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

Edoardo Picetti; Sandra Rossi; Fikri Abu-Zidan; Luca Ansaloni; Rocco Armonda; Gian Luca Baiocchi; Miklosh Bala; Zsolt J. Balogh; Maurizio Berardino; Walter Biffl; Pierre Bouzat; Andras Buki; Marco Ceresoli; Randall M. Chesnut; Osvaldo Chiara; Giuseppe Citerio; Federico Coccolini; Raul Coimbra; Salomone Di Saverio; Gustavo P. Fraga; Deepak Gupta; Raimund Helbok; Peter J. Hutchinson; Andrew W. Kirkpatrick; Takahiro Kinoshita; Yoram Kluger; Ari Leppaniemi; Andrew I. R. Maas; Ronald V. Maier; Francesco Minardi; Ernest Moore; John A. Myburgh; David O. Okonkwo; Yasuhiro Otomo; Sandro Rizoli; Andres M. Rubiano; Juan Sahuquillo Barris; Massimo Sartelli; Thomas M. Scalea; Franco Servadei; Philip F. Stahel; Nino Stocchetti; Fabio Silvio Taccone; Tommaso Tonetti; George Velmahos; Dieter Weber; Fausto Catena

doi:10.1186/s13017-019-0270-1

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

Edoardo Picetti, Sandra Rossi, Fikri Abu-Zidan, Luca Ansaloni, Rocco Armonda, Gian Luca Baiocchi, Miklosh Bala, Zsolt J. Balogh, Maurizio Berardino, Walter Biffl, Pierre Bouzat, Andras Buki, Marco Ceresoli, Randall M. Chesnut, Osvaldo Chiara, Giuseppe Citerio, Federico Coccolini, Raul Coimbra, Salomone Di Saverio, Gustavo P. FragaDeepak Gupta, Raimund Helbok, Peter J. Hutchinson, Andrew W. Kirkpatrick, Takahiro Kinoshita, Yoram Kluger, Ari Leppaniemi, Andrew I. R. Maas, Ronald V. Maier, Francesco Minardi, Ernest Moore, John A. Myburgh, David O. Okonkwo, Yasuhiro Otomo, Sandro Rizoli, Andres M. Rubiano, Juan Sahuquillo Barris, Massimo Sartelli, Thomas M. Scalea, Franco Servadei, Philip F. Stahel, Nino Stocchetti, Fabio Silvio Taccone, Tommaso Tonetti, George Velmahos, Dieter Weber, Fausto Catena

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93 Citations (Scopus)

Abstract

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.

Original language	English
Journal	World Journal of Emergency Medicine
Volume	14
DOIs	https://doi.org/10.1186/s13017-019-0270-1
Publication status	Published - 2019

Keywords

Traumatic brain injury
Polytrauma
Bleeding
Hemorrhage
Monitoring
Management

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10.1186/s13017-019-0270-1

https://ddd.uab.cat/record/227879

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Picetti, E., Rossi, S., Abu-Zidan, F., Ansaloni, L., Armonda, R., Baiocchi, G. L., Bala, M., Balogh, Z. J., Berardino, M., Biffl, W., Bouzat, P., Buki, A., Ceresoli, M., Chesnut, R. M., Chiara, O., Citerio, G., Coccolini, F., Coimbra, R., Di Saverio, S., ... Catena, F. (2019). WSES consensus conference guidelines : monitoring and management of severe adult traumatic brain injury patients with polytrauma in the first 24 hours. World Journal of Emergency Medicine, 14. https://doi.org/10.1186/s13017-019-0270-1

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

abstract = "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.",

keywords = "Traumatic brain injury, Polytrauma, Bleeding, Hemorrhage, Monitoring, Management",

author = "Edoardo Picetti and Sandra Rossi and Fikri Abu-Zidan and Luca Ansaloni and Rocco Armonda and Baiocchi, \{Gian Luca\} and Miklosh Bala and Balogh, \{Zsolt J.\} and Maurizio Berardino and Walter Biffl and Pierre Bouzat and Andras Buki and Marco Ceresoli and Chesnut, \{Randall M.\} and Osvaldo Chiara and Giuseppe Citerio and Federico Coccolini and Raul Coimbra and \{Di Saverio\}, Salomone and Fraga, \{Gustavo P.\} and Deepak Gupta and Raimund Helbok and Hutchinson, \{Peter J.\} and Kirkpatrick, \{Andrew W.\} and Takahiro Kinoshita and Yoram Kluger and Ari Leppaniemi and Maas, \{Andrew I. R.\} and Maier, \{Ronald V.\} and Francesco Minardi and Ernest Moore and Myburgh, \{John A.\} and Okonkwo, \{David O.\} and Yasuhiro Otomo and Sandro Rizoli and Rubiano, \{Andres M.\} and \{Sahuquillo Barris\}, Juan and Massimo Sartelli and Scalea, \{Thomas M.\} and Franco Servadei and Stahel, \{Philip F.\} and Nino Stocchetti and Taccone, \{Fabio Silvio\} and Tommaso Tonetti and George Velmahos and Dieter Weber and Fausto Catena",

year = "2019",

doi = "10.1186/s13017-019-0270-1",

language = "English",

volume = "14",

journal = "World Journal of Emergency Medicine",

issn = "1749-7922",

}

Picetti, E, Rossi, S, Abu-Zidan, F, Ansaloni, L, Armonda, R, Baiocchi, GL, Bala, M, Balogh, ZJ, Berardino, M, Biffl, W, Bouzat, P, Buki, A, Ceresoli, M, Chesnut, RM, Chiara, O, Citerio, G, Coccolini, F, Coimbra, R, Di Saverio, S, Fraga, GP, Gupta, D, Helbok, R, Hutchinson, PJ, Kirkpatrick, AW, Kinoshita, T, Kluger, Y, Leppaniemi, A, Maas, AIR, Maier, RV, Minardi, F, Moore, E, Myburgh, JA, Okonkwo, DO, Otomo, Y, Rizoli, S, Rubiano, AM, Sahuquillo Barris, J, Sartelli, M, Scalea, TM, Servadei, F, Stahel, PF, Stocchetti, N, Taccone, FS, Tonetti, T, Velmahos, G, Weber, D & Catena, F 2019, 'WSES consensus conference guidelines : monitoring and management of severe adult traumatic brain injury patients with polytrauma in the first 24 hours', World Journal of Emergency Medicine, vol. 14. https://doi.org/10.1186/s13017-019-0270-1

TY - JOUR

T1 - WSES consensus conference guidelines :

T2 - monitoring and management of severe adult traumatic brain injury patients with polytrauma in the first 24 hours

AU - Picetti, Edoardo

AU - Rossi, Sandra

AU - Abu-Zidan, Fikri

AU - Ansaloni, Luca

AU - Armonda, Rocco

AU - Baiocchi, Gian Luca

AU - Bala, Miklosh

AU - Balogh, Zsolt J.

AU - Berardino, Maurizio

AU - Biffl, Walter

AU - Bouzat, Pierre

AU - Buki, Andras

AU - Ceresoli, Marco

AU - Chesnut, Randall M.

AU - Chiara, Osvaldo

AU - Citerio, Giuseppe

AU - Coccolini, Federico

AU - Coimbra, Raul

AU - Di Saverio, Salomone

AU - Fraga, Gustavo P.

AU - Gupta, Deepak

AU - Helbok, Raimund

AU - Hutchinson, Peter J.

AU - Kirkpatrick, Andrew W.

AU - Kinoshita, Takahiro

AU - Kluger, Yoram

AU - Leppaniemi, Ari

AU - Maas, Andrew I. R.

AU - Maier, Ronald V.

AU - Minardi, Francesco

AU - Moore, Ernest

AU - Myburgh, John A.

AU - Okonkwo, David O.

AU - Otomo, Yasuhiro

AU - Rizoli, Sandro

AU - Rubiano, Andres M.

AU - Sahuquillo Barris, Juan

AU - Sartelli, Massimo

AU - Scalea, Thomas M.

AU - Servadei, Franco

AU - Stahel, Philip F.

AU - Stocchetti, Nino

AU - Taccone, Fabio Silvio

AU - Tonetti, Tommaso

AU - Velmahos, George

AU - Weber, Dieter

AU - Catena, Fausto

PY - 2019

Y1 - 2019

N2 - 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.

AB - 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.

KW - Traumatic brain injury

KW - Polytrauma

KW - Bleeding

KW - Hemorrhage

KW - Monitoring

KW - Management

UR - https://www.scopus.com/pages/publications/85075893578

U2 - 10.1186/s13017-019-0270-1

DO - 10.1186/s13017-019-0270-1

M3 - Article

C2 - 31798673

SN - 1749-7922

VL - 14

JO - World Journal of Emergency Medicine

JF - World Journal of Emergency Medicine

ER -

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

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Keywords

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