Variation in general supportive and preventive intensive care management of traumatic brain injury: a survey in 66 neurotrauma centers participating in the Collaborative European NeuroTrauma Effectiveness Research in Traumatic Brain Injury (CENTER-TBI) study

Autor: R.H.M.A. Bartels, Paul M. Parizel, Thomas Van Essen, Daniel Kondziella, Juan Sahuquillo, Oliver Sakowitz, Rafael Badenes, Marek Czosnyka, Mathieu Van der Jagt, Steven Laureys, Angelos Kolias, Ana M Castaño-Leon, Ari Ercole, Thijs Vande Vyvere, Morten Blaabjerg, David Nelson, Giuseppe Citerio, Victor Volovici, Rahul Raj, Linda Lanyon, Pim Pullens, Edgar Santos, Renán Sánchez-Porras, Peter Hutchinson, Sandra Rossi, Pedro Gomez, Virginia Newcombe, William Stewart, Jonathan Coles, Monika Bullinger, Diederik Dippel, Helen Dawes, Jilske (Antonia) Huijben, Alfonso Lagares, Arminas Ragauskas, Barbara Sahakian, Emmanuel Andreas Stamatakis
Přispěvatelé: Ragauskas, Arminas, Ročka, Saulius, Vilcinis, Rimantas, Molecular Neuroscience and Ageing Research (MOLAR), CTR-TBI Investigators Participants, Neurokirurgian yksikkö, Clinicum, Huijben, Jilske A, Volovici, Victor, Cnossen, Maryse C, Haitsma, Iain K, Stocchetti, Nino, Maas, Andrew IR, Menon, David K, Ercole, Ari, Citerio, Giuseppe, Nelson, David, Polinder, Suzanne, Steyerberg, Ewout W, Lingsma, Hester F, Van der Jagt, Mathieu (CENTER-TBI investigators and participants), Beretta, Luigi, Rocka, Saulius, „Springer' grupė, Public Health, Neurosurgery, Intensive Care, Menon, David [0000-0002-3228-9692], Ercole, Ari [0000-0001-8350-8093], Apollo - University of Cambridge Repository, Section Neuropsychology, RS: MHeNs - R1 - Cognitive Neuropsychiatry and Clinical Neuroscience, RS: FPN NPPP I, Psychiatrie & Neuropsychologie, Huijben, J, Volovici, V, Cnossen, M, Haitsma, I, Stocchetti, N, Maas, A, Menon, D, Ercole, A, Citerio, G, Nelson, D, Polinder, S, Steyerberg, E, Lingsma, H, van der Jagt, M
Jazyk: angličtina
Rok vydání: 2018
Předmět:
Male
Comparative Effectiveness Research
Placebo-controlled study
use of corticosteroid
Critical Care and Intensive Care Medicine
PLACEBO-CONTROLLED TRIAL
GUIDELINES
VDP::Medisinske Fag: 700::Klinisk medisinske fag: 750::Nevrologi: 752
3124 Neurology and psychiatry
law.invention
survey
Collaborative European NeuroTrauma Effectiveness Research in Traumatic Brain Injury
CENTER-TBI
circulatory and respiratory management
0302 clinical medicine
Traumatic brain injury
seizure prophylaxis and treatment
Trauma Centers
law
Surveys and Questionnaires
Brain Injuries
Traumatic
Medicine and Health Sciences
Surveys and Questionnaire
intensive care unit
traumatic brain injury
glucose
nutrition
fever
ventilation
blood pressure
seizure
survey
Europe
fever control
Survey
Intracranial pressure
OUTCOMES
Trauma Center
Brain Injuries
Traumatic/therapy
RESUSCITATION
nutrition and glucose management
Head injury
lcsh:Medical emergencies. Critical care. Intensive care. First aid
INTRACRANIAL HYPERTENSION
Intensive care unit
Seizure
3. Good health
Intensive Care Units
Blood pressure
Female
CRITICALLY-ILL PATIENTS
Human
Adult
medicine.medical_specialty
Fever
Comparative effectiveness research
Other Research Radboud Institute for Molecular Life Sciences [Radboudumc 0]
IMPROVEMENT
ALBUMIN
Glucose
Nutrition
Ventilation
Quality of Health Care/standards
03 medical and health sciences
medicine
Humans
Cerebral perfusion pressure
Quality of Health Care
MRC CRASH
Intensive Care Units/organization & administration
business.industry
Research
HEAD-INJURY
030208 emergency & critical care medicine
lcsh:RC86-88.9
medicine.disease
3126 Surgery
anesthesiology
intensive care
radiology
Trauma Centers/organization & administration
Program Evaluation/statistics & numerical data
Emergency medicine
VDP::Medical disciplines: 700::Clinical medical disciplines: 750::Neurology: 752
MODERATE
Human medicine
business
030217 neurology & neurosurgery
Program Evaluation
Zdroj: Critical Care, London : BioMed Central, 2018, vol. 22, iss. 1, art. no. 90, p. 1-9
Critical Care, Vol 22, Iss 1, Pp 1-9 (2018)
Critical care (London, England), 22(90). BMC
Critical care
Critical Care, 22, 90
Critical Care, 22, 1, pp. 90
CRITICAL CARE
Critical Care, 22:90. BioMed Central Ltd.
Critical Care, 22
Critical Care
Critical Care, 22:90. BioMed Central Ltd
Blaabjerg, M, Rosenlund, C, CENTER-TBI investigators and participants & CENTER-TBI Participants and Investigators 2018, ' Variation in general supportive and preventive intensive care management of traumatic brain injury : a survey in 66 neurotrauma centers participating in the Collaborative European NeuroTrauma Effectiveness Research in Traumatic Brain Injury (CENTER-TBI) study ', Critical Care, vol. 22, 90 . https://doi.org/10.1186/s13054-018-2000-6
ISSN: 1466-609X
1364-8535
Popis: Background General supportive and preventive measures in the intensive care management of traumatic brain injury (TBI) aim to prevent or limit secondary brain injury and optimize recovery. The aim of this survey was to assess and quantify variation in perceptions on intensive care unit (ICU) management of patients with TBI in European neurotrauma centers. Methods We performed a survey as part of the Collaborative European NeuroTrauma Effectiveness Research in Traumatic Brain Injury (CENTER-TBI) study. We analyzed 23 questions focused on: 1) circulatory and respiratory management; 2) fever control; 3) use of corticosteroids; 4) nutrition and glucose management; and 5) seizure prophylaxis and treatment. Results The survey was completed predominantly by intensivists (n = 33, 50%) and neurosurgeons (n = 23, 35%) from 66 centers (97% response rate). The most common cerebral perfusion pressure (CPP) target was > 60 mmHg (n = 39, 60%) and/or an individualized target (n = 25, 38%). To support CPP, crystalloid fluid loading (n = 60, 91%) was generally preferred over albumin (n = 15, 23%), and vasopressors (n = 63, 96%) over inotropes (n = 29, 44%). The most commonly reported target of partial pressure of carbon dioxide in arterial blood (PaCO2) was 36–40 mmHg (4.8–5.3 kPa) in case of controlled intracranial pressure (ICP)
Databáze: OpenAIRE
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