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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Detalles Bibliográficos
Autores: Picetti, Edoardo, Rossi, Sandra, Abu-Zidan, Fikri M., Ansaloni, Luca, Armonda, Rocco, BAIOCCHI, Gian Luca, Bala, Miklosh, Balogh, Zsolt, Berardino, Maurizio, Biffl, Walter, Bouzat, Pierre, Buki, Andras, Ceresoli, Marco, Chesnut, Randall, Chiara, Osvaldo, Citerio, Giuseppe, Coccolini, Federico, Coimbra, Raul, Di Saverio, Salomone, Fraga, Gustavo P., Gupta, Deepak, Helbok, Raimund, Hutchinson, Peter, Kirkpatrick, Andrew, Kinoshita, Takahiro, kluger, yoram, Leppaniemi, Ari, Maas, Andrew I.R., Maier, Ronald, Minardi, Francesco, Moore, Ernest, Myburgh, John A., Okonkwo, David, OTOMO, YASUHIRO, Rizoli, Sandro, Rubiano, Andrés M., Sahuquillo, Juan, Sartelli, Massimo, Scalea, Thomas, Servadei, Franco, Stahel, Philip, Stocchetti, Nino, Taccone, Fabio Silvio, Tonetti, Tommaso, Velmahos, George, Weber, Dieter, Catena, Fausto
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2019
País:Colombia
Institución:Universidad El Bosque
Repositorio:Repositorio U. El Bosque
Idioma:inglés
OAI Identifier:oai:repositorio.unbosque.edu.co:20.500.12495/2340
Acceso en línea:http://hdl.handle.net/20.500.12495/2340
https://doi.org/10.1186/s13017-019-0270-1
Access Level:acceso abierto
Palabra clave:Lesiones traumáticas del encéfalo
Encefalopatía traumática crónica
Hipotensión
Traumatic brain injury
Polytrauma
Bleeding
Hemorrhage
Monitoring
Management
Descripción
Sumario: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.

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