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 M. Abu-Zidan; Luca Ansaloni; Rocco Armonda; Gian Luca Baiocchi; Miklosh Bala; Zsolt J. Balogh; Maurizio Berardino; Walter L. 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 E. Moore; John A. Myburgh; David O. Okonkwo; Yasuhiro Otomo; Sandro Rizoli; Andres M. Rubiano; Juan Sahuquillo; Massimo Sartelli; Thomas M. Scalea; Franco Servadei; Philip F. Stahel; Nino Stocchetti; Fabio S. 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 M. Abu-Zidan, Luca Ansaloni, Rocco Armonda, Gian Luca Baiocchi, Miklosh Bala, Zsolt J. Balogh, Maurizio Berardino, Walter L. 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 E. Moore, John A. Myburgh, David O. Okonkwo, Yasuhiro Otomo, Sandro Rizoli, Andres M. Rubiano, Juan Sahuquillo, Massimo Sartelli, Thomas M. Scalea, Franco Servadei, Philip F. Stahel, Nino Stocchetti, Fabio S. Taccone, Tommaso Tonetti, George Velmahos, Dieter Weber, Fausto Catena

Department of Surgery

Research output: Contribution to journal › Review article › peer-review

43 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
Article number	53
Journal	World Journal of Emergency Surgery
Volume	14
Issue number	1
DOIs	https://doi.org/10.1186/s13017-019-0270-1
Publication status	Published - Nov 29 2019

Keywords

Bleeding
Hemorrhage
Management
Monitoring
Polytrauma
Traumatic brain injury

ASJC Scopus subject areas

Surgery
Emergency Medicine

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10.1186/s13017-019-0270-1

Cite this

Picetti, E., Rossi, S., Abu-Zidan, F. M., Ansaloni, L., Armonda, R., Baiocchi, G. L., Bala, M., Balogh, Z. J., Berardino, M., Biffl, W. L., 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 Surgery, 14(1), Article 53. https://doi.org/10.1186/s13017-019-0270-1

Picetti, E, Rossi, S, Abu-Zidan, FM, Ansaloni, L, Armonda, R, Baiocchi, GL, Bala, M, Balogh, ZJ, Berardino, M, Biffl, WL, 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, EE, Myburgh, JA, Okonkwo, DO, Otomo, Y, Rizoli, S, Rubiano, AM, Sahuquillo, 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 Surgery, vol. 14, no. 1, 53. 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.",

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author = "Edoardo Picetti and Sandra Rossi and Abu-Zidan, {Fikri M.} and Luca Ansaloni and Rocco Armonda and Baiocchi, {Gian Luca} and Miklosh Bala and Balogh, {Zsolt J.} and Maurizio Berardino and Biffl, {Walter L.} 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 Moore, {Ernest E.} and Myburgh, {John A.} and Okonkwo, {David O.} and Yasuhiro Otomo and Sandro Rizoli and Rubiano, {Andres M.} and Juan Sahuquillo and Massimo Sartelli and Scalea, {Thomas M.} and Franco Servadei and Stahel, {Philip F.} and Nino Stocchetti and Taccone, {Fabio S.} and Tommaso Tonetti and George Velmahos and Dieter Weber and Fausto Catena",

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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 M.

AU - Ansaloni, Luca

AU - Armonda, Rocco

AU - Baiocchi, Gian Luca

AU - Bala, Miklosh

AU - Balogh, Zsolt J.

AU - Berardino, Maurizio

AU - Biffl, Walter L.

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 E.

AU - Myburgh, John A.

AU - Okonkwo, David O.

AU - Otomo, Yasuhiro

AU - Rizoli, Sandro

AU - Rubiano, Andres M.

AU - Sahuquillo, Juan

AU - Sartelli, Massimo

AU - Scalea, Thomas M.

AU - Servadei, Franco

AU - Stahel, Philip F.

AU - Stocchetti, Nino

AU - Taccone, Fabio S.

AU - Tonetti, Tommaso

AU - Velmahos, George

AU - Weber, Dieter

AU - Catena, Fausto

PY - 2019/11/29

Y1 - 2019/11/29

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.

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KW - Bleeding

KW - Hemorrhage

KW - Management

KW - Monitoring

KW - Polytrauma

KW - Traumatic brain injury

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DO - 10.1186/s13017-019-0270-1

M3 - Review article

C2 - 31798673

AN - SCOPUS:85075893578

SN - 1749-7922

VL - 14

JO - World Journal of Emergency Surgery

JF - World Journal of Emergency Surgery

IS - 1

M1 - 53

ER -

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

Abstract

Keywords

ASJC Scopus subject areas

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