Vis enkel innførsel

dc.contributor.authorLavinio, Andrea
dc.contributor.authorColes, Jonathan P.
dc.contributor.authorRobba, Chiara
dc.contributor.authorAries, Marcel
dc.contributor.authorBouzat, Pierre
dc.contributor.authorChean, Dara
dc.contributor.authorK Frisvold, Shirin
dc.contributor.authorGalarza, Laura
dc.contributor.authorHelbok, Raimund
dc.contributor.authorHermanides, Jeroen
dc.contributor.authorvan der Jagt, Mathieu
dc.contributor.authorMenon, David K.
dc.contributor.authorMeyfroidt, Geert
dc.contributor.authorPayen, Jean-Francois
dc.contributor.authorPoole, Daniele
dc.contributor.authorRasulo, Frank
dc.contributor.authorRhodes, Jonathan
dc.contributor.authorSidlow, Emily
dc.contributor.authorSteiner, Luzius A.
dc.contributor.authorTaccone, Fabio Silvio
dc.contributor.authorTakala, Riikka
dc.date.accessioned2024-09-25T08:14:19Z
dc.date.available2024-09-25T08:14:19Z
dc.date.issued2024-05-20
dc.description.abstractAims and scope The aim of this panel was to develop consensus recommendations on targeted temperature control (TTC) in patients with severe traumatic brain injury (TBI) and in patients with moderate TBI who deteriorate and require admission to the intensive care unit for intracranial pressure (ICP) management.<p> <p>Methods A group of 18 international neuro-intensive care experts in the acute management of TBI participated in a modifed Delphi process. An online anonymised survey based on a systematic literature review was completed ahead of the meeting, before the group convened to explore the level of consensus on TTC following TBI. Outputs from the meeting were combined into a further anonymous online survey round to finalise recommendations. Thresholds of≥16 out of 18 panel members in agreement (≥88%) for strong consensus and≥14 out of 18 (≥78%) for moderate consensus were prospectively set for all statements. <p>Results Strong consensus was reached on TTC being essential for high-quality TBI care. It was recommended that temperature should be monitored continuously, and that fever should be promptly identified and managed in patients perceived to be at risk of secondary brain injury. Controlled normothermia (36.0–37.5 °C) was strongly rec ommended as a therapeutic option to be considered in tier 1 and 2 of the Seattle International Severe Traumatic Brain Injury Consensus Conference ICP management protocol. Temperature control targets should be individualised based on the perceived risk of secondary brain injury and fever aetiology. <p>Conclusions Based on a modified Delphi expert consensus process, this report aims to inform on best practices for TTC delivery for patients following TBI, and to highlight areas of need for further research to improve clinical guide‑ lines in this setting.en_US
dc.identifier.citationLavinio, Coles, Robba, Aries, Bouzat, Chean, K Frisvold, Galarza, Helbok, Hermanides, van der Jagt, Menon, Meyfroidt, Payen, Poole, Rasulo, Rhodes, Sidlow, Steiner, Taccone, Takala. Targeted temperature control following traumatic brain injury: ESICM/NACCS best practice consensus recommendations. Critical Care. 2024;28(1)en_US
dc.identifier.cristinIDFRIDAID 2274950
dc.identifier.doi10.1186/s13054-024-04951-x
dc.identifier.issn1364-8535
dc.identifier.issn1466-609X
dc.identifier.urihttps://hdl.handle.net/10037/34858
dc.language.isoengen_US
dc.publisherBMCen_US
dc.relation.journalCritical Care
dc.rights.accessRightsopenAccessen_US
dc.rights.holderCopyright 2024 The Author(s)en_US
dc.rights.urihttps://creativecommons.org/licenses/by/4.0en_US
dc.rightsAttribution 4.0 International (CC BY 4.0)en_US
dc.titleTargeted temperature control following traumatic brain injury: ESICM/NACCS best practice consensus recommendationsen_US
dc.type.versionpublishedVersionen_US
dc.typeJournal articleen_US
dc.typeTidsskriftartikkelen_US
dc.typePeer revieweden_US


Tilhørende fil(er)

Thumbnail

Denne innførselen finnes i følgende samling(er)

Vis enkel innførsel

Attribution 4.0 International (CC BY 4.0)
Med mindre det står noe annet, er denne innførselens lisens beskrevet som Attribution 4.0 International (CC BY 4.0)