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

dc.contributor.authorChesnut, Randall
dc.contributor.authorAguilera, Sergio
dc.contributor.authorBuki, Andras
dc.contributor.authorBulger, Eileen
dc.contributor.authorCiterio, Giuseppe
dc.contributor.authorCooper, D. Jamie
dc.contributor.authorDiaz Arrastia, Ramon
dc.contributor.authorDiringer, Michael
dc.contributor.authorFigaji, Anthony
dc.contributor.authorGao, Guoyi
dc.contributor.authorGeocadin, Romer
dc.contributor.authorGhajar, Jamshid
dc.contributor.authorHarris, Odette
dc.contributor.authorHoffer, Alan
dc.contributor.authorHutchinson, Peter
dc.contributor.authorJoseph, Mathew
dc.contributor.authorKitagawa, Ryan
dc.contributor.authorManley, Geoffrey
dc.contributor.authorMayer, Stephan
dc.contributor.authorMenon, David K.
dc.contributor.authorMeyfroidt, Geert
dc.contributor.authorMichael, Daniel B.
dc.contributor.authorOddo, Mauro
dc.contributor.authorOkonkwo, David
dc.contributor.authorPatel, Mayur
dc.contributor.authorRobertson, Claudia
dc.contributor.authorRosenfeld, Jeffrey V.
dc.contributor.authorRubiano, Andrés M.
dc.contributor.authorSahuquillo, Juan
dc.contributor.authorServadei, Franco
dc.contributor.authorShutter, Lori
dc.contributor.authorStein, Deborah
dc.contributor.authorStocchetti, Nino
dc.contributor.authorTaccone, Fabio Silvio
dc.contributor.authorTimmons, Shelly
dc.contributor.authorTsai, Eve
dc.contributor.authorUllman, Jamie S.
dc.contributor.authorVespa, Paul
dc.contributor.authorVidetta, Walter
dc.contributor.authorWright, David W.
dc.contributor.authorZammit, Christopher
dc.contributor.authorHawryluk, Gregory W. J.
dc.contributor.orcidRubiano, Andrés M. [0000-0001-8931-3254]
dc.date.accessioned2021-02-05T18:51:39Z
dc.date.available2021-02-05T18:51:39Z
dc.date.issued2020
dc.description.abstractenglishCurrent 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. 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. 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. 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.eng
dc.format.mimetypeapplication/pdf
dc.identifier.doihttps://doi.org/10.1007/s00134-019-05900-x
dc.identifier.instnameinstname:Universidad El Bosquespa
dc.identifier.issn1432-1238
dc.identifier.reponamereponame:Repositorio Institucional Universidad El Bosquespa
dc.identifier.repourlhttps://repositorio.unbosque.edu.co
dc.identifier.urihttps://hdl.handle.net/20.500.12495/5261
dc.language.isoeng
dc.publisherSpringer Linkspa
dc.publisher.journalIntensive Care Medicinespa
dc.relation.ispartofseriesIntensive Care Medicine, 1432-1238, Vol. 46, Nro. 5, 2020 p. 919-929spa
dc.relation.urihttps://link.springer.com/article/10.1007/s00134-019-05900-x
dc.relation.urihttps://creativecommons.org/licenses/by-nc-nd/4.0/
dc.rightsAttribution-NonCommercial-NoDerivatives 4.0 International*
dc.rights.accessrightshttps://purl.org/coar/access_right/c_abf2
dc.rights.accessrightsinfo:eu-repo/semantics/openAccess
dc.rights.accessrightsAcceso abierto
dc.rights.accessrightshttps://purl.org/coar/access_right/c_abf2
dc.rights.accessrightsinfo:eu-repo/semantics/openAccess
dc.rights.accessrightsAcceso abierto
dc.rights.creativecommons2020-01-21
dc.rights.localAcceso abiertospa
dc.subject.keywordsAlgorithmspa
dc.subject.keywordsBrain injuryspa
dc.subject.keywordsBrain oxygenspa
dc.subject.keywordsConsensusspa
dc.subject.keywordsHead traumaspa
dc.subject.keywordsIntracranial pressurespa
dc.subject.keywordsPbtO2spa
dc.subject.keywordsProtocolspa
dc.subject.keywordsSIBICCspa
dc.subject.keywordsSeattlespa
dc.subject.keywordsTiersspa
dc.titleA management algorithm for adult patients with both brain oxygen and intracranial pressure monitoring: the Seattle International Severe Traumatic Brain Injury Consensus Conference (SIBICC)spa
dc.title.translatedA management algorithm for adult patients with both brain oxygen and intracranial pressure monitoring: the Seattle International Severe Traumatic Brain Injury Consensus Conference (SIBICC)spa
dc.type.coarhttps://purl.org/coar/resource_type/c_6501
dc.type.driverinfo:eu-repo/semantics/article
dc.type.hasversioninfo:eu-repo/semantics/publishedVersion
dc.type.localArtículo de revista

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