WSES consensus conference guidelines

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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Detalhes bibliográficos
Autores: Picetti, Edoardo, Rossi, Sandra, Abu-Zidan, Fikri, Ansaloni, Luca|||0000-0001-6427-0307, Armonda, Rocco, Baiocchi, Gian Luca|||0000-0003-2402-2178, Bala, Miklosh|||0000-0002-1504-6162, Balogh, Zsolt J., Berardino, Maurizio, Biffl, Walter, Bouzat, Pierre, Buki, Andras, Ceresoli, Marco|||0000-0001-7935-3842, Chesnut, Randall M.|||0000-0001-6377-3666, Chiara, Osvaldo|||0000-0003-2409-2109, Citerio, Giuseppe|||0000-0002-5374-3161, Coccolini, Federico|||0000-0001-6364-4186, Coimbra, Raul, Di Saverio, Salomone|||0000-0001-5685-5022, 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, Myburgh, John A., Okonkwo, David O., Otomo, Yasuhiro, Rizoli, Sandro, Rubiano, Andres M., Sahuquillo Barris, Juan|||0000-0003-0713-5875, Sartelli, Massimo|||0000-0003-3202-7542, Scalea, Thomas M., Servadei, Franco, Stahel, Philip F., Stocchetti, Nino, Taccone, Fabio Silvio, Tonetti, Tommaso, Velmahos, George, Weber, Dieter, Catena, Fausto|||0000-0001-5558-9965
Formato: artículo
Fecha de publicación:2019
País:España
Recursos:Universitat Autònoma de Barcelona
Repositorio:Dipòsit Digital de Documents de la UAB
Idioma:inglés
OAI Identifier:oai:ddd.uab.cat:227879
Acesso em linha:https://ddd.uab.cat/record/227879
https://dx.doi.org/urn:doi:10.1186/s13017-019-0270-1
Access Level:acceso abierto
Palavra-chave:Traumatic brain injury
Polytrauma
Bleeding
Hemorrhage
Monitoring
Management
Descrição
Resumo: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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