USA
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- Robertson, Claudia (författare)
- Baylor College of Medicine, One Baylor Plaza, 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, Cali, Colombia
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- Sahuquillo, Juan (författare)
- University Hospital Vall D'Hebron, Barcelona, Spain
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- Servadei, Franco (författare)
- Department of Neurosurgery, Humanitas University and Research Hospital, Milan, Italy; World Federation of Neurosurgical Societies, Nyon, Switzerland
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- Shutter, Lori (författare)
- University of Pittsburgh Medical Center, Pittsburgh, USA
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- Stein, Deborah (författare)
- Zuckerberg San Francisco General Hospital and Trauma Center, University of California, San Francisco, 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, Penn State University Milton S. Hershey Medical Center, Hershey, USA
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- 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
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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)
- Ronald Reagan UCLA Medical Center, UCLA Medical Center, Santa Monica, USA
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- Videtta, Walter (författare)
- Posadas Hospital, Buenos Aires, Argentina
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- Wright, David W. (författare)
- Emory University School of Medicine, Atlanta, USA
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- Zammit, Christopher (författare)
- School of Medicine and Dentistry, University of Rochester Medical Center, New York, USA
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- Hawryluk, Gregory W. J. (författare)
- Section of Neurosurgery, University of Manitoba, Winnipeg, Canada
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(creator_code:org_t)
- 2020-01-21
- 2020
- Engelska.
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Ingår i: Intensive Care Medicine. - : Springer. - 0342-4642 .- 1432-1238. ; 46:5, s. 919-929
- 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
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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.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Neurologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Neurology (hsv//eng)
Nyckelord
- Algorithm
- brain injury
- brain oxygen
- consensus
- head trauma
- intracranial pressure
- PbtO2
- protocol
- SIBICC
- Seattle
- tiers
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- Av författaren/redakt...
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Chesnut, Randall
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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, Romer
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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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Hawryluk, Gregor ...
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