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

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

An Entity of Type : schema:ScholarlyArticle, within Data Space : covidontheweb.inria.fr associated with source document(s)

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type	Academic Article research paper schema:ScholarlyArticle
isDefinedBy	Covid-on-the-Web dataset
has title	A management algorithm for adult patients with both brain oxygen and intracranial pressure monitoring: the Seattle International Severe Traumatic Brain Injury Consensus Conference (SIBICC)
Creator	Citerio, Giuseppe Vespa, Paul Wright, David Patel, Mayur Cooper, D Buki, Andras Bulger, Eileen Hutchinson, Peter Manley, Geoffrey Mayer, Stephan Menon, David Meyfroidt, Geert Oddo, Mauro Rosenfeld, Jeffrey Sahuquillo, Juan Servadei, Franco Stocchetti, Nino Stein, Deborah Taccone, Fabio Aguilera, Sergio Chesnut, Randall Diringer, Michael Diaz Arrastia, Ramon Figaji, Anthony Gao, Guoyi Geocadin, Romer Ghajar, Jamshid Harris, Odette Hawryluk, Gregory Hoffer, Alan Joseph, Mathew Kitagawa, Ryan Michael, Daniel Okonkwo, David Robertson, Claudia Rubiano, Andres Shutter, Lori Timmons, Shelly Tsai, Eve Ullman, Jamie Videtta, Walter Zammit, Christopher
Source	PMC
abstract	BACKGROUND: Current 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. METHODS: 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. RESULTS: 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. CONCLUSIONS: 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. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1007/s00134-019-05900-x) contains supplementary material, which is available to authorized users.
has issue date	2020-01-21(xsd:dateTime)
bibo:doi	10.1007/s00134-019-05900-x
bibo:pmid	31965267
has license	cc-by-nc
sha1sum (hex)	e5cb88d82b356325cd2baf6cff0698c51d6a69e8
schema:url	https://doi.org/10.1007/s00134-019-05900-x
resource representing a document's title	A management algorithm for adult patients with both brain oxygen and intracranial pressure monitoring: the Seattle International Severe Traumatic Brain Injury Consensus Conference (SIBICC)
has PubMed Central identifier	PMC7210240
has PubMed identifier	31965267
schema:publication	Intensive Care Med
resource representing a document's body	covid:e5cb88d82b356325cd2baf6cff0698c51d6a69e8#body_text
is schema:about of	named entity 'adult' named entity 'protocols' named entity 'severe' named entity 'ESTABLISH' named entity 'CONSIST' named entity 'EVIDENCE' named entity 'ICP' named entity 'oxygen' named entity 'traumatic brain injury' named entity 'patients' named entity 'expert opinion' named entity 'oxygen' named entity 'Electronic Media' named entity 'mm Hg' named entity 'mm Hg' named entity 'severe traumatic brain injury' named entity 'Delphi' named entity 'cerebral perfusion pressure' named entity 'cerebral perfusion pressure' named entity 'TBI' named entity 'arterial partial pressure of carbon dioxide' named entity 'treatment algorithm' named entity 'electroencephalogram' named entity 'hyperventilation' named entity 'vasodilation' named entity 'sPAR' named entity 'neurotrauma' named entity 'hyperoxia' named entity 'CPP' named entity 'quality assurance' named entity 'precision medicine' named entity 'oxygen saturation' named entity 'external ventricular drain' named entity 'mmHg' named entity 'analgesia' named entity 'intracranial pressure' named entity 'algorithm' named entity 'weaning' named entity 'intensivists' named entity 'algorithm'

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