Perceived Utility of Intracranial Pressure Monitoring in Traumatic Brain Injury: A Seattle International Brain Injury Consensus Conference Consensus-Based Analysis and Recommendations

Rall M. Chesnut; Sergio Aguilera; Andras BukiEileen M. BulgerGiuseppe CiterioD. Jamie CooperRamon Diaz ArrastiaMichael DiringerAnthony FigajiGuoyi GaoRomergryko G. GeocadinJamshid GhajarOdette HarrisGregory W. J. HawrylukAlan HofferPeter HutchinsonMathew JosephRyan KitagawaGeoffrey ManleyStephan MayerDavid K MenonGeert MeyfroidtDaniel B. MichaelMauro OddoDavid O. Okonkwo

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Perceived Utility of Intracranial Pressure Monitoring in Traumatic Brain Injury: A Seattle International Brain Injury Consensus Conference Consensus-Based Analysis and Recommendations

机译：Perceived Utility of Intracranial Pressure Monitoring in Traumatic Brain Injury: A Seattle International Brain Injury Consensus Conference Consensus-Based Analysis and Recommendations

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BACKGROUND: Intracranial pressure (ICP) monitoring is widely practiced, but the indications are incompletely developed, and guidelines are poorly followed. OBJECTIVE: To study the monitoring practices of an established expert panel (the clinical working group from the Seattle International Brain Injury Consensus Conference effort) to examine the match between monitoring guidelines and their clinical decision-making and offer guidance for clinicians considering monitor insertion. METHODS: We polled the 42 Seattle International Brain Injury Consensus Conference panel members' ICP monitoring decisions for virtual patients, using matrices of presenting signs (Glasgow Coma Scale [GCS] total or GCS motor, pupillary examination, and computed tomography diagnosis). Monitor insertion decisions were yes, no, or unsure (traffic light approach). We analyzed their responses for weighting of the presenting signs in decision-making using univariate regression.

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《Neurosurgery》 |2023年第2期|399-408|共10页
作者
Rall M. Chesnut; Sergio Aguilera; Andras BukiEileen M. BulgerGiuseppe CiterioD. Jamie CooperRamon Diaz ArrastiaMichael DiringerAnthony FigajiGuoyi GaoRomergryko G. GeocadinJamshid GhajarOdette HarrisGregory W. J. HawrylukAlan HofferPeter HutchinsonMathew JosephRyan KitagawaGeoffrey ManleyStephan MayerDavid K MenonGeert MeyfroidtDaniel B. MichaelMauro OddoDavid O. Okonkwo;
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Department of Neurological Surgery, Harborview Medical Center, University of Washington, Mailstop;

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正文语种英语
中图分类头部及神经外科学;
关键词
Algorithms; Consensus development; Intracranial hypertension; Intracranial pressure monitoring; Neurocritical care; Practice guidelines; Traumatic brain injury;

Perceived Utility of Intracranial Pressure Monitoring in Traumatic Brain Injury: A Seattle International Brain Injury Consensus Conference Consensus-Based Analysis and Recommendations

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