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

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dc.contributor.authorHawryluk, Gregory W.J.
dc.contributor.authorAguilera, Sergio
dc.contributor.authorBuki, Andras
dc.contributor.authorBulger, Eileen
dc.contributor.authorCiterio, Giuseppe
dc.contributor.authorCooper, D. Jamie
dc.contributor.authorDiaz, Ramon
dc.contributor.authorDiringer, Michael
dc.contributor.authorFigaji, Anthony
dc.contributor.authorGao, Guoyi
dc.contributor.authorGeocadin, Romergryko
dc.contributor.authorGhajar, Jamshid
dc.contributor.authorHarris, Odette
dc.contributor.authorHofer, Alan
dc.contributor.authorJoseph, Mathew
dc.contributor.authorKitagawa, Ryan
dc.contributor.authorManley, Geofrey
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 O.
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 D.
dc.contributor.authorTsai, Eve
dc.contributor.authorUllman, Jamie
dc.contributor.authorVespa, Paul
dc.contributor.authorVidetta, Walter
dc.contributor.authorWright, David W.
dc.contributor.authorZammit, Christopher
dc.contributor.authorChesnut, Randall
dc.contributor.authorHutchinson, Peter J.
dc.contributor.orcidRubiano, Andrés M. [0000-0001-8931-3254]
dc.date.accessioned2020-03-04T22:26:12Z
dc.date.available2020-03-04T22:26:12Z
dc.date.issued2019
dc.description.abstractenglishAbstract 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 trafc-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 managementeng
dc.format.mimetypeapplication/pdf
dc.identifier.doihttps://doi.org/10.1007/s00134-019-05805-9
dc.identifier.instnameinstname:Universidad El Bosquespa
dc.identifier.issn0342-4642
dc.identifier.reponamereponame:Repositorio Institucional Universidad El Bosquespa
dc.identifier.repourlrepourl:https://repositorio.unbosque.edu.co
dc.identifier.urihttps://hdl.handle.net/20.500.12495/1985
dc.language.isoeng
dc.publisherSpringerspa
dc.publisher.journalIntensive Care Medicinespa
dc.relation.ispartofseriesIntensive Care Medicine, 0342-4642, Vol. 45, 2019, p.1783-1794spa
dc.relation.urihttps://link.springer.com/article/10.1007%2Fs00134-019-05805-9
dc.rightsAttribution-NonCommercial 4.0 International*
dc.rights.accessrightsinfo:eu-repo/semantics/openAccess
dc.rights.accessrightshttps://purl.org/coar/access_right/c_abf393
dc.rights.creativecommons2019
dc.rights.localAcceso abiertospa
dc.rights.urihttps://creativecommons.org/licenses/by-nc/4.0/*
dc.subject.decsLesiones traumáticas del encéfalospa
dc.subject.decsTraumatismos craneocerebralesspa
dc.subject.decsPresión intracranealspa
dc.subject.keywordsBrain injuryspa
dc.subject.keywordsHead traumaspa
dc.subject.keywordsAlgorithmspa
dc.subject.keywordsProtocolspa
dc.subject.keywordsConsensusspa
dc.subject.keywordsIntracranial pressurespa
dc.subject.keywordsTiersspa
dc.subject.keywordsSeattlespa
dc.titleA management algorithm for patients with intracranial pressure monitoring: the Seattle International Severe Traumatic Brain Injury Consensus Conference (SIBICC)spa
dc.title.translatedA management algorithm for patients with intracranial pressure monitoring: the Seattle International Severe Traumatic Brain Injury Consensus Conference (SIBICC)
dc.typearticlespa
dc.type.hasversioninfo:eu-repo/semantics/publishedVersion
dc.type.localartículospa

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