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1. The Brussels consensus for non-invasive ICP monitoring when invasive systems are not available in the care of TBI patients (the B-ICONIC consensus, recommendations, and management algorithm)

Author

Robba, Chiara, Picetti, Edoardo, Vásquez-García, Sebastián, Abulhasan, Yasser B., Ain, Amelia, Adeleye, Amos O., Aries, Marcel, Brasil, Sérgio, Badenes, Rafael, Bertuccio, Alessandro, Bouzat, Pierre, Bustamante, Luis, Calabro’, Lorenzo, Njimi, Hassane, Cardim, Danilo, Citerio, Giuseppe, Czosnyka, Marek, Geeraerts, Thomas, Godoy, Daniel A., Hirzallah, Mohammad I., Devi, Bhagavatula Indira, Jibaja, Manuel, Lochner, Piergiorgio, Mijangos Méndez, Julio C., Meyfroidt, Geert, Munusamy, Thangaraj, Portilla, Juan Pinedo, Prabhakar, Hemanshu, Rasulo, Frank, Sánchez Parra, Diana M., Sarwal, Aarti, Shrestha, Gentle S., Shukla, Dhaval P., Sung, Gene, Tirsit, Abenezer, Vásquez, Franly, Videtta, Walter, Wang, Yu Lin, Paiva, Wellingson S., Taccone, Fabio Silvio, and Rubiano, Andres M.

Published
2025
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2. Chest Computed Tomography for the Diagnosis of COVID-19 in Emergency Trauma Surgery Patients Who Require Urgent Care During the Pandemic: Protocol for an Umbrella Review

Author

Griswold, Dylan, Gempeler, Andrés, Rosseau, Gail, Kaseje, Neema, Johnson, Walter D, Kolias, Angelos, Hutchinson, Peter J, and Rubiano, Andres M

Subjects
Medicine, Computer applications to medicine. Medical informatics, R858-859.7
Abstract

BackgroundMany health care facilities in low- and middle-income countries are inadequately resourced. COVID-19 has the potential to decimate surgical health care services unless health systems take stringent measures to protect health care workers from viral exposure and ensure the continuity of specialized care for patients. Among these measures, the timely diagnosis of COVID-19 is paramount to ensure the use of protective measures and isolation of patients to prevent transmission to health care personnel caring for patients with an unknown COVID-19 status or contact during the pandemic. Besides molecular and antibody tests, chest computed tomography (CT) has been assessed as a potential tool to aid in the screening or diagnosis of COVID-19 and could be valuable in the emergency care setting. ObjectiveThis paper presents the protocol for an umbrella review that aims to identify and summarize the available literature on the diagnostic accuracy of chest CT for COVID-19 in trauma surgery patients requiring urgent care. The objective is to inform future recommendations on emergency care for this category of patients. MethodsWe will conduct several searches in the L·OVE (Living Overview of Evidence) platform for COVID-19, a system that performs automated regular searches in PubMed, Embase, Cochrane Central Register of Controlled Trials, and over 30 other sources. The search results will be presented according to PRISMA (Preferred Reporting Items for Systematic Review and Meta-Analysis). This review will preferentially consider systematic reviews of diagnostic test accuracy studies, as well as individual studies of such design, if not included in the systematic reviews, that assessed the sensitivity and specificity of chest CT in emergency trauma surgery patients. Critical appraisal of the included studies for risk of bias will be conducted. Data will be extracted using a standardized data extraction tool. Findings will be summarized narratively, and the Grading of Recommendations, Assessment, Development, and Evaluation (GRADE) approach will be used to grade the certainty of evidence. ResultsEthics approval is not required for this systematic review, as there will be no patient involvement. The search for this systematic review commenced in October 2020, and we expect to publish the findings in early 2021. The plan for dissemination is to publish the findings in a peer-reviewed journal and present our results at conferences that engage the most pertinent stakeholders. ConclusionsDuring the COVID-19 pandemic, protecting health care workers from infection is essential. Up-to-date information on the efficacy of diagnostic tests for detecting COVID-19 is essential. This review will serve an important role as a thorough summary to inform evidence-based recommendations on establishing effective policy and clinical guideline recommendations. Trial RegistrationPROSPERO International Prospective Register of Systematic Reviews CRD42020198267; https://www.crd.york.ac.uk/PROSPERO/display_record.php?RecordID=198267 International Registered Report Identifier (IRRID)PRR1-10.2196/25207

Published
2021
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4. Early management of adult traumatic spinal cord injury in patients with polytrauma: a consensus and clinical recommendations jointly developed by the World Society of Emergency Surgery (WSES) & the European Association of Neurosurgical Societies (EANS)

Author

Picetti, Edoardo, Demetriades, Andreas K., Catena, Fausto, Aarabi, Bizhan, Abu-Zidan, Fikri M., Alves, Oscar L., Ansaloni, Luca, Armonda, Rocco A., Badenes, Rafael, Bala, Miklosh, Balogh, Zsolt J., Barbanera, Andrea, Bertuccio, Alessandro, Biffl, Walter L., Bouzat, Pierre, Buki, Andras, Castano-Leon, Ana Maria, Cerasti, Davide, Citerio, Giuseppe, Coccolini, Federico, Coimbra, Raul, Coniglio, Carlo, Costa, Francesco, De Iure, Federico, Depreitere, Bart, Fainardi, Enrico, Fehlings, Michael J., Gabrovsky, Nikolay, Godoy, Daniel Agustin, Gruen, Peter, Gupta, Deepak, Hawryluk, Gregory W. J., Helbok, Raimund, Hossain, Iftakher, Hutchinson, Peter J., Iaccarino, Corrado, Inaba, Kenji, Ivanov, Marcel, Kaprovoy, Stanislav, Kirkpatrick, Andrew W., Klein, Sam, Kolias, Angelos, Konovalov, Nikolay A., Lagares, Alfonso, Lippa, Laura, Loza-Gomez, Angelica, Luoto, Teemu M., Maas, Andrew I. R., Maciejczak, Andrzej, Maier, Ronald V., Marklund, Niklas, Martin, Matthew J., Melloni, Ilaria, Mendoza-Lattes, Sergio, Meyfroidt, Geert, Munari, Marina, Napolitano, Lena M., Okonkwo, David O., Otomo, Yasuhiro, Papadopoulos, Marios C., Petr, Ondra, Peul, Wilco C., Pudkrong, Aichholz K., Qasim, Zaffer, Rasulo, Frank, Reizinho, Carla, Ringel, Florian, Rizoli, Sandro, Rostami, Elham, Rubiano, Andres M., Russo, Emanuele, Sarwal, Aarti, Schwab, Jan M., Servadei, Franco, Sharma, Deepak, Sharif, Salman, Shiban, Ehab, Shutter, Lori, Stahel, Philip F., Taccone, Fabio S., Terpolilli, Nicole A., Thomé, Claudius, Toth, Peter, Tsitsopoulos, Parmenion P., Udy, Andrew, Vaccaro, Alexander R., Varon, Albert J., Vavilala, Monica S., Younsi, Alexander, Zackova, Monika, Zoerle, Tommaso, and Robba, Chiara

Published
2024
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7. A management algorithm for adult patients with both brain oxygen and intracranial pressure monitoring: the Seattle International Severe Traumatic Brain Injury Consensus Conference (SIBICC).

Author

Chesnut, Randall, Aguilera, Sergio, Buki, Andras, Bulger, Eileen, Citerio, Giuseppe, Cooper, D Jamie, Arrastia, Ramon Diaz, Diringer, Michael, Figaji, Anthony, Gao, Guoyi, Geocadin, Romer, Ghajar, Jamshid, Harris, Odette, Hoffer, Alan, Hutchinson, Peter, Joseph, Mathew, Kitagawa, Ryan, Manley, Geoffrey, Mayer, Stephan, Menon, David K, Meyfroidt, Geert, Michael, Daniel B, Oddo, Mauro, Okonkwo, David, Patel, Mayur, Robertson, Claudia, Rosenfeld, Jeffrey V, Rubiano, Andres M, Sahuquillo, Juan, Servadei, Franco, Shutter, Lori, Stein, Deborah, Stocchetti, Nino, Taccone, Fabio Silvio, Timmons, Shelly, Tsai, Eve, Ullman, Jamie S, Vespa, Paul, Videtta, Walter, Wright, David W, Zammit, Christopher, and Hawryluk, Gregory WJ

Subjects
Algorithm, Brain injury, Brain oxygen, Consensus, Head trauma, Intracranial pressure, PbtO2, Protocol, SIBICC, Seattle, Tiers, Emergency & Critical Care Medicine, Clinical Sciences, Public Health and Health Services
Abstract

BackgroundCurrent 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.MethodsOur 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.ResultsWe 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.ConclusionsThese 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.

Published
2020

10. Decompressive Craniectomy in the ICU: Usefulness of Transcranial Doppler (TCD/TCCS) in the Monitoring of Hemodynamic Changes

Author

Vásquez, Sebastián, Mantilla, Juliana Mendoza, Suárez, María Natalia, Bustamante, Luis A., Guzman, Joffre, Rubiano, Andrés M., Rodríguez, Camilo N., editor, Baracchini, Claudio, editor, Mejia-Mantilla, Jorge H., editor, Czosnyka, Marek, editor, Suarez, Jose I, editor, Csiba, László, editor, Puppo, Corina, editor, and Bartels, Eva, editor

Published
2022
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11. A management algorithm for patients with intracranial pressure monitoring: the Seattle International Severe Traumatic Brain Injury Consensus Conference (SIBICC).

Author

Hawryluk, Gregory WJ, Aguilera, Sergio, Buki, Andras, Bulger, Eileen, Citerio, Giuseppe, Cooper, D Jamie, Arrastia, Ramon Diaz, Diringer, Michael, Figaji, Anthony, Gao, Guoyi, Geocadin, Romergryko, Ghajar, Jamshid, Harris, Odette, Hoffer, Alan, Hutchinson, Peter, Joseph, Mathew, Kitagawa, Ryan, Manley, Geoffrey, Mayer, Stephan, Menon, David K, Meyfroidt, Geert, Michael, Daniel B, Oddo, Mauro, Okonkwo, David, Patel, Mayur, Robertson, Claudia, Rosenfeld, Jeffrey V, Rubiano, Andres M, Sahuquillo, Juan, Servadei, Franco, Shutter, Lori, Stein, Deborah, Stocchetti, Nino, Taccone, Fabio Silvio, Timmons, Shelly, Tsai, Eve, Ullman, Jamie S, Vespa, Paul, Videtta, Walter, Wright, David W, Zammit, Christopher, and Chesnut, Randall M

Subjects
Humans, Intracranial Hypertension, Monitoring, Physiologic, Algorithms, Adult, Aged, Aged, 80 and over, Middle Aged, Female, Male, Consensus Development Conferences as Topic, Practice Guidelines as Topic, Brain Injuries, Traumatic, Algorithm, Brain injury, Consensus, Head trauma, Intracranial pressure, Protocol, SIBICC, Seattle, Tiers, Traumatic Brain Injury (TBI), Neurosciences, Traumatic Head and Spine Injury, Brain Disorders, Physical Injury - Accidents and Adverse Effects, Clinical Sciences, Public Health and Health Services, Emergency & Critical Care Medicine
Abstract

BackgroundManagement algorithms for adult severe traumatic brain injury (sTBI) were omitted in later editions of the Brain Trauma Foundation's sTBI Management Guidelines, as they were not evidence-based.MethodsWe used a Delphi-method-based consensus approach to address management of sTBI patients undergoing intracranial pressure (ICP) monitoring. Forty-two experienced, clinically active sTBI specialists from six continents comprised the panel. Eight surveys iterated queries and comments. An in-person meeting included whole- and small-group discussions and blinded voting. Consensus required 80% agreement. We developed heatmaps based on a traffic-light model where panelists' decision tendencies were the focus of recommendations.ResultsWe provide comprehensive algorithms for ICP-monitor-based adult sTBI management. Consensus established 18 interventions as fundamental and ten treatments not to be used. We provide a three-tier algorithm for treating elevated ICP. Treatments within a tier are considered empirically equivalent. Higher tiers involve higher risk therapies. Tiers 1, 2, and 3 include 10, 4, and 3 interventions, respectively. We include inter-tier considerations, and recommendations for critical neuroworsening to assist the recognition and treatment of declining patients. Novel elements include guidance for autoregulation-based ICP treatment based on MAP Challenge results, and two heatmaps to guide (1) ICP-monitor removal and (2) consideration of sedation holidays for neurological examination.ConclusionsOur modern and comprehensive sTBI-management protocol is designed to assist clinicians managing sTBI patients monitored with ICP-monitors alone. Consensus-based (class III evidence), it provides management recommendations based on combined expert opinion. It reflects neither a standard-of-care nor a substitute for thoughtful individualized management.

Published
2019

12. Consensus statement from the International Consensus Meeting on the Role of Decompressive Craniectomy in the Management of Traumatic Brain Injury

Author

Hutchinson, Peter J, Kolias, Angelos G, Tajsic, Tamara, Adeleye, Amos, Aklilu, Abenezer Tirsit, Apriawan, Tedy, Bajamal, Abdul Hafid, Barthélemy, Ernest J, Devi, B Indira, Bhat, Dhananjaya, Bulters, Diederik, Chesnut, Randall, Citerio, Giuseppe, Cooper, D Jamie, Czosnyka, Marek, Edem, Idara, El-Ghandour, Nasser MF, Figaji, Anthony, Fountas, Kostas N, Gallagher, Clare, Hawryluk, Gregory WJ, Iaccarino, Corrado, Joseph, Mathew, Khan, Tariq, Laeke, Tsegazeab, Levchenko, Oleg, Liu, Baiyun, Liu, Weiming, Maas, Andrew, Manley, Geoffrey T, Manson, Paul, Mazzeo, Anna T, Menon, David K, Michael, Daniel B, Muehlschlegel, Susanne, Okonkwo, David O, Park, Kee B, Rosenfeld, Jeffrey V, Rosseau, Gail, Rubiano, Andres M, Shabani, Hamisi K, Stocchetti, Nino, Timmons, Shelly D, Timofeev, Ivan, Uff, Chris, Ullman, Jamie S, Valadka, Alex, Waran, Vicknes, Wells, Adam, Wilson, Mark H, and Servadei, Franco

Subjects
Biomedical and Clinical Sciences, Clinical Sciences, Traumatic Brain Injury (TBI), Traumatic Head and Spine Injury, Neurosciences, Brain Disorders, Physical Injury - Accidents and Adverse Effects, Injuries and accidents, Good Health and Well Being, Brain Injuries, Traumatic, Consensus, Decompressive Craniectomy, Humans, Intracranial Hypertension, Neurosurgery, Neurotrauma, Decompression, Cranioplasty, Neurology & Neurosurgery, Clinical sciences
Abstract

BackgroundTwo randomised trials assessing the effectiveness of decompressive craniectomy (DC) following traumatic brain injury (TBI) were published in recent years: DECRA in 2011 and RESCUEicp in 2016. As the results have generated debate amongst clinicians and researchers working in the field of TBI worldwide, it was felt necessary to provide general guidance on the use of DC following TBI and identify areas of ongoing uncertainty via a consensus-based approach.MethodsThe International Consensus Meeting on the Role of Decompressive Craniectomy in the Management of Traumatic Brain Injury took place in Cambridge, UK, on the 28th and 29th September 2017. The meeting was jointly organised by the World Federation of Neurosurgical Societies (WFNS), AO/Global Neuro and the NIHR Global Health Research Group on Neurotrauma. Discussions and voting were organised around six pre-specified themes: (1) primary DC for mass lesions, (2) secondary DC for intracranial hypertension, (3) peri-operative care, (4) surgical technique, (5) cranial reconstruction and (6) DC in low- and middle-income countries.ResultsThe invited participants discussed existing published evidence and proposed consensus statements. Statements required an agreement threshold of more than 70% by blinded voting for approval.ConclusionsIn this manuscript, we present the final consensus-based recommendations. We have also identified areas of uncertainty, where further research is required, including the role of primary DC, the role of hinge craniotomy and the optimal timing and material for skull reconstruction.

Published
2019

13. Future Directions for Global Clinical Neurosurgical Training: Challenges and Opportunities

Author

Hoffman, Caitlin, Härtl, Roger, Shlobin, Nathan A., Tshimbombu, Tshibambe N., Elbabaa, Samer K., Haglund, Michael M., Rubiano, Andrés M., Dewan, Michael C., Stippler, Martina, Mahmud, Muhammad Raji, Barthélemy, Ernest J., Griswold, Dylan P., Wohns, Richard, Shabani, Hamisi K., Rocque, Brandon, Sandberg, David I., Lafuente, Jesús, Dempsey, Robert, and Rosseau, Gail

Published
2022
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20. Post-Traumatic Epilepsy

Author

Viswanathan, L. G., Deora, Harsh, Asranna, Ajay, Rubiano, Andrés M., Honeybul, Stephen, editor, and Kolias, Angelos G., editor

Published
2021
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23. Moderate Traumatic Brain Injury in Adult Population: The Latin American Brain Injury Consortium Consensus for Definition and Categorization.

Author

Agustin Godoy, Daniel, Rubiano, Andres M., Aguilera, Sergio, Jibaja, Manuel, Videtta, Walter, Rovegno, Maximiliano, Paranhos, Jorge, Paranhos, Eduardo, Oliveira de Amorim, Robson Luis, Castro Monteiro da Silva Filho, Ruy, Paiva, Wellingson, Flecha, Jorge, Moreira Faleiro, Rodrigo, Almanza, David, Rodriguez, Eliana, Carrizosa, Jorge, Hawryluk, Gregory W. J., and Rabinstein, Alejandro A.

Published
2024
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24. Use of the six core surgical indicators from the Lancet Commission on Global Surgery in Colombia: a situational analysis

Author

Hanna, Joseph S, Herrera-Almario, Gabriel E, Pinilla-Roncancio, Monica, Tulloch, David, Valencia, Sergio A, Sabatino, Marlena E, Hamilton, Charles, Rehman, Shahyan U, Mendoza, Ardi Knobel, Gómez Bernal, Liliana Carolina, Salas, María Fernanda Moreno, Navarro, María Alejandra Peña, Nemoyer, Rachel, Scott, Michael, Pardo-Bayona, Mariana, Rubiano, Andres M, Ramirez, Mauricio Vasco, Londoño, Darío, Dario-Gonzalez, Ivan, Gracias, Vicente, and Peck, Gregory L

Published
2020
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25. Moderate Traumatic Brain Injury in Adult Population: The Latin American Brain Injury Consortium Consensus for Definition and Categorization

Author

Godoy, Daniel Agustin, primary, Rubiano, Andres M., additional, Aguilera, Sergio, additional, Jibaja, Manuel, additional, Videtta, Walter, additional, Rovegno, Maximiliano, additional, Paranhos, Jorge, additional, Paranhos, Eduardo, additional, de Amorim, Robson Luis Oliveira, additional, Castro Monteiro da Silva Filho, Ruy, additional, Paiva, Wellingson, additional, Flecha, Jorge, additional, Faleiro, Rodrigo Moreira, additional, Almanza, David, additional, Rodriguez, Eliana, additional, Carrizosa, Jorge, additional, Hawryluk, Gregory W. J., additional, and Rabinstein, Alejandro A., additional

Published
2024
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26. Early management of adult traumatic spinal cord injury in patients with polytrauma: a consensus and clinical recommendations jointly developed by the World Society of Emergency Surgery (WSES) & the European Association of Neurosurgical Societies (EANS)

Author

Picetti, E, Demetriades, A, Catena, F, Aarabi, B, Abu-Zidan, F, Alves, O, Ansaloni, L, Armonda, R, Badenes, R, Bala, M, Balogh, Z, Barbanera, A, Bertuccio, A, Biffl, W, Bouzat, P, Buki, A, Castano-Leon, A, Cerasti, D, Citerio, G, Coccolini, F, Coimbra, R, Coniglio, C, Costa, F, De Iure, F, Depreitere, B, Fainardi, E, Fehlings, M, Gabrovsky, N, Godoy, D, Gruen, P, Gupta, D, Hawryluk, G, Helbok, R, Hossain, I, Hutchinson, P, Iaccarino, C, Inaba, K, Ivanov, M, Kaprovoy, S, Kirkpatrick, A, Klein, S, Kolias, A, Konovalov, N, Lagares, A, Lippa, L, Loza-Gomez, A, Luoto, T, Maas, A, Maciejczak, A, Maier, R, Marklund, N, Martin, M, Melloni, I, Mendoza-Lattes, S, Meyfroidt, G, Munari, M, Napolitano, L, Okonkwo, D, Otomo, Y, Papadopoulos, M, Petr, O, Peul, W, Pudkrong, A, Qasim, Z, Rasulo, F, Reizinho, C, Ringel, F, Rizoli, S, Rostami, E, Rubiano, A, Russo, E, Sarwal, A, Schwab, J, Servadei, F, Sharma, D, Sharif, S, Shiban, E, Shutter, L, Stahel, P, Taccone, F, Terpolilli, N, Thomé, C, Toth, P, Tsitsopoulos, P, Udy, A, Vaccaro, A, Varon, A, Vavilala, M, Younsi, A, Zackova, M, Zoerle, T, Robba, C, Picetti, Edoardo, Demetriades, Andreas K., Catena, Fausto, Aarabi, Bizhan, Abu-Zidan, Fikri M., Alves, Oscar L., Ansaloni, Luca, Armonda, Rocco A., Badenes, Rafael, Bala, Miklosh, Balogh, Zsolt J., Barbanera, Andrea, Bertuccio, Alessandro, Biffl, Walter L., Bouzat, Pierre, Buki, Andras, Castano-Leon, Ana Maria, Cerasti, Davide, Citerio, Giuseppe, Coccolini, Federico, Coimbra, Raul, Coniglio, Carlo, Costa, Francesco, De Iure, Federico, Depreitere, Bart, Fainardi, Enrico, Fehlings, Michael J., Gabrovsky, Nikolay, Godoy, Daniel Agustin, Gruen, Peter, Gupta, Deepak, Hawryluk, Gregory W. J., Helbok, Raimund, Hossain, Iftakher, Hutchinson, Peter J., Iaccarino, Corrado, Inaba, Kenji, Ivanov, Marcel, Kaprovoy, Stanislav, Kirkpatrick, Andrew W., Klein, Sam, Kolias, Angelos, Konovalov, Nikolay A., Lagares, Alfonso, Lippa, Laura, Loza-Gomez, Angelica, Luoto, Teemu M., Maas, Andrew I. R., Maciejczak, Andrzej, Maier, Ronald V., Marklund, Niklas, Martin, Matthew J., Melloni, Ilaria, Mendoza-Lattes, Sergio, Meyfroidt, Geert, Munari, Marina, Napolitano, Lena M., Okonkwo, David O., Otomo, Yasuhiro, Papadopoulos, Marios C., Petr, Ondra, Peul, Wilco C., Pudkrong, Aichholz K., Qasim, Zaffer, Rasulo, Frank, Reizinho, Carla, Ringel, Florian, Rizoli, Sandro, Rostami, Elham, Rubiano, Andres M., Russo, Emanuele, Sarwal, Aarti, Schwab, Jan M., Servadei, Franco, Sharma, Deepak, Sharif, Salman, Shiban, Ehab, Shutter, Lori, Stahel, Philip F., Taccone, Fabio S., Terpolilli, Nicole A., Thomé, Claudius, Toth, Peter, Tsitsopoulos, Parmenion P., Udy, Andrew, Vaccaro, Alexander R., Varon, Albert J., Vavilala, Monica S., Younsi, Alexander, Zackova, Monika, Zoerle, Tommaso, Robba, Chiara, Picetti, E, Demetriades, A, Catena, F, Aarabi, B, Abu-Zidan, F, Alves, O, Ansaloni, L, Armonda, R, Badenes, R, Bala, M, Balogh, Z, Barbanera, A, Bertuccio, A, Biffl, W, Bouzat, P, Buki, A, Castano-Leon, A, Cerasti, D, Citerio, G, Coccolini, F, Coimbra, R, Coniglio, C, Costa, F, De Iure, F, Depreitere, B, Fainardi, E, Fehlings, M, Gabrovsky, N, Godoy, D, Gruen, P, Gupta, D, Hawryluk, G, Helbok, R, Hossain, I, Hutchinson, P, Iaccarino, C, Inaba, K, Ivanov, M, Kaprovoy, S, Kirkpatrick, A, Klein, S, Kolias, A, Konovalov, N, Lagares, A, Lippa, L, Loza-Gomez, A, Luoto, T, Maas, A, Maciejczak, A, Maier, R, Marklund, N, Martin, M, Melloni, I, Mendoza-Lattes, S, Meyfroidt, G, Munari, M, Napolitano, L, Okonkwo, D, Otomo, Y, Papadopoulos, M, Petr, O, Peul, W, Pudkrong, A, Qasim, Z, Rasulo, F, Reizinho, C, Ringel, F, Rizoli, S, Rostami, E, Rubiano, A, Russo, E, Sarwal, A, Schwab, J, Servadei, F, Sharma, D, Sharif, S, Shiban, E, Shutter, L, Stahel, P, Taccone, F, Terpolilli, N, Thomé, C, Toth, P, Tsitsopoulos, P, Udy, A, Vaccaro, A, Varon, A, Vavilala, M, Younsi, A, Zackova, M, Zoerle, T, Robba, C, Picetti, Edoardo, Demetriades, Andreas K., Catena, Fausto, Aarabi, Bizhan, Abu-Zidan, Fikri M., Alves, Oscar L., Ansaloni, Luca, Armonda, Rocco A., Badenes, Rafael, Bala, Miklosh, Balogh, Zsolt J., Barbanera, Andrea, Bertuccio, Alessandro, Biffl, Walter L., Bouzat, Pierre, Buki, Andras, Castano-Leon, Ana Maria, Cerasti, Davide, Citerio, Giuseppe, Coccolini, Federico, Coimbra, Raul, Coniglio, Carlo, Costa, Francesco, De Iure, Federico, Depreitere, Bart, Fainardi, Enrico, Fehlings, Michael J., Gabrovsky, Nikolay, Godoy, Daniel Agustin, Gruen, Peter, Gupta, Deepak, Hawryluk, Gregory W. J., Helbok, Raimund, Hossain, Iftakher, Hutchinson, Peter J., Iaccarino, Corrado, Inaba, Kenji, Ivanov, Marcel, Kaprovoy, Stanislav, Kirkpatrick, Andrew W., Klein, Sam, Kolias, Angelos, Konovalov, Nikolay A., Lagares, Alfonso, Lippa, Laura, Loza-Gomez, Angelica, Luoto, Teemu M., Maas, Andrew I. R., Maciejczak, Andrzej, Maier, Ronald V., Marklund, Niklas, Martin, Matthew J., Melloni, Ilaria, Mendoza-Lattes, Sergio, Meyfroidt, Geert, Munari, Marina, Napolitano, Lena M., Okonkwo, David O., Otomo, Yasuhiro, Papadopoulos, Marios C., Petr, Ondra, Peul, Wilco C., Pudkrong, Aichholz K., Qasim, Zaffer, Rasulo, Frank, Reizinho, Carla, Ringel, Florian, Rizoli, Sandro, Rostami, Elham, Rubiano, Andres M., Russo, Emanuele, Sarwal, Aarti, Schwab, Jan M., Servadei, Franco, Sharma, Deepak, Sharif, Salman, Shiban, Ehab, Shutter, Lori, Stahel, Philip F., Taccone, Fabio S., Terpolilli, Nicole A., Thomé, Claudius, Toth, Peter, Tsitsopoulos, Parmenion P., Udy, Andrew, Vaccaro, Alexander R., Varon, Albert J., Vavilala, Monica S., Younsi, Alexander, Zackova, Monika, Zoerle, Tommaso, and Robba, Chiara

Abstract

Background: The early management of polytrauma patients with traumatic spinal cord injury (tSCI) is a major challenge. Sparse data is available to provide optimal care in this scenario and worldwide variability in clinical practice has been documented in recent studies. Methods: A multidisciplinary consensus panel of physicians selected for their established clinical and scientific expertise in the acute management of tSCI polytrauma patients with different specializations was established. The World Society of Emergency Surgery (WSES) and the European Association of Neurosurgical Societies (EANS) endorsed the consensus, and a modified Delphi approach was adopted. Results: A total of 17 statements were proposed and discussed. A consensus was reached generating 17 recommendations (16 strong and 1 weak). Conclusions: This consensus provides practical recommendations to support a clinician’s decision making in the management of tSCI polytrauma patients.

Published
2024

31. Development of a Severe Traumatic Brain Injury Consensus-Based Treatment Protocol Conference in Latin America

Author

Hendrickson, Peter, Pridgeon, James, Temkin, Nancy R., Videtta, Walter, Petroni, Gustavo, Lujan, Silvia, Guadagnoli, Nahuel, Urbina, Zulma, Pahnke, Perla Blanca, Godoy, Daniel, Pinero, Gustavo, Lora, Freddy Sandi, Aguilera, Sergio, Rubiano, Andres M., Morejon, Caridad Soler, Jibaja, Manuel, Lopez, Hubiel, Romero, Ricardo, Dikmen, Sureyya, Chaddock, Kelley, and Chesnut, Randall M.

Published
2018
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37. Prognostication and Goals of Care Decisions in Severe Traumatic Brain Injury: A Survey of The Seattle International Severe Traumatic Brain Injury Consensus Conference Working Group

Author

Sarigul, Buse, primary, Bell, Randy S., additional, Chesnut, Randall, additional, Aguilera, Sergio, additional, Buki, Andras, additional, Citerio, Giuseppe, additional, Cooper, D. Jamie, additional, Diaz-Arrastia, Ramon, additional, Diringer, Michael, additional, Figaji, Anthony, additional, Gao, Guoyi, additional, Geocadin, Romergryko G., additional, Ghajar, Jamshid, additional, Harris, Odette, additional, Hoffer, Alan, additional, Hutchinson, Peter, additional, Joseph, Mathew, additional, Kitagawa, Ryan, additional, Manley, Geoffrey, additional, Mayer, Stephan A., additional, Menon, David K., additional, Meyfroidt, Geert, additional, Michael, Daniel B., additional, Oddo, Mauro, additional, Okonkwo, David O., additional, Patel, Mayur B., additional, Robertson, Claudia, additional, Rosenfeld, Jeffrey V., additional, Rubiano, Andres M., additional, Sahuquillo, Juan, additional, Servadei, Franco, additional, Shutter, Lori, additional, Stein, Deborah D., additional, Stocchetti, Nino, additional, Taccone, Fabio Silvio, additional, Timmons, Shelly D., additional, Tsai, Eve, additional, Ullman, Jamie S., additional, Vespa, Paul, additional, Videtta, Walter, additional, Wright, David W., additional, Zammit, Christopher, additional, and Hawryluk, Gregory W. J., additional

Published
2023
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39. WSES consensus conference guidelines: monitoring and management of severe adult traumatic brain injury patients with polytrauma in the first 24 hours

Author

Picetti, Edoardo, Rossi, Sandra, Abu-Zidan, Fikri M., Ansaloni, Luca, Armonda, Rocco, Baiocchi, Gian Luca, Bala, Miklosh, Balogh, Zsolt J., Berardino, Maurizio, Biffl, Walter L., Bouzat, Pierre, Buki, Andras, Ceresoli, Marco, Chesnut, Randall M., Chiara, Osvaldo, Citerio, Giuseppe, Coccolini, Federico, Coimbra, Raul, Di Saverio, Salomone, 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 E., Myburgh, John A., Okonkwo, David O., Otomo, Yasuhiro, Rizoli, Sandro, Rubiano, Andres M., Sahuquillo, Juan, Sartelli, Massimo, Scalea, Thomas M., Servadei, Franco, Stahel, Philip F., Stocchetti, Nino, Taccone, Fabio S., Tonetti, Tommaso, Velmahos, George, Weber, Dieter, and Catena, Fausto

Published
2019
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40. Prognostication and Goals of Care Decisions in Severe Traumatic Brain Injury : A Survey of The Seattle International Severe Traumatic Brain Injury Consensus Conference Working Group

Author

Sarigul, Buse, Bell, Randy S., Chesnut, Randall, Aguilera, Sergio, Büki, Andras, Citerio, Giuseppe, Cooper, D. Jamie, Diaz-Arrastia, Ramon, Diringer, Michael, Figaji, Anthony, Gao, Guoyi, Geocadin, Romergryko G., Ghajar, Jamshid, Harris, Odette, Hoffer, Alan, Hutchinson, Peter, Joseph, Mathew, Kitagawa, Ryan, Manley, Geoffrey, Mayer, Stephan A., Menon, David K., Meyfroidt, Geert, Michael, Daniel B., Oddo, Mauro, Okonkwo, David O., Patel, Mayur B., Robertson, Claudia, Rosenfeld, Jeffrey V., Rubiano, Andres M., Sahuquillo, Juan, Servadei, Franco, Shutter, Lori, Stein, Deborah D., Stocchetti, Nino, Taccone, Fabio Silvio, Timmons, Shelly D., Tsai, Eve, Ullman, Jamie S., Vespa, Paul, Videtta, Walter, Wright, David W., Zammit, Christopher, Hawryluk, Gregory W. J., Sarigul, Buse, Bell, Randy S., Chesnut, Randall, Aguilera, Sergio, Büki, Andras, Citerio, Giuseppe, Cooper, D. Jamie, Diaz-Arrastia, Ramon, Diringer, Michael, Figaji, Anthony, Gao, Guoyi, Geocadin, Romergryko G., Ghajar, Jamshid, Harris, Odette, Hoffer, Alan, Hutchinson, Peter, Joseph, Mathew, Kitagawa, Ryan, Manley, Geoffrey, Mayer, Stephan A., Menon, David K., Meyfroidt, Geert, Michael, Daniel B., Oddo, Mauro, Okonkwo, David O., Patel, Mayur B., Robertson, Claudia, Rosenfeld, Jeffrey V., Rubiano, Andres M., Sahuquillo, Juan, Servadei, Franco, Shutter, Lori, Stein, Deborah D., Stocchetti, Nino, Taccone, Fabio Silvio, Timmons, Shelly D., Tsai, Eve, Ullman, Jamie S., Vespa, Paul, Videtta, Walter, Wright, David W., Zammit, Christopher, and Hawryluk, Gregory W. J.

Abstract

Best practice guidelines have advanced severe traumatic brain injury (TBI) care; however, there is little that currently informs goals of care decisions and processes despite their importance and frequency. Panelists from the Seattle International severe traumatic Brain Injury Consensus Conference (SIBICC) participated in a survey consisting of 24 questions. Questions queried use of prognostic calculators, variability in and responsibility for goals of care decisions, and acceptability of neurological outcomes, as well as putative means of improving decisions that might limit care. A total of 97.6% of the 42 SIBICC panelists completed the survey. Responses to most questions were highly variable. Overall, panelists reported infrequent use of prognostic calculators, and observed variability in patient prognostication and goals of care decisions. They felt that it would be beneficial for physicians to improve consensus on what constitutes an acceptable neurological outcome as well as what chance of achieving that outcome is acceptable. Panelists felt that the public should help to define what constitutes a good outcome and expressed some support for a "nihilism guard." More than 50% of panelists felt that if it was certain to be permanent, a vegetative state or lower severe disability would justify a withdrawal of care decision, whereas 15% felt that upper severe disability justified such a decision. Whether conceptualizing an ideal or existing prognostic calculator to predict death or an unacceptable outcome, on average a 64-69% chance of a poor outcome was felt to justify treatment withdrawal. These results demonstrate important variability in goals of care decision making and a desire to reduce this variability. Our panel of recognized TBI experts opined on the neurological outcomes and chances of those outcomes that might prompt consideration of care withdrawal; however, imprecision of prognostication and existing prognostication tools is a significant impediment t, Funding agencies:National Institute for Health Research (NIHR) Adler/Geirsch Attorney at Law American Association of Neurological Surgeons/Congress of Neurological Surgeons Section on Neurotrauma and Critical Care, Bard BrainTrauma Foundation DePuy Hemedex Integra Neurointensive Care Section of the European Society of Intensive Care Medicine Neurosurgical Society of Australasia Medtronic Moberg Research National University of Singapore Neuroptics Raumedic Sophysa Stryker Zoll

Published
2023
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41. Perceived Utility of Intracranial Pressure Monitoring in Traumatic Brain Injury : A Seattle International Brain Injury Consensus Conference Consensus-Based Analysis and Recommendations

Author

Chesnut, Randall M., Aguilera, Sergio, Buki, Andras, Bulger, Eileen M., Citerio, Giuseppe, Cooper, D. Jamie, Arrastia, Ramon Diaz, Diringer, Michael, Figaji, Anthony, Gao, Guoyi, Geocadin, Romergryko G., Ghajar, Jamshid, Harris, Odette, Hawryluk, Gregory W. J., Hoffer, Alan, Hutchinson, Peter, Joseph, Mathew, Kitagawa, Ryan, Manley, Geoffrey, Mayer, Stephan, Menon, David K., Meyfroidt, Geert, Michael, Daniel B., Oddo, Mauro, Okonkwo, David O., Patel, Mayur B., Robertson, Claudia, Rosenfeld, Jeffrey V., Rubiano, Andres M., Sahuquillo, Juain, Servadei, Franco, Shutter, Lori, Stein, Deborah M., Stocchetti, Nino, Taccone, Fabio Silvio, Timmons, Shelly D., Tsai, Eve C., Ullman, Jamie S., Videtta, Walter, Wright, David W., Zammit, Christopher, Chesnut, Randall M., Aguilera, Sergio, Buki, Andras, Bulger, Eileen M., Citerio, Giuseppe, Cooper, D. Jamie, Arrastia, Ramon Diaz, Diringer, Michael, Figaji, Anthony, Gao, Guoyi, Geocadin, Romergryko G., Ghajar, Jamshid, Harris, Odette, Hawryluk, Gregory W. J., Hoffer, Alan, Hutchinson, Peter, Joseph, Mathew, Kitagawa, Ryan, Manley, Geoffrey, Mayer, Stephan, Menon, David K., Meyfroidt, Geert, Michael, Daniel B., Oddo, Mauro, Okonkwo, David O., Patel, Mayur B., Robertson, Claudia, Rosenfeld, Jeffrey V., Rubiano, Andres M., Sahuquillo, Juain, Servadei, Franco, Shutter, Lori, Stein, Deborah M., Stocchetti, Nino, Taccone, Fabio Silvio, Timmons, Shelly D., Tsai, Eve C., Ullman, Jamie S., Videtta, Walter, Wright, David W., and Zammit, Christopher

Abstract

BACKGROUND: Intracranial pressure (ICP) monitoring is widely practiced, but the indications are incompletely developed, and guidelines are poorly followed. OBJECTIVE: To study the monitoring practices of an established expert panel (the clinical working group from the Seattle International Brain Injury Consensus Conference effort) to examine the match between monitoring guidelines and their clinical decision-making and offer guidance for clinicians considering monitor insertion. METHODS: We polled the 42 Seattle International Brain Injury Consensus Conference panel members' ICP monitoring decisions for virtual patients, using matrices of presenting signs (Glasgow Coma Scale [GCS] total or GCS motor, pupillary examination, and computed tomography diagnosis). Monitor insertion decisions were yes, no, or unsure (traffic light approach). We analyzed their responses for weighting of the presenting signs in decision-making using univariate regression. RESULTS: Heatmaps constructed from the choices of 41 panel members revealed wider ICP monitor use than predicted by guidelines. Clinical examination (GCS) was by far the most important characteristic and differed from guidelines in being nonlinear. The modified Marshall computed tomography classification was second and pupils third. We constructed a heatmap and listed the main clinical determinants representing 80% ICP monitor insertion consensus for our recommendations. CONCLUSION: Candidacy for ICP monitoring exceeds published indicators for monitor insertion, suggesting the clinical perception that the value of ICP data is greater than simply detecting and monitoring severe intracranial hypertension. Monitor insertion heatmaps are offered as potential guidance for ICP monitor insertion and to stimulate research into what actually drives monitor insertion in unconstrained, real-world conditions.

Published
2023
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42. Perceived Utility of Intracranial Pressure Monitoring in Traumatic Brain Injury: A Seattle International Brain Injury Consensus Conference Consensus-Based Analysis and Recommendations

Author

Chesnut, R, Aguilera, S, Buki, A, Bulger, E, Citerio, G, Cooper, D, Arrastia, R, Diringer, M, Figaji, A, Gao, G, Geocadin, R, Ghajar, J, Harris, O, Hawryluk, G, Hoffer, A, Hutchinson, P, Joseph, M, Kitagawa, R, Manley, G, Mayer, S, Menon, D, Meyfroidt, G, Michael, D, Oddo, M, Okonkwo, D, Patel, M, Robertson, C, Rosenfeld, J, Rubiano, A, Sahuquillo, J, Servadei, F, Shutter, L, Stein, D, Stocchetti, N, Taccone, F, Timmons, S, Tsai, E, Ullman, J, Videtta, W, Wright, D, Zammit, C, Chesnut, Randall M, Aguilera, Sergio, Buki, Andras, Bulger, Eileen M, Citerio, Giuseppe, Cooper, D Jamie, Arrastia, Ramon Diaz, Diringer, Michael, Figaji, Anthony, Gao, Guoyi, Geocadin, Romergryko G, Ghajar, Jamshid, Harris, Odette, Hawryluk, Gregory W J, Hoffer, Alan, Hutchinson, Peter, Joseph, Mathew, Kitagawa, Ryan, Manley, Geoffrey, Mayer, Stephan, Menon, David K, Meyfroidt, Geert, Michael, Daniel B, Oddo, Mauro, Okonkwo, David O, Patel, Mayur B, Robertson, Claudia, Rosenfeld, Jeffrey V, Rubiano, Andres M, Sahuquillo, Juain, Servadei, Franco, Shutter, Lori, Stein, Deborah M, Stocchetti, Nino, Taccone, Fabio Silvio, Timmons, Shelly D, Tsai, Eve C, Ullman, Jamie S, Videtta, Walter, Wright, David W, Zammit, Christopher, Chesnut, R, Aguilera, S, Buki, A, Bulger, E, Citerio, G, Cooper, D, Arrastia, R, Diringer, M, Figaji, A, Gao, G, Geocadin, R, Ghajar, J, Harris, O, Hawryluk, G, Hoffer, A, Hutchinson, P, Joseph, M, Kitagawa, R, Manley, G, Mayer, S, Menon, D, Meyfroidt, G, Michael, D, Oddo, M, Okonkwo, D, Patel, M, Robertson, C, Rosenfeld, J, Rubiano, A, Sahuquillo, J, Servadei, F, Shutter, L, Stein, D, Stocchetti, N, Taccone, F, Timmons, S, Tsai, E, Ullman, J, Videtta, W, Wright, D, Zammit, C, Chesnut, Randall M, Aguilera, Sergio, Buki, Andras, Bulger, Eileen M, Citerio, Giuseppe, Cooper, D Jamie, Arrastia, Ramon Diaz, Diringer, Michael, Figaji, Anthony, Gao, Guoyi, Geocadin, Romergryko G, Ghajar, Jamshid, Harris, Odette, Hawryluk, Gregory W J, Hoffer, Alan, Hutchinson, Peter, Joseph, Mathew, Kitagawa, Ryan, Manley, Geoffrey, Mayer, Stephan, Menon, David K, Meyfroidt, Geert, Michael, Daniel B, Oddo, Mauro, Okonkwo, David O, Patel, Mayur B, Robertson, Claudia, Rosenfeld, Jeffrey V, Rubiano, Andres M, Sahuquillo, Juain, Servadei, Franco, Shutter, Lori, Stein, Deborah M, Stocchetti, Nino, Taccone, Fabio Silvio, Timmons, Shelly D, Tsai, Eve C, Ullman, Jamie S, Videtta, Walter, Wright, David W, and Zammit, Christopher

Abstract

BACKGROUND: Intracranial pressure (ICP) monitoring is widely practiced, but the indications are incompletely developed, and guidelines are poorly followed. OBJECTIVE: To study the monitoring practices of an established expert panel (the clinical working group from the Seattle International Brain Injury Consensus Conference effort) to examine the match between monitoring guidelines and their clinical decision-making and offer guidance for clinicians considering monitor insertion. METHODS: We polled the 42 Seattle International Brain Injury Consensus Conference panel members' ICP monitoring decisions for virtual patients, using matrices of presenting signs (Glasgow Coma Scale [GCS] total or GCS motor, pupillary examination, and computed tomography diagnosis). Monitor insertion decisions were yes, no, or unsure (traffic light approach). We analyzed their responses for weighting of the presenting signs in decision-making using univariate regression. RESULTS: Heatmaps constructed from the choices of 41 panel members revealed wider ICP monitor use than predicted by guidelines. Clinical examination (GCS) was by far the most important characteristic and differed from guidelines in being nonlinear. The modified Marshall computed tomography classification was second and pupils third. We constructed a heatmap and listed the main clinical determinants representing 80% ICP monitor insertion consensus for our recommendations. CONCLUSION: Candidacy for ICP monitoring exceeds published indicators for monitor insertion, suggesting the clinical perception that the value of ICP data is greater than simply detecting and monitoring severe intracranial hypertension. Monitor insertion heatmaps are offered as potential guidance for ICP monitor insertion and to stimulate research into what actually drives monitor insertion in unconstrained, real-world conditions.

Published
2023

43. Prognostication and Withdrawal of Care Decisions in Severe Traumatic Brain Injury: A Survey of The Seattle International Severe Traumatic Brain Injury Consensus Conference (SIBICC) Working Group

Author

Sarigul, B, Bell, R, Chesnut, R, Aguilera, S, Buki, A, Citerio, G, Cooper, D, Diaz-Arrastia, R, Diringer, M, Figaji, A, Gao, G, Geocadin, R, Ghajar, J, Harris, O, Hoffer, A, Hutchinson, P, Joseph, M, Kitagawa, R, Manley, G, Mayer, S, Menon, D, Meyfroidt, G, Michael, D, Oddo, M, Okonkwo, D, Patel, M, Robertson, C, Rosenfeld, J, Rubiano, A, Sahuquillo, J, Servadei, F, Shutter, L, Stein, D, Stocchetti, N, Taccone, F, Timmons, S, Tsai, E, Ullman, J, Vespa, P, Videtta, W, Wright, D, Zammit, C, Hawryluk, G, Sarigul, Buse, Bell, Randy S, Chesnut, Randall M, Aguilera, Sergio, Buki, Andras, Citerio, Giuseppe, Cooper, D James, Diaz-Arrastia, Ramon R, Diringer, Michael, Figaji, Anthony, Gao, Guoyi, Geocadin, Romer, Ghajar, Jamshid, Harris, Odette A, Hoffer, Alan, Hutchinson, Peter John, Joseph, Matthew, Kitagawa, Ryan Seiji, Manley, Geoffrey T, Mayer, Stephan, Menon, David, Meyfroidt, Geert, Michael, Daniel, Oddo, Mauro, Okonkwo, David O, Patel, Mayur B, Robertson, Claudia S, Rosenfeld, Jeffrey V, Rubiano, Andres M, Sahuquillo, Juan, Servadei, Franco, Shutter, Lori, Stein, Deborah, Stocchetti, Nino, Taccone, Fabio, Timmons, Shelly, Tsai, Eve, Ullman, Jamie S, Vespa, Paul M, Videtta, Walter, Wright, David, Zammit, Christopher, Hawryluk, Gregory, Sarigul, B, Bell, R, Chesnut, R, Aguilera, S, Buki, A, Citerio, G, Cooper, D, Diaz-Arrastia, R, Diringer, M, Figaji, A, Gao, G, Geocadin, R, Ghajar, J, Harris, O, Hoffer, A, Hutchinson, P, Joseph, M, Kitagawa, R, Manley, G, Mayer, S, Menon, D, Meyfroidt, G, Michael, D, Oddo, M, Okonkwo, D, Patel, M, Robertson, C, Rosenfeld, J, Rubiano, A, Sahuquillo, J, Servadei, F, Shutter, L, Stein, D, Stocchetti, N, Taccone, F, Timmons, S, Tsai, E, Ullman, J, Vespa, P, Videtta, W, Wright, D, Zammit, C, Hawryluk, G, Sarigul, Buse, Bell, Randy S, Chesnut, Randall M, Aguilera, Sergio, Buki, Andras, Citerio, Giuseppe, Cooper, D James, Diaz-Arrastia, Ramon R, Diringer, Michael, Figaji, Anthony, Gao, Guoyi, Geocadin, Romer, Ghajar, Jamshid, Harris, Odette A, Hoffer, Alan, Hutchinson, Peter John, Joseph, Matthew, Kitagawa, Ryan Seiji, Manley, Geoffrey T, Mayer, Stephan, Menon, David, Meyfroidt, Geert, Michael, Daniel, Oddo, Mauro, Okonkwo, David O, Patel, Mayur B, Robertson, Claudia S, Rosenfeld, Jeffrey V, Rubiano, Andres M, Sahuquillo, Juan, Servadei, Franco, Shutter, Lori, Stein, Deborah, Stocchetti, Nino, Taccone, Fabio, Timmons, Shelly, Tsai, Eve, Ullman, Jamie S, Vespa, Paul M, Videtta, Walter, Wright, David, Zammit, Christopher, and Hawryluk, Gregory

Abstract

Best practice guidelines have advanced severe traumatic brain injury (TBI) care; however, there is little that currently informs goals of care decisions and processes despite their importance and frequency. Panelists from the Seattle International severe traumatic Brain Injury Consensus Conference (SIBICC) participated in a survey consisting of 24 questions. Questions queried use of prognostic calculators, variability in and responsibility for goals of care decisions, and acceptability of neurological outcomes, as well as putative means of improving decisions that might limit care. A total of 97.6% of the 42 SIBICC panelists completed the survey. Responses to most questions were highly variable. Overall, panelists reported infrequent use of prognostic calculators, and observed variability in patient prognostication and goals of care decisions. They felt that it would be beneficial for physicians to improve consensus on what constitutes an acceptable neurological outcome as well as what chance of achieving that outcome is acceptable. Panelists felt that the public should help to define what constitutes a good outcome and expressed some support for a “nihilism guard.” More than 50% of panelists felt that if it was certain to be permanent, a vegetative state or lower severe disability would justify a withdrawal of care decision, whereas 15% felt that upper severe disability justified such a decision. Whether conceptualizing an ideal or existing prognostic calculator to predict death or an unacceptable outcome, on average a 64-69% chance of a poor outcome was felt to justify treatment withdrawal. These results demonstrate important variability in goals of care decision making and a desire to reduce this variability. Our panel of recognized TBI experts opined on the neurological outcomes and chances of those outcomes that might prompt consideration of care withdrawal; however, imprecision of prognostication and existing prognostication tools is a significant impediment t

Published
2023

45. Perceived Utility of Intracranial Pressure Monitoring in Traumatic Brain Injury: A Seattle International Brain Injury Consensus Conference Consensus-Based Analysis and Recommendations

Author

Chesnut, Randall M., primary, Aguilera, Sergio, additional, Buki, Andras, additional, Bulger, Eileen M., additional, Citerio, Giuseppe, additional, Cooper, D. Jamie, additional, Arrastia, Ramon Diaz, additional, Diringer, Michael, additional, Figaji, Anthony, additional, Gao, Guoyi, additional, Geocadin, Romergryko G., additional, Ghajar, Jamshid, additional, Harris, Odette, additional, Hawryluk, Gregory W. J., additional, Hoffer, Alan, additional, Hutchinson, Peter, additional, Joseph, Mathew, additional, Kitagawa, Ryan, additional, Manley, Geoffrey, additional, Mayer, Stephan, additional, Menon, David K, additional, Meyfroidt, Geert, additional, Michael, Daniel B., additional, Oddo, Mauro, additional, Okonkwo, David O., additional, Patel, Mayur B., additional, Robertson, Claudia, additional, Rosenfeld, Jeffrey V., additional, Rubiano, Andres M., additional, Sahuquillo, Juain, additional, Servadei, Franco, additional, Shutter, Lori, additional, Stein, Deborah M., additional, Stocchetti, Nino, additional, Taccone, Fabio Silvio, additional, Timmons, Shelly D., additional, Tsai, Eve C., additional, Ullman, Jamie S., additional, Videtta, Walter, additional, Wright, David W., additional, and Zammit, Christopher, additional

Published
2023
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46. Time for a paradigm shift in shared decision-making in trauma and emergency surgery? Results from an international survey

Author

Cobianchi, Lorenzo, Dal Mas, Francesca, Agnoletti, Vanni, Ansaloni, Luca, Biffl, Walter, Butturini, Giovanni, Campostrini, Stefano, Catena, Fausto, Denicolai, Stefano, Fugazzola, Paola, Martellucci, Jacopo, Massaro, Maurizio, Previtali, Pietro, Ruta, Federico, Venturi, Alessandro, Woltz, Sarah, Kaafarani, Haytham M., Loftus, Tyler J., Aapoäÿlu, Recayi, Abbott, Kenneth Lyle, Abdelmalik, Abubaker, Abebe, Nebyou Seyoum, Abu-Zidan, Fikri, Adam, Yousif Abdallah Yousif, Adamou, Harissou, Adamovich, Dmitry Mikhailovich, Agresta, Ferdinando, Agrusa, Antonino, Akin, Emrah, Alessiani, Mario, Alexandrino, Henrique, Bidoli, Chiara, Ali, Syed Muhammad, Mihai, Vasilescu Alin, Almeida, Pedro Miguel, Al-Shehari, Mohammed Mohammed, Altomare, Michele, Amico, Francesco, Ammendola, Michele, Andreuccetti, Jacopo, Anestiadou, Elissavet, Annicchiarico, Alfredo, Antonelli, Amedeo, Aparicio-Sanchez, Daniel, Ardito, Antonella, Argenio, Giulio, Arvieux, Catherine Claude, Arvieux, Catherine, Askevold, Ingolf Harald, Atanasov, Boyko Tchavdarov, Augustin, Goran, Awad, Selmy Sabry, Bacchiocchi, Giulia, Bagnoli, Carlo, Bahouth, Hany, Baili, Efstratia, Bains, Lovenish, Baiocchi, Gian Luca, Bala, Miklosh, Balaguà©, Carmen, Balalis, Dimitrios, Baldini, Edoardo, Baraket, Oussama, Baral, Suman, Barone, Mirko, Gonzãlez Barranquero, Alberto, Barreras, Jorge Arturo, Bass, Gary Alan, Bayhan, Zulfu, Bellanova, Giovanni, Ben-Ishay, Offir, Bert, Fabrizio, Bianchi, Valentina, Biancuzzi, Helena, Radulescu, Raluca Bievel, Bignell, Mark Brian, Biloslavo, Alan, Bini, Roberto, Bissacco, Daniele, Boati, Paoll, Boddaert, Guillaume, Bogdanic, Branko, Bombardini, Cristina, Bonavina, Luigi, Bonomo, Luca, Bottari, Andrea, Bouliaris, Konstantinos, Brachini, Gioia, Brillantino, Antonio, Brisinda, Giuseppe, Bulanauca, Maloni Mamada, Buonomo, Luis Antonio, Burcharth, Jakob, Buscemi, Salvatore, Calabretto, Francesca, Calini, Giacomo, Calu, Valentin, Campanile, Fabio Cesare, Campo Dall’Orto, Riccardo, Campos-Serra, Andrea, Carvas, Joao Miguel, Cascella, Marco, Pattacini, Gianmaria Casoni, Celentano, Valerio, Centonze, Danilo Corrado, Ceresoli, Marco, Chatzipetris, Dimitrios, Chessa, Antonella, Chiarello, Maria Michela, Chirica, Mircea, Chooklin, Serge, Chouliaras, Christos, Chowdhury, Sharfuddin, Cianci, Pasquale, Cillara, Nicola, Cimbanassi, Stefania, Cioffi, Stefano Piero Bernardo, Colãis-Ruiz, Enrique, Colak, Elif, Conti, Luigi, Coppola, Alessandro, de Sa, Tiago Correia, Costa, Silvia Dantas, Cozza, Valerio, Curro’, Giuseppe, Dabekaussen, Kirsten Felicia Ann-Sophie Aimee, D’Acapito, Fabrizio, Damaskos, Dimitrios, D’Ambrosio, Giancarlo, Das, Koray, Davies, Richard Justin, de Beaux, Andrew Charles, De Lebrusant Fernandez, Sara Patricia, De Luca, Alessandro, De Simone, Belinda, De Stefano, Francesca, Degrate, Luca, Demetrashvili, Zaza, Demetriades, Andreas Kyriacou, Detanac, Dzemail Smail, Dezi, Agnese, Di Buono, Giuseppe, Carlo, Isidoro-D. I., Di Lascio, Pierpaolo, Di Martino, Marcello, Di Saverio, Salomone, Diaconescu, Bogdan, Diaz, Jose J., Dibra, Rigers, Dimitrov, Evgeni Nikolaev, Dinuzzi, Vincenza Paola, Dios-Barbeito, Sandra, Diyani, Jehangir Farman Ali, Dogjani, Agron, Domanin, Maurizio, D’Oria, Mario, Munoz-Cruzado, Virginia Duran, East, Barbora, Ekelund, Mikael, Ekwen, Gerald Takem, Elbaih, Adel Hamed, Elhadi, Muhammed, Enninghorst, Natalie, Ernisova, Mairam, Escalera-Antezana, Juan Pablo, Esposito, Sofia, Esposito, Giuseppe, Estaire-Gãmez, Mercedes, Farã, Camilla Nikita, Farre, Roser, Favi, Francesco, Ferrario, Luca, Ferrario di Tor Vajana, Antonjacopo, Filisetti, Claudia, Fleres, Francesco, Fonseca, Vinicius Cordeiro, Forero-Torres, Alexander, Forfori, Francesco, Fortuna, Laura, Fradelos, Evangelos, Fraga, Gustavo P., Fransvea, Pietro, Frassini, Simone, Frazzetta, Giuseppe, Frigerio, Isabella, Frountzas, Maximos, Gachabayov, Mahir, Galeiras, Rita, Garcãa, Belen Matãas, Garcia Vazquez, Alain, Gargarella, Simone, Garzali, Ibrahim Umar, Ghannam, Wagih Mommtaz, Ghazi, Faiz Najmuddin, Gillman, Lawrence Marshall, Gioco, Rossella, Giordano, Alessio, Giordano, Luca, Giove, Carlo, Giraudo, Giorgio, Giuffrida, Mario, Capponi, Michela Giulii, Gois, Emanuel, Gomes, Carlos Augusto, Gomes, Felipe Couto, Gonsaga, Ricardo Alessandro Teixeira, Gonullu, Emre, Goosen, Jacques, Goranovic, Tatjana, Gracia-Roman, Raquel, Graziano, Giorgio Maria Paolo, Griffiths, Ewen Alexander, Guagni, Tommaso, Hadzhiev, Dimitar Bozhidarov, Haidar, Muad Gamil, Hamid, Hytham K. S., Hardcastle, Timothy Craig, Hayati, Firdaus, Healey, Andrew James, Hecker, Andreas, Hecker, Matthias, Garcia, Edgar Fernando Hernandez, Hodonou, Adrien Montcho, Huaman, Eduardo cancio, Huerta, Martin, Ibrahim, Aini Fahriza, Ibrahim, Basil Mohamed Salabeldin, Ietto, Giuseppe, Inama, Marco, Ioannidis, Orestis, Isik, Arda, Ismail, Nizar, Ismail, Azzain Mahadi Hamid, Jailani, RUHI Fadzlyana, Jang, Ji Young, Kalfountzos, Christos, Kalipershad, Sujala Niatarika Rajsain, Kaouras, Emmanouil, Kaplan, Lewis Jay, Kara, Yasin, Karamagioli, Evika, Karamarkovia, Aleksandar, Katsaros, Ioannis, Kavalakat, Alfie J., Kechagias, Aristotelis, Kenig, Jakub, Kessel, Boris Juli, Khan, Jim S., Khokha, Vladimir, Kim, Jae Il, Kirkpatrick, Andrew Wallace, Klappenbach, Roberto, Kobe, Yoshiro, Lymperis, Efstratios Kofopoulos, Kok, Kenneth Yuh Yen, Kong, Victor, Korkolis, Dimitris P., Koukoulis, Georgios, Kovacevic, Bojan, Kruger, Vitor Favali, Kryvoruchko, Igor A., Kurihara, Hayato, Kuriyama, Akira, Landaluce-Olavarria, Aitor, Lapolla, Pierfrancesco, Licari, Leo, Lisi, Giorgio, Litvin, Andrey, Lizarazu, Aintzane, Bayo, Heura Llaquet, Lohsiriwat, Varut, Moreira, Claudia Cristina Lopes, Lostoridis, Eftychios, Luna, Agustãn Tovar, Luppi, Davide, Gustavo Miguel Machain, V., Maegele, Marc, Maggiore, Daniele, Magnone, Stefano, Maier, Ronald V., Major, Piotr, Manangi, Mallikarjuna, Manetti, Andrea, Mantoglu, Baris, Marafante, Chiara, Mariani, Federico, Marinis, Athanasios, Mariot, EvandroAntonio Sbalcheiro, Marseglia, Giuseppe Roberto, Martãnez-Pãrez, Aleix, Martines, Gennaro, Perez, Aleix Martinez, Martino, Costanza, Mascagni, Pietro, Massalou, Damien, Matãas-Garcãa, Belãn, Mazzarella, Gennaro, Mazzarolo, Giorgio, Melo, Renato Bessa, Mendoza-Moreno, Fernando, Meric, Serhat, Meyer, Jeremy, Miceli, Luca, Michalopoulos, Nikolaos V., Milana, Flavio, Mingoli, Andrea, Mishra, Tushar S., Mohamed, Muyed, Mohamed, Musab Isam Eldin Abbas, Mohamedahmed, Ali Yasen, Mohammed, Mohammed Jibreel Suliman, Mohan, Rajashekar, Moore, Ernest E., Morales-Garcia, Dieter, Muhrbeck, Mãns, Mulita, Francesk, Mustafa, Sami Mohamed Siddig, Muttillo, Edoardo Maria, Naimzada, Mukhammad David, Navsaria, Pradeep H., Negoi, Ionut, Nespoli, Luca, Nguyen, Christine, Nidaw, Melkamu Kibret, Nigri, Giuseppe, Nikolopoulos, Ioannis, O’Connor, Donal Brendan, Ogundipe, Habeeb Damilola, Oliveri, Cristina, Olmi, Stefano, Ong, Ernest Cun Wang, Orecchia, Luca, Osipov, Aleksei V., Othman, Muhammad Faeid, Pace, Marco, Pacilli, Mario, Pagani, Leonardo, Palomba, Giuseppe, Pantalone, Desire’, Panyko, Arpad, Paolillo, Ciro, Papa, Mario Virgilio, Papaconstantinou, Dimitrios, Papadoliopoulou, Maria, Papadopoulos, Aristeidis, Papis, Davide, Pararas, Nikolaos, Parreira, Jose Gustavo, Parry, Neil Geordie, Pata, Francesco, Patel, Tapan, Paterson-Brown, Simon, Pavone, Giovanna, Pecchini, Francesca, Pellino, Gianluca, Pelloni, Maria, Peloso, Andrea, del Pozo, Eduardo Perea, Pereira, Rita Goncalves, Pereira, Bruno Monteiro, Perez, Aintzane Lizarazu, Perra, Teresa, Perrone, Gennaro, Pesce, Antonio, Petagna, Lorenzo, Petracca, Giovanni, Phupong, Vorapong, Picardi, Biagio, Picciariello, Arcangelo, Piccoli, Micaela, Piccolo, Daniele, Picetti, Edoardo, Pikoulis Pikoulis, Emmanouil, Pintar, Tadeja, Pirozzolo, Giovanni, Piscioneri, Francesco, Podda, Mauro, Porcu, Alberto, Privitera, Francesca, Punzo, Clelia, Quaresima, Silvia, Quiodettis, Martha Alexa, Qvist, Niels, Rahim, Razrim, de Almeida, Filipe Ramalho, Ramely, Rosnelifaizur Bin, Rasa, Huseyin Kemal, Reichert, Martin, Reinisch-Liese, Alexander, Renne, Angela, Riccetti, Camilla, Rodriguez-Luna, Maria Rita, Roizblatt, Daniel, Romanzi, Andrea, Romeo, Luigi, Roscio, Francesco Pietro Maria, Rosnelifaizur, Ramely Bin, Rossi, Stefano, Rubiano, Andres M., Ruiz-Úcar, Elena, Sakakushev, Boris Evgeniev, Salamea, Juan Carlos, Sall, Ibrahima, Samarakoon, Lasitha Bhagya, Sammartano, Fabrizio, Arteaga, Alejandro Sanchez, Sanchez-Cordero, Sergi, Santoanastaso, Domenico Pietro Maria, Sasia, Diego, Sato, Norio, Savchuk, Artem, Sawyer, Robert Grant, Scaioli, Giacomo, Schizas, Dimitrios, Sebastiani, Simone, Seeliger, Barbara, Lohse, Helmut Alfredo Segovia, Seretis, Charalampos, Sermonesi, Giacomo, Serradilla-Martin, Mario, Shelat, Vishal G., Shlyapnikov, Sergei, Sidiropoulos, Theodoros, Simoes, Romeo Lages, Siragusa, Leandro, Siribumrungwong, Boonying, Slavchev, Mihail, Solaini, Leonardo, Soldini, Gabriele, Sopuev, Andrey, Soreide, Kjetil, Sovatzidis, Apostolos, Stahel, Philip Frank, Strickland, Matt, Sultan, Mohamed Arif Hameed, Sydorchuk, Ruslan, Sydorchuk, Larysa, Syed, Syed Muhammad Ali Muhammad, Syed, Ali Muhammad, Tallon-Aguilar, Luis, Tamburini, Andrea Marco, Tamini, Nicolò, Tan, Edward C. T. H., Tan, Jih Huei, Tarasconi, Antonio, Tartaglia, Nicola, Tartaglia, Giuseppe, Tartaglia, Dario, Taylor, John Vincent, Tebala, Giovanni Domenico, Teuben, Michel, Theodorou, Alexis, Tolonen, Matti, Tomasicchio, Giovanni, Toro, Adriana, Torre, Beatrice, Triantafyllou, Tania, Trigiante Trigiante, Giuseppe, Tripepi, Marzia, Trostchansky, Julio, Tsekouras, Konstantinos, Turrado-Rodriguez, Victor, Tutino, Roberta, Uccelli, Matteo, Uchikov, Petar Angelov, Ugarte-Sierra, Bakarne, Ukkonen, Mika Tapani, Vailas, Michail, Vassiliu, Panteleimon G., Vazquez, Alain Garcia, Vazquez, Rita Galeiras, Verde, Juan Ezequiel, Verde, Juan Manuel, Veroux, Massimiliano, Viganò, Jacopo, Vilallonga, Ramon, Visconti, Diego, Vittori, Alessandro, Waledziak, Maciej, Wannatoop, Tongporn, Widmer, Lukas Werner, Wilson, Michael Samuel James, Wong, Ting Hway, Xenaki, Sofia, Byungchul, Yu, Yule, Steven, Zachariah, Sanoop Koshy, Zacharis, Georgios, Zaghi, Claudia, Zakaria, Andee Dzulkarnaen, Zambrano, Diego A., Zampitis, Nikolaos, Zampogna, Biagio, Zanghã, Simone, Zapsalis, Konstantinos, Zattoni, Fabio, Zese, Monica, Farre, Silvia Pãrez, Pegoraro, Veronica, Zantedeschi, Maristella, Reitano, Elisa, Pizzocaro, Erica, Cobianchi, L, Dal Mas, F, Agnoletti, V, Ansaloni, L, Biffl, W, Butturini, G, Campostrini, S, Catena, F, Denicolai, S, Fugazzola, P, Martellucci, J, Massaro, M, Previtali, P, Ruta, F, Venturi, A, Woltz, S, Kaafarani, H, Loftus, T, Aapoaylu, R, Abbott, K, Abdelmalik, A, Abebe, N, Abu-Zidan, F, Adam, Y, Adamou, H, Adamovich, D, Agresta, F, Agrusa, A, Akin, E, Alessiani, M, Alexandrino, H, Bidoli, C, Ali, S, Mihai, V, Almeida, P, Al-Shehari, M, Altomare, M, Amico, F, Ammendola, M, Andreuccetti, J, Anestiadou, E, Annicchiarico, A, Antonelli, A, Aparicio-Sanchez, D, Ardito, A, Argenio, G, Arvieux, C, Askevold, I, Atanasov, B, Augustin, G, Awad, S, Bacchiocchi, G, Bagnoli, C, Bahouth, H, Baili, E, Bains, L, Baiocchi, G, Bala, M, Balaguacopyright, C, Balalis, D, Baldini, E, Baraket, O, Baral, S, Barone, M, Gonzalez Barranquero, A, Barreras, J, Bass, G, Bayhan, Z, Bellanova, G, Ben-Ishay, O, Bert, F, Bianchi, V, Biancuzzi, H, Radulescu, R, Bignell, M, Biloslavo, A, Bini, R, Bissacco, D, Boati, P, Boddaert, G, Bogdanic, B, Bombardini, C, Bonavina, L, Bonomo, L, Bottari, A, Bouliaris, K, Brachini, G, Brillantino, A, Brisinda, G, Bulanauca, M, Buonomo, L, Burcharth, J, Buscemi, S, Calabretto, F, Calini, G, Calu, V, Campanile, F, Campo Dall'Orto, R, Campos-Serra, A, Carvas, J, Cascella, M, Pattacini, G, Celentano, V, Centonze, D, Ceresoli, M, Chatzipetris, D, Chessa, A, Chiarello, M, Chirica, M, Chooklin, S, Chouliaras, C, Chowdhury, S, Cianci, P, Cillara, N, Cimbanassi, S, Cioffi, S, Colais-Ruiz, E, Colak, E, Conti, L, Coppola, A, de Sa, T, Costa, S, Cozza, V, Curro', G, Dabekaussen, K, D'Acapito, F, Damaskos, D, D'Ambrosio, G, Das, K, Davies, R, de Beaux, A, De Lebrusant Fernandez, S, De Luca, A, De Simone, B, De Stefano, F, Degrate, L, Demetrashvili, Z, Demetriades, A, Detanac, D, Dezi, A, Di Buono, G, Carlo, I, Di Lascio, P, Di Martino, M, Di Saverio, S, Diaconescu, B, Diaz, J, Dibra, R, Dimitrov, E, Dinuzzi, V, Dios-Barbeito, S, Diyani, J, Dogjani, A, Domanin, M, D'Oria, M, Munoz-Cruzado, V, East, B, Ekelund, M, Ekwen, G, Elbaih, A, Elhadi, M, Enninghorst, N, Ernisova, M, Escalera-Antezana, J, Esposito, S, Esposito, G, Estaire-Gamez, M, Fara, C, Farre, R, Favi, F, Ferrario, L, Ferrario di Tor Vajana, A, Filisetti, C, Fleres, F, Fonseca, V, Forero-Torres, A, Forfori, F, Fortuna, L, Fradelos, E, Fraga, G, Fransvea, P, Frassini, S, Frazzetta, G, Frigerio, I, Frountzas, M, Gachabayov, M, Galeiras, R, Garcaa, B, Garcia Vazquez, A, Gargarella, S, Garzali, I, Ghannam, W, Ghazi, F, Gillman, L, Gioco, R, Giordano, A, Giordano, L, Giove, C, Giraudo, G, Giuffrida, M, Capponi, M, Gois, E, Gomes, C, Gomes, F, Gonsaga, R, Gonullu, E, Goosen, J, Goranovic, T, Gracia-Roman, R, Graziano, G, Griffiths, E, Guagni, T, Hadzhiev, D, Haidar, M, Hamid, H, Hardcastle, T, Hayati, F, Healey, A, Hecker, A, Hecker, M, Garcia, E, Hodonou, A, Huaman, E, Huerta, M, Ibrahim, A, Ibrahim, B, Ietto, G, Inama, M, Ioannidis, O, Isik, A, Ismail, N, Ismail, A, Jailani, R, Jang, J, Kalfountzos, C, Kalipershad, S, Kaouras, E, Kaplan, L, Kara, Y, Karamagioli, E, Karamarkovia, A, Katsaros, I, Kavalakat, A, Kechagias, A, Kenig, J, Kessel, B, Khan, J, Khokha, V, Kim, J, Kirkpatrick, A, Klappenbach, R, Kobe, Y, Lymperis, E, Kok, K, Kong, V, Korkolis, D, Koukoulis, G, Kovacevic, B, Kruger, V, Kryvoruchko, I, Kurihara, H, Kuriyama, A, Landaluce-Olavarria, A, Lapolla, P, Licari, L, Lisi, G, Litvin, A, Lizarazu, A, Bayo, H, Lohsiriwat, V, Moreira, C, Lostoridis, E, Luna, A, Luppi, D, V, G, Maegele, M, Maggiore, D, Magnone, S, Maier, R, Major, P, Manangi, M, Manetti, A, Mantoglu, B, Marafante, C, Mariani, F, Marinis, A, Mariot, E, Marseglia, G, Martanez-Parez, A, Martines, G, Perez, A, Martino, C, Mascagni, P, Massalou, D, Mataas-Garcaa, B, Mazzarella, G, Mazzarolo, G, Melo, R, Mendoza-Moreno, F, Meric, S, Meyer, J, Miceli, L, Michalopoulos, N, Milana, F, Mingoli, A, Mishra, T, Mohamed, M, Mohamedahmed, A, Mohammed, M, Mohan, R, Moore, E, Morales-Garcia, D, Muhrbeck, M, Mulita, F, Mustafa, S, Muttillo, E, Naimzada, M, Navsaria, P, Negoi, I, Nespoli, L, Nguyen, C, Nidaw, M, Nigri, G, Nikolopoulos, I, O'Connor, D, Ogundipe, H, Oliveri, C, Olmi, S, Ong, E, Orecchia, L, Osipov, A, Othman, M, Pace, M, Pacilli, M, Pagani, L, Palomba, G, Pantalone, D, Panyko, A, Paolillo, C, Papa, M, Papaconstantinou, D, Papadoliopoulou, M, Papadopoulos, A, Papis, D, Pararas, N, Parreira, J, Parry, N, Pata, F, Patel, T, Paterson-Brown, S, Pavone, G, Pecchini, F, Pellino, G, Pelloni, M, Peloso, A, del Pozo, E, Pereira, R, Pereira, B, Perra, T, Perrone, G, Pesce, A, Petagna, L, Petracca, G, Phupong, V, Picardi, B, Picciariello, A, Piccoli, M, Piccolo, D, Picetti, E, Pikoulis Pikoulis, E, Pintar, T, Pirozzolo, G, Piscioneri, F, Podda, M, Porcu, A, Privitera, F, Punzo, C, Quaresima, S, Quiodettis, M, Qvist, N, Rahim, R, de Almeida, F, Ramely, R, Rasa, H, Reichert, M, Reinisch-Liese, A, Renne, A, Riccetti, C, Rodriguez-Luna, M, Roizblatt, D, Romanzi, A, Romeo, L, Roscio, F, Rosnelifaizur, R, Rossi, S, Rubiano, A, Ruiz-Ascar, E, Sakakushev, B, Salamea, J, Sall, I, Samarakoon, L, Sammartano, F, Arteaga, A, Sanchez-Cordero, S, Santoanastaso, D, Sasia, D, Sato, N, Savchuk, A, Sawyer, R, Scaioli, G, Schizas, D, Sebastiani, S, Seeliger, B, Lohse, H, Seretis, C, Sermonesi, G, Serradilla-Martin, M, Shelat, V, Shlyapnikov, S, Sidiropoulos, T, Simoes, R, Siragusa, L, Siribumrungwong, B, Slavchev, M, Solaini, L, Soldini, G, Sopuev, A, Soreide, K, Sovatzidis, A, Stahel, P, Strickland, M, Sultan, M, Sydorchuk, R, Sydorchuk, L, Syed, S, Syed, A, Tallon-Aguilar, L, Tamburini, A, Tamini, N, Tan, E, Tan, J, Tarasconi, A, Tartaglia, N, Tartaglia, G, Tartaglia, D, Taylor, J, Tebala, G, Teuben, M, Theodorou, A, Tolonen, M, Tomasicchio, G, Toro, A, Torre, B, Triantafyllou, T, Trigiante Trigiante, G, Tripepi, M, Trostchansky, J, Tsekouras, K, Turrado-Rodriguez, V, Tutino, R, Uccelli, M, Uchikov, P, Ugarte-Sierra, B, Ukkonen, M, Vailas, M, Vassiliu, P, Vazquez, A, Vazquez, R, Verde, J, Veroux, M, Vigano, J, Vilallonga, R, Visconti, D, Vittori, A, Waledziak, M, Wannatoop, T, Widmer, L, Wilson, M, Wong, T, Xenaki, S, Yu, B, Yule, S, Zachariah, S, Zacharis, G, Zaghi, C, Zakaria, A, Zambrano, D, Zampitis, N, Zampogna, B, Zangha, S, Zapsalis, K, Zattoni, F, Zese, M, Farre, S, Pegoraro, V, Zantedeschi, M, Reitano, E, Pizzocaro, E, Laboratoire des sciences de l'ingénieur, de l'informatique et de l'imagerie (ICube), École Nationale du Génie de l'Eau et de l'Environnement de Strasbourg (ENGEES)-Université de Strasbourg (UNISTRA)-Institut National des Sciences Appliquées - Strasbourg (INSA Strasbourg), Institut National des Sciences Appliquées (INSA)-Institut National des Sciences Appliquées (INSA)-Institut National de Recherche en Informatique et en Automatique (Inria)-Les Hôpitaux Universitaires de Strasbourg (HUS)-Centre National de la Recherche Scientifique (CNRS)-Matériaux et Nanosciences Grand-Est (MNGE), Université de Strasbourg (UNISTRA)-Université de Haute-Alsace (UHA) Mulhouse - Colmar (Université de Haute-Alsace (UHA))-Institut National de la Santé et de la Recherche Médicale (INSERM)-Institut de Chimie du CNRS (INC)-Centre National de la Recherche Scientifique (CNRS)-Université de Strasbourg (UNISTRA)-Université de Haute-Alsace (UHA) Mulhouse - Colmar (Université de Haute-Alsace (UHA))-Institut National de la Santé et de la Recherche Médicale (INSERM)-Institut de Chimie du CNRS (INC)-Centre National de la Recherche Scientifique (CNRS)-Réseau nanophotonique et optique, Université de Strasbourg (UNISTRA)-Université de Haute-Alsace (UHA) Mulhouse - Colmar (Université de Haute-Alsace (UHA))-Centre National de la Recherche Scientifique (CNRS)-Université de Strasbourg (UNISTRA)-Centre National de la Recherche Scientifique (CNRS), and The Team Dynamics Study Group

Subjects
Settore SECS-P/10 - Organizzazione Aziendale, Settore MED/18 - Chirurgia Generale, Settore SECS-P/07 - Economia Aziendale, Emergency Medicine, Clinical decision-making, Patient-centric care, Shared decision-making, Survey, Trauma and emergency surgery, Surgery, [SDV.MHEP]Life Sciences [q-bio]/Human health and pathology
Abstract

Background Shared decision-making (SDM) between clinicians and patients is one of the pillars of the modern patient-centric philosophy of care. This study aims to explore SDM in the discipline of trauma and emergency surgery, investigating its interpretation as well as the barriers and facilitators for its implementation among surgeons. Methods Grounding on the literature on the topics of the understanding, barriers, and facilitators of SDM in trauma and emergency surgery, a survey was created by a multidisciplinary committee and endorsed by the World Society of Emergency Surgery (WSES). The survey was sent to all 917 WSES members, advertised through the society’s website, and shared on the society’s Twitter profile. Results A total of 650 trauma and emergency surgeons from 71 countries in five continents participated in the initiative. Less than half of the surgeons understood SDM, and 30% still saw the value in exclusively engaging multidisciplinary provider teams without involving the patient. Several barriers to effectively partnering with the patient in the decision-making process were identified, such as the lack of time and the need to concentrate on making medical teams work smoothly. Discussion Our investigation underlines how only a minority of trauma and emergency surgeons understand SDM, and perhaps, the value of SDM is not fully accepted in trauma and emergency situations. The inclusion of SDM practices in clinical guidelines may represent the most feasible and advocated solutions.

Published
2023
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50. Development, implementation and validation of resource-stratified guidelines in low-income and middle-income countries: a scoping review protocol

Author

Griswold, Dylan, Venturini, Sara, Carney, Nancy, Rubiano, Andres M, Hutchinson, Peter John, Kolias, Angelos G, Griswold, Dylan [0000-0003-0291-8360], Hutchinson, Peter John [0000-0002-2796-1835], Kolias, Angelos G [0000-0003-3992-0587], and Apollo - University of Cambridge Repository

Subjects
protocols & guidelines, international health services, General Medicine, quality in health care, Review Literature as Topic, Evidence based practice, Research Design, Income, Humans, Delivery of Health Care, Developing Countries, Poverty
Abstract

Peer reviewed: True, Acknowledgements: The authors would like to thank Isla Kuhn, Head of Medical Library Services, University of Cambridge Medical Library for her assistance in developing the search strategy., INTRODUCTION: Nearly every field of medicine has some form of clinical practice guidelines. However, only within the past 5-10 years has the medical community acknowledged the need for well-developed guidelines tailored to the local healthcare needs and the resources available. In most low-income and middle-income countries (LMICs), healthcare workers depend on guidelines developed in high-income countries (HICs), yet many interventions validated in a HIC are ineffective when implemented in an LMIC. The variation in infrastructure, medical personnel, technology and environmental conditions exhibited in LMICs relative to HICs necessitates a careful appraisal of the evidence base used in clinical guideline recommendations. This review aims to map the use of resource-stratified guidelines across all fields of medicine. The review seeks to answer three questions for the identified guidelines: (1) what was the method of development, (2) have they been implemented and, if so, (3) have they been validated. METHODS: The search strategy will aim to locate studies from inception to November 2021. An initial limited search of PubMed and Scopus was undertaken to identify articles on the topic. The text words contained in the titles and abstracts of relevant articles, and the index terms used to describe the articles were used to develop a full search strategy for PubMed and Scopus. This scoping review will be conducted in accordance with the Joanna Briggs Institute (JBI) methodology for scoping reviews. Data to be extracted from each study will include population characteristics of both developers and intended implementation population, medical specialty, validation status, method of guideline development, whether the study is consensus or evidence-based in addition to a summary of recommendations for practice. ETHICS AND DISSEMINATION: Ethical approval is not required for this review. The plan for dissemination is to publish review findings in a peer-reviewed journal.

Published
2022
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