WSES consensus conference guidelines: monitoring and management of severe adult traumatic brain injury patients with polytrauma in the first 24 hours

The acute phase management of patients with severe traumatic brain injury (TBI) and polytrauma represents a major challenge. Guidelines for the care of these complex patients are lacking, and worldwide variability in clinical practice has been documented in recent studies. Consequently, the World So...

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Veröffentlicht in:	World journal of emergency surgery 2019-11, Vol.14 (1), p.53-53, Article 53
Hauptverfasser:	Picetti, Edoardo, Rossi, Sandra, Abu-Zidan, Fikri M, Ansaloni, Luca, Armonda, Rocco, Baiocchi, Gian Luca, Bala, Miklosh, Balogh, Zsolt J, Berardino, Maurizio, Biffl, Walter L, Bouzat, Pierre, Buki, Andras, Ceresoli, Marco, Chesnut, Randall M, Chiara, Osvaldo, Citerio, Giuseppe, Coccolini, Federico, Coimbra, Raul, Di Saverio, Salomone, Fraga, Gustavo P, Gupta, Deepak, Helbok, Raimund, Hutchinson, Peter J, Kirkpatrick, Andrew W, Kinoshita, Takahiro, Kluger, Yoram, Leppaniemi, Ari, Maas, Andrew I R, Maier, Ronald V, Minardi, Francesco, Moore, Ernest E, Myburgh, John A, Okonkwo, David O, Otomo, Yasuhiro, Rizoli, Sandro, Rubiano, Andres M, Sahuquillo, Juan, Sartelli, Massimo, Scalea, Thomas M, Servadei, Franco, Stahel, Philip F, Stocchetti, Nino, Taccone, Fabio S, Tonetti, Tommaso, Velmahos, George, Weber, Dieter, Catena, Fausto
Format:	Artikel
Sprache:	eng
Schlagworte:	Adult Agreements Algorithms Associations Bleeding Blood pressure Brain damage Brain injuries Brain Injuries, Traumatic - complications Brain Injuries, Traumatic - physiopathology Brain Injuries, Traumatic - therapy Cardiovascular disease Care and treatment Coma Conferences, meetings and seminars Consensus Development Conferences as Topic Delphi Technique Experts General Surgery - methods General Surgery - organization & administration General Surgery - trends Guidelines as Topic Hemoglobin Hemorrhage Human health and pathology Humans Hypertension Intervention Laboratories Life Sciences Management Monitoring Monitoring, Physiologic - instrumentation Monitoring, Physiologic - methods Monitoring, Physiologic - trends Mortality Multiple Trauma - complications Multiple Trauma - physiopathology Neurosurgery Patient Care Management - methods Patient Care Management - trends Physicians Polytrauma Professional associations Review Surgeons Surgery Trauma Traumatic brain injury
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Beschreibung
Zusammenfassung:	The acute phase management of patients with severe traumatic brain injury (TBI) and polytrauma represents a major challenge. Guidelines for the care of these complex patients are lacking, and worldwide variability in clinical practice has been documented in recent studies. Consequently, the World Society of Emergency Surgery (WSES) decided to organize an international consensus conference regarding the monitoring and management of severe adult TBI polytrauma patients during the first 24 hours after injury. A modified Delphi approach was adopted, with an agreement cut-off of 70%. Forty experts in this field (emergency surgeons, neurosurgeons, and intensivists) participated in the online consensus process. Sixteen recommendations were generated, with the aim of promoting rational care in this difficult setting.
ISSN:	1749-7922 1749-7922
DOI:	10.1186/s13017-019-0270-1