Consensus-based management protocol (CREVICE protocol) for the treatment of severe traumatic brain injury based on imaging and clinical examination for use when intracranial pressure monitoring is not employed

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dc.contributor.authorChesnut, Randall M.
dc.contributor.authorTemkin, Nancy
dc.contributor.authorVidetta, Walter
dc.contributor.authorPetroni, Gustavo
dc.contributor.authorLujan, Silvia
dc.contributor.authorPridgeon, Jim
dc.contributor.authorDikmen, Sureyya
dc.contributor.authorChaddock, Kelley
dc.contributor.authorBarber, Jason
dc.contributor.authorMachamer, Joan
dc.contributor.authorGuadagnoli, Nahuel
dc.contributor.authorHendrickson, Peter
dc.contributor.authorAguilera, Sergio
dc.contributor.authorAlanis, Victor
dc.contributor.authorBello Quezada, Manuel Enrique
dc.contributor.authorBautista Coronel, Ermitaño
dc.contributor.authorBustamante, Luis Alberto
dc.contributor.authorCacciatori, Armando C.
dc.contributor.authorCarricondo, Carlos Javier
dc.contributor.authorCarvajal, Felipe
dc.contributor.authorDavila, Rafael
dc.contributor.authorDominguez, Mario
dc.contributor.authorFigueroa Melgarejo, Jairo Antonio
dc.contributor.authorFillipi, Maria Martha
dc.contributor.authorGodoy, Daniel A.
dc.contributor.authorGomez, Delia Cristina
dc.contributor.authorLacerda Gallardo, Angel J.
dc.contributor.authorGuerra Garcia, Juan Antonio
dc.contributor.authorla Fuente Zerain, Gustavo
dc.contributor.authorLavadenz Cuientas, Luis Arturo
dc.contributor.authorLequipe, Cecilio
dc.contributor.authorGrajales Yuca, Gerardo Vicente
dc.contributor.authorJibaja Vega, Manuel
dc.contributor.authorKessler, Michael Eduardo
dc.contributor.authorLópez Delgado, Hubiel J.
dc.contributor.authorSandi Lora, Freddy
dc.contributor.authorMazzola, Ana Maria
dc.contributor.authorMerida Maldonado, Roberto
dc.contributor.authorMezquia de Pedro, Natascha
dc.contributor.authorMartínez Zubieta, J. Ricardo
dc.contributor.authorMijangos Méndez, Julio C.
dc.contributor.authorMora, Jacobo
dc.contributor.authorOchoa Parra, Johnny Marcelo
dc.contributor.authorPahnke, Perla B.
dc.contributor.authorParanhos, Jorge
dc.contributor.authorPiñero, Gustavo R.
dc.contributor.authorRivadeneira Pilacuán, Francisco A.
dc.contributor.authorMendez Rivera, Mario Napoleon
dc.contributor.authorRomero Figueroa, Ricardo Luis
dc.contributor.authorRubiano, Andrés M.
dc.contributor.authorSaraguro Orozco, Alexandra Matilde
dc.contributor.authorSilesky Jiménez, Juan Ignacio
dc.contributor.authorSilva Naranjo, Luis
dc.contributor.authorSoler Morejon, Caridad
dc.contributor.authorUrbina, Zulma
dc.contributor.orcidRubiano, Andrés M. [0000-0001-8931-3254]
dc.date.accessioned2021-02-09T17:13:43Z
dc.date.available2021-02-09T17:13:43Z
dc.description.abstractenglishGlobally, intracranial pressure (ICP) monitoring use in severe traumatic brain injury (sTBI) is inconsistent and susceptible to resource limitations and clinical philosophies. For situations without monitoring, there is no published comprehensive management algorithm specific to identifying and treating suspected intracranial hypertension (SICH) outside of the one ad hoc Imaging and Clinical Examination (ICE) protocol in the Benchmark Evidence from South American Trials: Treatment of Intracranial Pressure (BEST:TRIP) trial. As part of an ongoing National Institutes of Health (NIH)-supported project, a consensus conference involving 43 experienced Latin American Intensivists and Neurosurgeons who routinely care for sTBI patients without ICP monitoring, refined, revised, and augmented the original BEST:TRIP algorithm. Based on BEST:TRIP trial data and pre-meeting polling, 11 issues were targeted for development. We used Delphi-based methodology to codify individual statements and the final algorithm, using a group agreement threshold of 80%. The resulting CREVICE (Consensus REVised ICE) algorithm defines SICH and addresses both general management and specific treatment. SICH treatment modalities are organized into tiers to guide treatment escalation and tapering. Treatment schedules were developed to facilitate targeted management of disease severity. A decision-support model, based on the group's combined practices, is provided to guide this process. This algorithm provides the first comprehensive management algorithm for treating sTBI patients when ICP monitoring is not available. It is intended to provide a framework to guide clinical care and direct future research toward sTBI management. Because of the dearth of relevant literature, it is explicitly consensus based, and is provided solely as a resource (a “consensus-based curbside consult”) to assist in treating sTBI in general intensive care units in resource-limited environments.eng
dc.format.mimetypeapplication/pdf
dc.identifier.doihttps://doi.org/10.1089/neu.2017.5599
dc.identifier.instnameinstname:Universidad El Bosquespa
dc.identifier.issn1177-9322
dc.identifier.reponamereponame:Repositorio Institucional Universidad El Bosquespa
dc.identifier.repourlhttps://repositorio.unbosque.edu.co
dc.identifier.urihttps://hdl.handle.net/20.500.12495/5279
dc.language.isospa
dc.publisherMary Ann Liebertspa
dc.publisher.journalJournal of Neurotraumaspa
dc.relation.ispartofseriesJournal of Neurotrauma, 1177-9322, Vol. 37, No. 11, 2020, p. 1291-1299spa
dc.relation.urihttps://www.liebertpub.com/doi/10.1089/neu.2017.5599
dc.rights.accessrightshttps://purl.org/coar/access_right/c_abf2
dc.rights.accessrightsinfo:eu-repo/semantics/openAccess
dc.rights.accessrightsAcceso abierto
dc.rights.creativecommons2020-05-21
dc.rights.localAcceso abiertospa
dc.subject.keywordsGlobal healthspa
dc.subject.keywordsICP monitoringspa
dc.subject.keywordsIntracranial hypertensionspa
dc.subject.keywordsNeurocritical caresspa
dc.subject.keywordsTBIspa
dc.titleConsensus-based management protocol (CREVICE protocol) for the treatment of severe traumatic brain injury based on imaging and clinical examination for use when intracranial pressure monitoring is not employedspa
dc.title.translatedConsensus-based management protocol (CREVICE protocol) for the treatment of severe traumatic brain injury based on imaging and clinical examination for use when intracranial pressure monitoring is not employedspa
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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