Perceived Utility of Intracranial Pressure Monitoring in Traumatic Brain Injury: A Seattle International Brain Injury Consensus Conference Consensus-Based Analysis and Recommendations

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dc.contributor.authorChesnut, Randall M.
dc.contributor.authorAguilera, Sergio
dc.contributor.authorBuki, Andras
dc.contributor.authorBulger, Eileen M.
dc.contributor.authorCiterio, Giuseppe
dc.contributor.authorCooper, D Jamie
dc.contributor.authorArrastia Diaz, Ramon
dc.contributor.authorDiringer, Michael
dc.contributor.authorFigaji, Anthony
dc.contributor.authorGao, Guoyi
dc.contributor.authorGeocadin, Romergryko G.
dc.contributor.authorGhajar, Jamshid
dc.contributor.authorHarris, Odette
dc.contributor.authorHawryluk, Gregory W J
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 O.
dc.contributor.authorPatel, Mayur B.
dc.contributor.authorRobertson, Claudia
dc.contributor.authorRosenfeld, Jeffrey V.
dc.contributor.authorRubiano, Andrés M.
dc.contributor.authorSahuquillo, Juain
dc.contributor.authorServadei, Franco
dc.contributor.authorShutter, Lori
dc.contributor.authorStein, Deborah M.
dc.contributor.authorStocchetti, Nino
dc.contributor.authorTaccone, Fabio Silvio
dc.contributor.authorTimmons, Shelly D.
dc.contributor.authorTsai, Eve C.
dc.contributor.authorUllman, Jamie S.
dc.contributor.authorVidetta, Walter
dc.contributor.authorWright, David W.
dc.contributor.authorZammit, Christopher
dc.contributor.orcidChesnut, Randall M. [0000-0001-6377-3666]
dc.date.accessioned2023-08-03T21:08:20Z
dc.date.available2023-08-03T21:08:20Z
dc.date.issued2023
dc.description.abstractenglishBACKGROUND: Intracranial pressure (ICP) monitoring is widely practiced, but the indications are incompletely developed, and guidelines are poorly followed. OBJECTIVE: To study the monitoring practices of an established expert panel (the clinical working group from the Seattle International Brain Injury Consensus Conference effort) to examine the match between monitoring guidelines and their clinical decision-making and offer guidance for clinicians considering monitor insertion. METHODS: We polled the 42 Seattle International Brain Injury Consensus Conference panel members' ICP monitoring decisions for virtual patients, using matrices of presenting signs (Glasgow Coma Scale [GCS] total or GCS motor, pupillary examination, and computed tomography diagnosis). Monitor insertion decisions were yes, no, or unsure (traffic light approach). We analyzed their responses for weighting of the presenting signs in decision-making using univariate regression. RESULTS: Heatmaps constructed from the choices of 41 panel members revealed wider ICP monitor use than predicted by guidelines. Clinical examination (GCS) was by far the most important characteristic and differed from guidelines in being nonlinear. The modified Marshall computed tomography classification was second and pupils third. We constructed a heatmap and listed the main clinical determinants representing 80% ICP monitor insertion consensus for our recommendations. CONCLUSION: Candidacy for ICP monitoring exceeds published indicators for monitor insertion, suggesting the clinical perception that the value of ICP data is greater than simply detecting and monitoring severe intracranial hypertension. Monitor insertion heatmaps are offered as potential guidance for ICP monitor insertion and to stimulate research into what actually drives monitor insertion in unconstrained, real-world conditions.eng
dc.format.mimetypeapplication/pdf
dc.identifier.doihttps://doi.org/10.1227/neu.0000000000002516
dc.identifier.instnameinstname:Universidad El Bosquespa
dc.identifier.issn0148-396X
dc.identifier.reponamereponame:Repositorio Institucional Universidad El Bosquespa
dc.identifier.repourlrepourl:https://repositorio.unbosque.edu.co
dc.identifier.urihttps://hdl.handle.net/20.500.12495/11253
dc.language.isoeng
dc.publisherWolters Kluwer Healthspa
dc.publisher.journalNeurosurgeryspa
dc.relation.ispartofseriesNeurosurgery, 0148-396X, 93 (2), 2023, 399 - 408spa
dc.relation.urihttps://journals.lww.com/neurosurgery/Fulltext/2023/08000/Perceived_Utility_of_Intracranial_Pressure.18.aspx
dc.rightsAttribution-NonCommercial-NoDerivatives 4.0 Internacional*
dc.rights.accessrightshttps://purl.org/coar/access_right/c_abf2
dc.rights.accessrightsinfo:eu-repo/semantics/openAccess
dc.rights.localAcceso abiertospa
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/4.0/*
dc.subjectAlgoritmosspa
dc.subjectDesarrollo de consensospa
dc.subjectHipertensión intracranealspa
dc.subjectMonitoreo de la presión intracranealspa
dc.subjectCuidados neurocríticosspa
dc.subjectPautas de prácticaspa
dc.subjectLesión cerebral traumáticaspa
dc.subject.keywordsAlgorithmsspa
dc.subject.keywordsConsensus developmentspa
dc.subject.keywordsIntracranial hypertensionspa
dc.subject.keywordsIntracranial pressure monitoringspa
dc.subject.keywordsNeurocritical carespa
dc.subject.keywordsPractice guidelinesspa
dc.subject.keywordsTraumatic brain injuryspa
dc.titlePerceived Utility of Intracranial Pressure Monitoring in Traumatic Brain Injury: A Seattle International Brain Injury Consensus Conference Consensus-Based Analysis and Recommendationsspa
dc.type.coarhttps://purl.org/coar/resource_type/c_6501
dc.type.coarversionhttps://purl.org/coar/version/c_970fb48d4fbd8a85
dc.type.driverinfo:eu-repo/semantics/article
dc.type.hasversioninfo:eu-repo/semantics/publishedVersion
dc.type.localArtículo de revista

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