World Journal of Emergency Surgery (Nov 2019)
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
Affiliations
- Edoardo Picetti
- Department of Anesthesia and Intensive Care, Parma University Hospital
- Sandra Rossi
- Department of Anesthesia and Intensive Care, Parma University Hospital
- Fikri M. Abu-Zidan
- Department of Surgery, College of Medicine and Health Sciences, UAE University
- Luca Ansaloni
- Department of General and Emergency Surgery, Bufalini Hospital
- Rocco Armonda
- Department of Neurosurgery, Georgetown University School of Medicine
- Gian Luca Baiocchi
- Department of Clinical and Experimental Sciences, University of Brescia
- Miklosh Bala
- Trauma and Acute Care Surgery Unit, Hadassah Hebrew University Medical Center
- Zsolt J. Balogh
- Department of Traumatology, John Hunter Hospital, University of Newcastle
- Maurizio Berardino
- Department of Anesthesiology, CTO Hospital
- Walter L. Biffl
- Division of Trauma and Acute Care Surgery, Scripps Memorial Hospital
- Pierre Bouzat
- Department of Anaesthesiology and Critical Care, Grenoble Alps Trauma Center, University Hospital of Grenoble-Alpes
- Andras Buki
- Department of Neurosurgery, Medical School, University of Pécs
- Marco Ceresoli
- Department of General and Emergency Surgery, ASST, San Gerardo Hospital
- Randall M. Chesnut
- Department of Neurological Surgery, University of Washington, Harborview Medical Center
- Osvaldo Chiara
- General Surgery and Trauma Team, University of Milano, ASST Niguarda Milano
- Giuseppe Citerio
- School of Medicine and Surgery, University of Milan-Bicocca
- Federico Coccolini
- Department of General and Emergency Surgery, Bufalini Hospital
- Raul Coimbra
- Riverside University Health System Medical Center, Loma Linda University School of Medicine
- Salomone Di Saverio
- Colorectal Unit, Addenbrooke’s Hospital, Cambridge University Hospitals NHS Foundation Trust
- Gustavo P. Fraga
- Division of Trauma Surgery, Hospital de Clinicas, School of Medical Sciences, University of Campinas
- Deepak Gupta
- Department of Neurosurgery, All India Institute of Medical Sciences and associated Jai Prakash Narain Apex Trauma Centre
- Raimund Helbok
- Department of Neurology, Neurocritical Care Unit, Medical University of Innsbruck
- Peter J. Hutchinson
- Division of Neurosurgery, Department of Clinical Neurosciences, Addenbrooke’s Hospital and University of Cambridge, Cambridge Biomedical Campus
- Andrew W. Kirkpatrick
- Departments of General Acute Care, Abdominal Wall Reconstruction and Trauma Surgery, Foothills Medical Centre
- Takahiro Kinoshita
- Division of Trauma and Surgical Critical Care, Osaka General Medical Center
- Yoram Kluger
- Department of General Surgery, Rambam Health Campus
- Ari Leppaniemi
- Abdominal Center, Helsinki University Hospital Meilahti
- Andrew I. R. Maas
- Department of Neurosurgery, Antwerp University Hospital and University of Antwerp
- Ronald V. Maier
- Department of Surgery, Harborview Medical Centre, University of Washington School of Medicine
- Francesco Minardi
- Department of Anesthesia and Intensive Care, Parma University Hospital
- Ernest E. Moore
- Department of Trauma Surgery, Denver Health
- John A. Myburgh
- Department of Intensive Care Medicine, St. George Clinical School, University of New South Wales and The George Institute for Global Health
- David O. Okonkwo
- Department of Neurosurgery, University of Pittsburgh Medical Center
- Yasuhiro Otomo
- Trauma and Acute Critical Care Center, Medical Hospital, Tokyo Medical and Dental University
- Sandro Rizoli
- Department of Surgery, Trauma Surgery, Hamad General Hospital
- Andres M. Rubiano
- INUB/MEDITECH Research Group, El Bosque University
- Juan Sahuquillo
- Neurosurgery Department, Vall d’Hebron University Hospital, Universitat Autónoma de Barcelona
- Massimo Sartelli
- General Surgery, Macerata Hospital
- Thomas M. Scalea
- R Adams Cowley Shock Trauma Center, University of Maryland School of Medicine
- Franco Servadei
- Department of Neurosurgery, Humanitas University and Research Hospital
- Philip F. Stahel
- College of Osteopathic Medicine, Rocky Vista University
- Nino Stocchetti
- Neuro ICU Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico
- Fabio S. Taccone
- Department of Intensive Care, Erasme Hospital, Université Libre de Bruxelles
- Tommaso Tonetti
- Department of Anesthesia and Intensive Care, Parma University Hospital
- George Velmahos
- Division of Trauma, Emergency Surgery and Surgical Critical Care, Massachusetts General Hospital and Harvard Medical School
- Dieter Weber
- Trauma and General Surgery, Royal Perth Hospital
- Fausto Catena
- Department of Emergency Surgery, Parma University Hospital
- DOI
- https://doi.org/10.1186/s13017-019-0270-1
- Journal volume & issue
-
Vol. 14,
no. 1
pp. 1 – 9
Abstract
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.
Keywords
