Consensus-based management protocol (CREVICE protocol) for the treatment of severe traumatic brain injury based on imaging and clinical examination for use when intracranial pressure monitoring is not employed

Autor: Sergio Aguilera, Cecilio Lequipe, Gustavo R Piñero, Carlos Javier Carricondo, Natascha Mezquia de Pedro, Roberto Merida Maldonado, Michael Eduardo Kessler, Andres M. Rubiano, Randall M. Chesnut, Maria Martha Fillipi, Gustavo Petroni, Victor Alanis, Ana Maria Mazzola, Joan Machamer, Jason Barber, Sureyya Dikmen, Daniel A Godoy, J Ricardo Martínez Zubieta, Manuel Jibaja Vega, Mario Napoleon Mendez Rivera, Perla B Pahnke, Manuel Enrique Bello Quezada, Alexandra Matilde Saraguro Orozco, Walter Videtta, Hubiel J López Delgado, Nahuel Guadagnoli, Freddy Sandi Lora, Zulma Urbina, Armando C Cacciatori, James S. Pridgeon, Francisco A Rivadeneira Pilacuán, Caridad Soler Morejón, Angel J Lacerda Gallardo, Kelley Chaddock, Ermitaño Bautista Coronel, Mario Dominguez, Juan Antonio Guerra Garcia, Felipe Carvajal, Gustavo la Fuente Zerain, Delia Cristina Gomez, Nancy Temkin, Jorge Paranhos, Luis Silva Naranjo, Julio C Mijangos Méndez, Johnny Marcelo Ochoa Parra, Rafael Davila, Peter Hendrickson, Juan Ignacio Silesky Jiménez, Jacobo Mora, Gerardo Vicente Grajales Yuca, Silvia Lujan, Luis Arturo Lavadenz Cuientas, Jairo Antonio Figueroa Melgarejo, Luis Alberto Bustamante, Ricardo Luis Romero Figueroa
Přispěvatelé: Rubiano, Andrés M. [0000-0001-8931-3254]
Jazyk: Spanish; Castilian
Rok vydání: 2021
Předmět:
Zdroj: Repositorio U. El Bosque
Universidad El Bosque
instacron:Universidad El Bosque
J Neurotrauma
Popis: Globally, intracranial pressure (ICP) monitoring use in severe traumatic brain injury (sTBI) is inconsistent and susceptible to resource limitations and clinical philosophies. For situations without monitoring, there is no published comprehensive management algorithm specific to identifying and treating suspected intracranial hypertension (SICH) outside of the one ad hoc Imaging and Clinical Examination (ICE) protocol in the Benchmark Evidence from South American Trials: Treatment of Intracranial Pressure (BEST:TRIP) trial. As part of an ongoing National Institutes of Health (NIH)-supported project, a consensus conference involving 43 experienced Latin American Intensivists and Neurosurgeons who routinely care for sTBI patients without ICP monitoring, refined, revised, and augmented the original BEST:TRIP algorithm. Based on BEST:TRIP trial data and pre-meeting polling, 11 issues were targeted for development. We used Delphi-based methodology to codify individual statements and the final algorithm, using a group agreement threshold of 80%. The resulting CREVICE (Consensus REVised ICE) algorithm defines SICH and addresses both general management and specific treatment. SICH treatment modalities are organized into tiers to guide treatment escalation and tapering. Treatment schedules were developed to facilitate targeted management of disease severity. A decision-support model, based on the group's combined practices, is provided to guide this process. This algorithm provides the first comprehensive management algorithm for treating sTBI patients when ICP monitoring is not available. It is intended to provide a framework to guide clinical care and direct future research toward sTBI management. Because of the dearth of relevant literature, it is explicitly consensus based, and is provided solely as a resource (a "consensus-based curbside consult") to assist in treating sTBI in general intensive care units in resource-limited environments.
Databáze: OpenAIRE
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