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Consensus statement from the International Consensus Meeting on the Role of Decompressive Craniectomy in the Management of Traumatic Brain Injury : Consensus statement.
Hutchinson, Peter J; Kolias, Angelos G; Tajsic, Tamara; Adeleye, Amos; Aklilu, Abenezer Tirsit; Apriawan, Tedy; Bajamal, Abdul Hafid; Barthélemy, Ernest J; Devi, B Indira; Bhat, Dhananjaya; Bulters, Diederik; Chesnut, Randall; Citerio, Giuseppe; Cooper, D Jamie; Czosnyka, Marek; Edem, Idara; El-Ghandour, Nasser M F; Figaji, Anthony; Fountas, Kostas N; Gallagher, Clare; Hawryluk, Gregory W J; Iaccarino, Corrado; Joseph, Mathew; Khan, Tariq; Laeke, Tsegazeab; Levchenko, Oleg; Liu, Baiyun; Liu, Weiming; Maas, Andrew; Manley, Geoffrey T; Manson, Paul; Mazzeo, Anna T; Menon, David K; Michael, Daniel B; Muehlschlegel, Susanne; Okonkwo, David O; Park, Kee B; Rosenfeld, Jeffrey V; Rosseau, Gail; Rubiano, Andres M; Shabani, Hamisi K; Stocchetti, Nino; Timmons, Shelly D; Timofeev, Ivan; Uff, Chris; Ullman, Jamie S; Valadka, Alex; Waran, Vicknes; Wells, Adam; Wilson, Mark H.
Afiliação
  • Hutchinson PJ; Division of Neurosurgery, Department of Clinical Neurosciences, Addenbrooke's Hospital and University of Cambridge, Cambridge Biomedical Campus, Cambridge, CB20QQ, UK. pjah2@cam.ac.uk.
  • Kolias AG; NIHR Global Health Research Group on Neurotrauma, University of Cambridge, Cambridge, UK. pjah2@cam.ac.uk.
  • Tajsic T; Division of Neurosurgery, Department of Clinical Neurosciences, Addenbrooke's Hospital and University of Cambridge, Cambridge Biomedical Campus, Cambridge, CB20QQ, UK.
  • Adeleye A; NIHR Global Health Research Group on Neurotrauma, University of Cambridge, Cambridge, UK.
  • Aklilu AT; Division of Neurosurgery, Department of Clinical Neurosciences, Addenbrooke's Hospital and University of Cambridge, Cambridge Biomedical Campus, Cambridge, CB20QQ, UK.
  • Apriawan T; NIHR Global Health Research Group on Neurotrauma, University of Cambridge, Cambridge, UK.
  • Bajamal AH; Division of Neurological Surgery, Department of Surgery, College of Medicine, University of Ibadan, Ibadan, Nigeria.
  • Barthélemy EJ; Department of Neurological Surgery, University College Hospital, Ibadan, Nigeria.
  • Devi BI; Neurosurgical Unit, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia.
  • Bhat D; Department of Clinical Medicine, Faculty of Medicine, University of Bergen, Bergen, Norway.
  • Bulters D; Department of Neurosurgery, Faculty of Medicine, Universitas Airlangga, Soetomo General Hospital, Surabaya, Indonesia.
  • Chesnut R; Department of Neurosurgery, Faculty of Medicine, Universitas Airlangga, Soetomo General Hospital, Surabaya, Indonesia.
  • Citerio G; Program in Global Surgery and Social Change, Department of Global Health and Social Medicine, Harvard Medical School, Boston, MA, USA.
  • Cooper DJ; Department of Neurosurgery, National Institute for Mental Health and Neurosciences, Bangalore, India.
  • Czosnyka M; Department of Neurosurgery, National Institute for Mental Health and Neurosciences, Bangalore, India.
  • Edem I; Wessex Neurological Centre, University Hospital Southampton, Southampton, UK.
  • El-Ghandour NMF; Harborview Medical Center, University of Washington, Seattle, WA, USA.
  • Figaji A; School of Medicine and Surgery, University of Milan-Bicocca, Milan, Italy.
  • Fountas KN; Neuro-Intensive Care, Department of Emergency and Intensive Care, ASST, San Gerardo Hospital, Monza, Italy.
  • Gallagher C; Australian and New Zealand Intensive Care Research Centre, Monash University, Melbourne, Victoria, Australia.
  • Hawryluk GWJ; Department of Intensive Care, Alfred Hospital, Melbourne, Victoria, Australia.
  • Iaccarino C; Division of Neurosurgery, Department of Clinical Neurosciences, Addenbrooke's Hospital and University of Cambridge, Cambridge Biomedical Campus, Cambridge, CB20QQ, UK.
  • Joseph M; Division of Neurosurgery, Department of Surgery, The Ottawa Hospital, Ottawa, ON, Canada.
  • Khan T; Department of Neurosurgery, Faculty of Medicine, Cairo University, Cairo, Egypt.
  • Laeke T; Division of Neurosurgery and Neuroscience Institute, University of Cape Town, Cape Town, South Africa.
  • Levchenko O; Department of Neurosurgery, University Hospital of Larissa and University of Thessaly, Larissa, Greece.
  • Liu B; Division of Neurosurgery, Department of Clinical Neurosciences, University of Calgary, Calgary, Alberta, Canada.
  • Liu W; Department of Neurosurgery, University of Manitoba, Winnipeg, Manitoba, Canada.
  • Maas A; Department of Neurosurgery, Azienda Ospedaliero Universitaria di Parma, Parma, Italy.
  • Manley GT; Department of Neurosurgery, Christian Medical College, Vellore, India.
  • Manson P; Department of Neurosurgery, North West General Hospital and Research Center, Peshawar, Pakistan.
  • Mazzeo AT; Neurosurgical Unit, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia.
  • Menon DK; Department of Clinical Medicine, Faculty of Medicine, University of Bergen, Bergen, Norway.
  • Michael DB; Department of Neurosurgery, Moscow State University of Medicine and Dentistry, Moscow, Russian Federation.
  • Muehlschlegel S; Department of Neurosurgery, Beijing Tiantan Medical Hospital, Capital Medical University, Beijing, China.
  • Okonkwo DO; Department of Neurosurgery, Beijing Tiantan Medical Hospital, Capital Medical University, Beijing, China.
  • Park KB; Department of Neurosurgery, Antwerp University Hospital and University of Antwerp, Antwerp, Belgium.
  • Rosenfeld JV; Department of Neurological Surgery, University of California San Francisco, San Francisco, CA, USA.
  • Rosseau G; Department of Plastic and Reconstructive Surgery, Johns Hopkins Hospital, Baltimore, MD, USA.
  • Rubiano AM; Anesthesia and Intensive Care Unit, Department of Surgical Sciences, University of Torino, Torino, Italy.
  • Shabani HK; Division of Anaesthesia, Addenbrooke's Hospital and University of Cambridge, Cambridge, UK.
  • Stocchetti N; Oakland University William Beaumont School of Medicine and Michigan Head & Spine Institute, Auburn Hills, MI, USA.
  • Timmons SD; Departments of Neurology, Anesthesia/Critical Care & Surgery, University of Massachusetts Medical School, Worcester, MA, USA.
  • Timofeev I; Department of Neurosurgery, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.
  • Uff C; Global Neurosurgery Initiative, Program in Global Surgery and Social Change, Department of Global Health and Social Medicine, Harvard Medical School, Boston, MA, USA.
  • Ullman JS; Department of Neurosurgery, Alfred Hospital, Melbourne, Australia.
  • Valadka A; Department of Surgery, Monash University, Melbourne, Australia.
  • Waran V; George Washington University School of Medicine and Health Sciences, Washington, DC, USA.
  • Wells A; INUB/MEDITECH Research Group, El Bosque University, Bogotá, Colombia.
  • Wilson MH; MEDITECH Foundation, Clinical Research, Cali, Colombia.
Acta Neurochir (Wien) ; 161(7): 1261-1274, 2019 07.
Article em En | MEDLINE | ID: mdl-31134383
ABSTRACT

BACKGROUND:

Two randomised trials assessing the effectiveness of decompressive craniectomy (DC) following traumatic brain injury (TBI) were published in recent years DECRA in 2011 and RESCUEicp in 2016. As the results have generated debate amongst clinicians and researchers working in the field of TBI worldwide, it was felt necessary to provide general guidance on the use of DC following TBI and identify areas of ongoing uncertainty via a consensus-based approach.

METHODS:

The International Consensus Meeting on the Role of Decompressive Craniectomy in the Management of Traumatic Brain Injury took place in Cambridge, UK, on the 28th and 29th September 2017. The meeting was jointly organised by the World Federation of Neurosurgical Societies (WFNS), AO/Global Neuro and the NIHR Global Health Research Group on Neurotrauma. Discussions and voting were organised around six pre-specified themes (1) primary DC for mass lesions, (2) secondary DC for intracranial hypertension, (3) peri-operative care, (4) surgical technique, (5) cranial reconstruction and (6) DC in low- and middle-income countries.

RESULTS:

The invited participants discussed existing published evidence and proposed consensus statements. Statements required an agreement threshold of more than 70% by blinded voting for approval.

CONCLUSIONS:

In this manuscript, we present the final consensus-based recommendations. We have also identified areas of uncertainty, where further research is required, including the role of primary DC, the role of hinge craniotomy and the optimal timing and material for skull reconstruction.
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Texto completo: 1 Base de dados: MEDLINE Assunto principal: Hipertensão Intracraniana / Craniectomia Descompressiva / Lesões Encefálicas Traumáticas Tipo de estudo: Clinical_trials / Etiology_studies / Guideline Limite: Humans Idioma: En Ano de publicação: 2019 Tipo de documento: Article

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Hipertensão Intracraniana / Craniectomia Descompressiva / Lesões Encefálicas Traumáticas Tipo de estudo: Clinical_trials / Etiology_studies / Guideline Limite: Humans Idioma: En Ano de publicação: 2019 Tipo de documento: Article