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.
WSES consensus conference guidelines: Monitoring and management of severe adult traumatic brain injury patients with polytrauma in the first 24 hours / E. Picetti, S. Rossi, F.M. Abu-Zidan, L. Ansaloni, R. Armonda, G.L. Baiocchi, M. Bala, Z.J. Balogh, M. Berardino, W.L. Biffl, P. Bouzat, A. Buki, M. Ceresoli, R.M. Chesnut, O. Chiara, G. Citerio, F. Coccolini, R. Coimbra, S. Di Saverio, G.P. Fraga, D. Gupta, R. Helbok, P.J. Hutchinson, A.W. Kirkpatrick, T. Kinoshita, Y. Kluger, A. Leppaniemi, A.I.R. Maas, R.V. Maier, F. Minardi, E.E. Moore, J.A. Myburgh, D.O. Okonkwo, Y. Otomo, S. Rizoli, A.M. Rubiano, J. Sahuquillo, M. Sartelli, T.M. Scalea, F. Servadei, P.F. Stahel, N. Stocchetti, F.S. Taccone, T. Tonetti, G. Velmahos, D. Weber, F. Catena. - In: WORLD JOURNAL OF EMERGENCY SURGERY. - ISSN 1749-7922. - 14:1(2019 Nov 29).
WSES consensus conference guidelines: Monitoring and management of severe adult traumatic brain injury patients with polytrauma in the first 24 hours
L. Ansaloni
;M. Bala;M. Ceresoli;F. Coccolini
;F. Minardi;D.O. Okonkwo;N. Stocchetti
;T. Tonetti;D. Weber;F. Catena
2019
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.
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