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 |
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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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