The International Multidisciplinary Consensus Conference on Multimodality Monitoring in Neurocritical Care: A List of Recommendations and Additional Conclusions

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• 作者：Peter Le Roux (1)
  David K. Menon (2)
  Giuseppe Citerio (4)
  Paul Vespa (3)
  Mary Kay Bader (5)
  Gretchen Brophy (6)
  Michael N. Diringer (7)
  Nino Stocchetti (8)
  Walter Videtta (9)
  Rocco Armonda (10)
  Neeraj Badjatia (11)
  Julian B枚sel (12)
  Randall Chesnut (13)
  Sherry Chou (14)
  Jan Claassen (15)
  Marek Czosnyka (16)
  Michael De Georgia (17)
  Anthony Figaji (18)
  Jennifer Fugate (19)
  Raimund Helbok (20)
  David Horowitz (21)
  Peter Hutchinson (22)
  Monisha Kumar (23)
  Molly McNett (24)
  Chad Miller (25)
  Andrew Naidech (26)
  Mauro Oddo (27)
  DaiWai Olson (28)
  Kristine O鈥橮helan (29)
  J. Javier Provencio (30)
  Corinna Puppo (31)
  Richard Riker (32)
  Claudia Roberson (33)
  Michael Schmidt (34)
  Fabio Taccone (35)
  
  1. Brain and Spine Center ; Lankenau Medical Center ; Suite 370 ; Medical Science Building ; 100 East Lancaster Avenue ; Wynnewood ; PA ; 19096 ; USA
  2. Division of Anaesthesia ; Neurosciences Critical Care Unit ; Addenbrooke鈥檚 Hospital ; University of Cambridge ; Box 93 ; Cambridge ; CB2 2QQ ; UK
  4. Department of Anesthesia and Critical Care ; Ospedale San Gerardo ; Via Pergolesi 33 ; 20900 ; Monza ; Italy
  3. David Geffen School of Medicine at UCLA ; Los Angeles ; CA ; 90095 ; USA
  5. Neuro/Critical Care CNS Mission Hospital ; Mission Viejo ; CA ; 92691 ; USA
  6. Departments of Pharmacotherapy & Outcomes Science and Neurosurgery ; Virginia Commonwealth University ; Medical College of Virginia Campus 410聽N. 12th Street ; Richmond ; VA ; 23298-0533 ; USA
  7. Department of Neurology ; Neurocritical Care Section ; Washington University ; Campus Box 8111 660 S Euclid Ave ; St Louis ; MO ; 63110 ; USA
  8. Department of Physiopathology and Transplant ; Milan University ; Fondazione IRCCS C脿 Granda Ospedale ; Maggiore Policlinico ; Via F Sforza 35 ; 20122 ; Milan ; Italy
  9. ICU Neurocritical Care ; Hospital Nacional 鈥楶rof. a. Posadas鈥? El Palomar - Pcia ; De Buenos Aires ; Argentina
  10. Department of Neurosurgery ; MedStar Georgetown University Hospital ; Medstar Health ; 3800 Reservoir Road ; NW Washington ; DC ; 20007 ; USA
  11. Department of Neurology ; University of Maryland Medical Center ; 22 S Greene St ; Baltimore ; MD ; 21201 ; USA
  12. Department of Neurology Ruprect-Karls ; University Hospital Heidelberg ; Im Neuenheimer Feld 400 ; 69120 ; Heidelberg ; Germany
  13. Harborview Medical Center ; University of Washington ; Mailstop 359766 ; 325 Ninth Ave ; Seattle ; WA ; 98104-2499 ; USA
  14. Department of Neurology ; Brigham and Women鈥檚 Hospital ; 75 Francis Street ; Boston ; MA ; 02115 ; USA
  15. Department of Neurology and Neurosurgery ; Columbia University College of Physicians & Surgeons ; 177 Fort Washington Avenue ; Milstein 8 Center Room 300 ; New York ; NY ; 10032 ; USA
  16. Department of Neurosurgery ; Addenbrooke鈥檚 Hospital ; University of Cambridge ; Box 167 ; Cambridge ; CB20QQ ; UK
  17. Department of Neurology ; University Hospital Case Medical Center ; Case Western Reserve University School of Medicine ; 11100 Euclid Avenue ; Cleveland ; OH ; 44106 ; USA
  18. Department of Pediatric Neurosurgery ; 617 Institute for Child Health Red Cross Children鈥檚 Hospital Rondebosch ; University of Cape Town ; Cape Town ; 7700 ; South Africa
  19. Department of Neurology ; Mayo Clinic ; 200 First Street SW ; Rochester ; MN ; 55905 ; USA
  20. Department of Neurology ; Neurocritical Care Unit Innsbruck Medical University ; Anichstr.35 ; 6020 ; Innsbruck ; Austria
  21. University of Pennsylvania Health System ; 3701 Market Street ; Philadelphia ; PA ; 19104 ; USA
  22. Department of Clinical Neurosciences ; Addenbrooke鈥檚 Hospital ; University of Cambridge ; Box 167 ; Cambridge ; CB2 2QQ ; UK
  23. Department of Neurology Perelman School of Medicine ; University of Pennsylvania ; 3 West Gates 3400 Spruce Street ; Philadelphia ; PA ; 19104 ; USA
  24. The MetroHealth System ; 2500 MetroHealth Drive ; Cleveland ; OH ; 44109 ; USA
  25. Division of Cerebrovascular Diseases and Neurocritical Care ; The Ohio State University ; 395聽W. 12th Ave ; 7th Floor ; Columbus ; OH ; 43210 ; USA
  26. Department of Neurology Northwestern ; University Feinberg SOM ; 710聽N Lake Shore Drive ; 11th Floor ; Chicago ; IL ; 60611 ; USA
  27. Department of Intensive Care Medicine ; Faculty of Biology ; Medicine University of Lausanne ; CHUV University Hospital ; BH 08-623 ; 1011 ; Lausanne ; Switzerland
  28. Department of Neurology ; Neurotherapeutics and Neurosurgery ; University of Texas Southwestern ; 5323 Harry Hines Blvd ; Dallas ; TX ; 75390-8897 ; USA
  29. Department of Neurology ; University of Miami ; Miller School of Medicine JMH ; 1611 NW 12th Ave ; Suite 405 ; Miami ; FL ; 33136 ; USA
  30. Cerebrovascular Center and Neuroinflammation Research Center ; Lerner College of Medicine ; Cleveland Clinic ; 9500 Euclid Ave ; NC30 ; Cleveland ; OH ; 44195 ; USA
  31. Intensive Care Unit ; Hospital de Clinicas ; Universidad de la Rep煤blica ; Montevideo ; Uruguay
  32. Critical Care Medicine Maine Medical Center ; 22 Bramhall Street ; Portland ; ME ; 04102-3175 ; USA
  33. Department of Neurosurgery ; Ben Taub Hospital ; Baylor College of Medicine ; 1504 Taub Loop ; Houston ; TX ; 77030 ; USA
  34. Columbia University College of Physicians and Surgeons ; Milstein Hospital 8 Garden South ; Suite 331 177 Fort Washington Avenue ; New York ; NY ; 10032 ; USA
  35. Laboratoire de Recherche Experimentale ; Department of Intensive Care ; Erasme Hospital ; Route de Lennik ; 808 1070 ; Brussels ; Belgium
  
• 关键词：Consensus development conference ; Grading of recommendations assessment development and evaluation (GRADE) ; Brain metabolism ; Brain oxygen ; Clinical trials ; Intracranial pressure ; Microdialysis ; Multimodal monitoring ; Neuromonitoring ; Traumatic brain injury ; Brain physiology ; Bio ; informatics ; Biomarkers ; Neurocritical care ; Clinical guidelines
• 刊名：Neurocritical Care
• 出版年：2014
• 出版时间：December 2014
• 年：2014
• 卷：21
• 期：2-supp
• 页码：282-296
• 全文大小：245 KB
• 参考文献：1. Le Roux P, Menon DK, Citerio G, Vespa P, Bader MK, Brophy GM, Diringer MN, Stocchetti N, Videtta W, Armonda R, Badjatia N, B枚esel J, Chesnut R, Chou S, Claassen J, Czosnyka M, De Georgia M, Figaji A, Fugate J, Helbok R, Horowitz D, Hutchinson P, Kumar M, McNett M, Miller C, Naidech A, Oddo M, Olson D, O鈥橮helan K, Provencio JJ, Puppo C, Riker R, Robertson C, Schmidt M, Taccone F. 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. Neurocrit Care. 2014. doi:10.1007/s12028-014-0041-5 .
  2. Moher, D, Liberati, A, Tetzlaff, J, Altman, DG (2009) Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. BMJ 2009: pp. b2535 10.1136/bmj.b2535" target="_blank" title="It opens in new window">CrossRef
  3. Jaeschke, R, Guyatt, GH, Dellinger, P (2008) Use of GRADE grid to reach decisions on clinical practice guidelines when consensus is elusive. BMJ 337: pp. a744 10.1136/bmj.a744" target="_blank" title="It opens in new window">CrossRef
  4. Rochwerg, B, Alhazzani, W, Jaeschke, R (2014) Clinical meaning of the GRADE rules. Intensive Care Med 40: pp. 877-879 10.1007/s00134-014-3273-0" target="_blank" title="It opens in new window">CrossRef
  5. Andrews, JC, Sch眉nemann, HJ, Oxman, AD, Pottie, K, Meerpohl, JJ, Coello, PA, Rind, D, Montori, VM, Brito, JP, Norris, S, Elbarbary, M, Post, P, Nasser, M, Shukla, V, Jaeschke, R, Brozek, J, Djulbegovic, B, Guyatt, G (2013) GRADE guidelines: 15. Going from evidence to recommendation-determinants of a recommendation鈥檚 direction and strength. J Clin Epidemiol 66: pp. 726-735 10.1016/j.jclinepi.2013.02.003" target="_blank" title="It opens in new window">CrossRef
  
• 刊物主题：Internal Medicine; Neurology;
• 出版者：Springer US
• ISSN：1556-0961

文摘

Careful patient monitoring using a variety of techniques including clinical and laboratory evaluation, bedside physiological monitoring with continuous or non-continuous techniques and imaging is fundamental to the care of patients who require neurocritical care. How best to perform and use bedside monitoring is still being elucidated. To create a basic platform for care and a foundation for further research 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 develop recommendations about physiologic bedside monitoring. This supplement contains a Consensus Summary Statement with recommendations and individual topic reviews as a background to the recommendations. In this article, we highlight the recommendations and provide additional conclusions as an aid to the reader and to facilitate bedside care.