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首页> 外文期刊>Neurocritical care >Consensus Summary Statement of the International Multidisciplinary Consensus Conference on Multimodality Monitoring in Neurocritical Care A statement for healthcare professionals from the Neurocritical Care Society and the European Society of Intensive Care Medicine
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Consensus Summary Statement of the International Multidisciplinary Consensus Conference on Multimodality Monitoring in Neurocritical Care A statement for healthcare professionals from the Neurocritical Care Society and the European Society of Intensive Care Medicine

机译：关于神经重症监护中多模式监测的国际多学科共识会议的共识摘要声明，来自神经重症监护协会和欧洲重症监护医学协会的医疗专业人员的声明

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Neurocritical care depends, in part, on careful patient monitoring but as yet there are little data on what processes are the most important to monitor, how these should be monitored, and whether monitoring these processes is cost-effective and impacts outcome. At the same time, bioinformatics is a rapidly emerging field in critical care but as yet there is little agreement or standardization on what information is important and how it should be displayed and analyzed. The Neurocritical Care Society in collaboration with the European Society of Intensive Care Medicine, the Society for Critical Care Medicine, and the Latin America Brain Injury Consortium organized an international, multidisciplinary consensus conference to begin to address these needs. International experts from neurosurgery, neurocritical care, neurology, critical care, neuroanesthesiology, nursing, pharmacy, and informatics were recruited on the basis of their research, publication record, and expertise. They undertook a systematic literature review to develop recommendations about specific topics on physiologic processes important to the care of patients with disorders that require neurocritical care. This review does not make recommendations about treatment, imaging, and intraoperative monitoring. A multidisciplinary jury, selected for their expertise in clinical investigation and development of practice guidelines, guided this process. The GRADE system was used to develop recommendations based on literature review, discussion, integrating the literature with the participants' collective experience, and critical review by an impartial jury. Emphasis was placed on the principle that recommendations should be based on both data quality and on trade-offs and translation into clinical practice. Strong consideration was given to providing pragmatic guidance and recommendations for bedside neuromonitoring, even in the absence of high quality data.
机译：神经重症监护在某种程度上取决于对患者进行仔细的监视，但是到目前为止，关于什么过程最重要的监视，如何监视这些过程以及监视这些过程是否具有成本效益并影响结果的数据很少。同时，生物信息学是重症监护领域中一个迅速兴起的领域，但是对于什么重要的信息以及如何显示和分析这些信息尚无共识或标准化。神经重症监护学会与欧洲重症监护医学学会，重症监护医学学会以及拉丁美洲脑损伤联盟合作组织了一次国际性，多学科的共识会议，以着手解决这些需求。根据他们的研究，发表记录和专业知识，从神经外科，神经重症监护，神经病学，重症监护，神经麻醉学，护理，药学和信息学等领域聘用了国际专家。他们进行了系统的文献综述，以针对生理过程的特定主题提出建议，这些生理过程对需要神经重症监护的患者的护理至关重要。该评价未对治疗，影像学和术中监测提出建议。一个多学科的评审团以其在临床研究和实践指南制定方面的专业知识而被选中，指导了这一过程。 GRADE系统用于根据文献回顾，讨论，将文献与参与者的集体经验相结合以及公正的评审团进行批判性评论来制定建议。强调的原则是，建议应基于数据质量和权衡取舍，并应转化为临床实践。即使没有高质量的数据，也强烈考虑为床旁神经监测提供务实的指导和建议。

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