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

Peter Le Roux; David Menon; Giuseppe Citerio; Paul Vespa; Mary Bader; Gretchen Brophy; Michael Diringer; Nino Stocchetti; Walter Videtta; Rocco Armonda; Neeraj Badjatia; Julian Böesel; Randall Chesnut; Sherry Chou; Jan Claassen; Marek Czosnyka; Michael De Georgia; Anthony Figaji; Jennifer Fugate; Raimund Helbok; David Horowitz; Peter Hutchinson; Monisha Kumar; Molly McNett; Chad Miller; Andrew Naidech; Mauro Oddo; DaiWai Olson; Kristine O’Phelan; J Provencio; Corinna Puppo; Richard Riker; Claudia Robertson; Michael Schmidt; Fabio Taccone; European Society of Intensive Care Medicine

doi:10.1007/s00134-014-3369-6

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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

Journal article

Open access

Peer reviewed

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

Peter Le Roux, David Menon, Giuseppe Citerio, Paul Vespa, Mary Bader, Gretchen Brophy, Michael Diringer, Nino Stocchetti, Walter Videtta, Rocco Armonda, …

Intensive care medicine, Vol.40(9), pp.1189-1209

2014-09

DOI: https://doi.org/10.1007/s00134-014-3369-6

PMID: 25138226

Abstract

Multimodal monitoring

Pediatrics

Emergency Medicine

Traumatic brain injury

Brain metabolism

Brain oxygen

Neuromonitoring

Intensive / Critical Care Medicine

Clinical trials

Intracranial pressure

Neurocritical care

Consensus development conference

Pain Medicine

Pneumology/Respiratory System

Microdialysis

Medicine & Public Health

Biomarkers

Clinical guidelines

Grading of Recommendations Assessment Development and Evaluation (GRADE)

Anesthesiology

Bioinformatics

Brain physiology

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.

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Collaboration types: Domestic collaboration; International collaboration
Citation topics: 1 Clinical & Life Sciences; 1.134 Trauma & Emergency Surgery; 1.134.286 Traumatic Brain Injury
Web Of Science research areas: Critical Care Medicine
ESI research areas: Clinical Medicine

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Title: Consensus summary statement of the International Multidisciplinary Consensus Conference on Multimodality Monitoring in Neurocritical Care
Creators: Peter Le Roux - Brain and Spine Center, Suite 370, Medical Science Building Lankenau Medical Center 100 East Lancaster Avenue Wynnewood PA 19096 USA
David Menon - Neurosciences Critical Care Unit, Division of Anaesthesia University of Cambridge Consultant Addenbrooke’s Hospital Box 93 Cambridge CB2 2QQ UK
Giuseppe Citerio - NeuroIntensive Care Unit, Department of Anesthesia and Critical Care Ospedale San Gerardo Via Pergolesi 33 20900 Monza Italy
Paul Vespa - David Geffen School of Medicine at UCLA Los Angeles CA 90095 USA
Mary Bader - Neuro/Critical Care CNS Mission Hospital Mission Viejo CA 92691 USA
Gretchen Brophy - Virginia Commonwealth University Medical College of Virginia Campus, 410N. 12th Street Richmond VA 23298-0533 USA
Michael Diringer - Neurocritical Care Section, Department of Neurology Washington University Campus Box 8111, 660 S Euclid Ave St Louis MO 63110 USA
Nino Stocchetti - Department of Physiopathology and Transplant Milan University, Neuro ICU, Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico Via F Sforza, 35 20122 Milan Italy
Walter Videtta - ICU Neurocritical Care Hospital Nacional ‘Prof. a. Posadas’, El Palomar Pcia de Buenos Aires Argentina
Rocco Armonda - Department of Neurosurgery MedStar Georgetown University Hospital, Medstar Health 3800 Reservoir Road NW Washington DC 20007 USA
Neeraj Badjatia - Department of Neurology University of Maryland Medical Center 22 S Greene St Baltimore MD 21201 USA
Julian Böesel - Department of Neurology Ruprecht-Karls University, Hospital Heidelberg Im Neuenheimer Feld 400 69120 Heidelberg Germany
Randall Chesnut - Harborview Medical Center University of Washington Mailstop 359766, 325 Ninth Ave Seattle WA 98104-2499 USA
Sherry Chou - Department of Neurology Brigham and Women’s Hospital 75 Francis Street Boston MA 02115 USA
Jan Claassen - Neurological Intensive Care Unit Columbia University College of Physicians and Surgeons 177 Fort Washington Avenue, Milstein 8 Center room 300 New York NY 10032 USA
Marek Czosnyka - Department of Neurosurgery University of Cambridge, Addenbrooke’s Hospital Box 167 Cambridge CB2 0QQ UK
Michael De Georgia - Neurocritical Care Center, Cerebrovascular Center University Hospital Case Medical Center, Case Western Reserve University School of Medicine 11100 Euclid Avenue Cleveland OH 44106 USA
Anthony Figaji - University of Cape Town, 617 Institute for Child Health, Red Cross Children’s Hospital Rondebosch Cape Town 7700 South Africa
Jennifer Fugate - Mayo Clinic Rochester MN 55905 USA
Raimund Helbok - Neurocritical Care Unit, Department of Neurology Innsbruck Medical University Anichstr.35 6020 Innsbruck Austria
David Horowitz - University of Pennsylvania Health System 3701 Market Street Philadelphia PA 19104 USA
Peter Hutchinson - Department of Clinical Neurosciences University of Cambridge Addenbrooke’s Hospital Box 167 Cambridge CB2 2QQ UK
Monisha Kumar - Department of Neurology, Perelman School of Medicine University of Pennsylvania 3 West Gates, 3400 Spruce Street Philadelphia PA 19104 USA
Molly McNett - Nursing Research The MetroHealth System 2500 MetroHealth Drive Cleveland OH 44109 USA
Chad Miller - Division of Cerebrovascular Diseases and Neurocritical Care The Ohio State University 395W. 12th Ave, 7th Floor Columbus OH 43210 USA
Andrew Naidech - Department of Neurology Northwestern University Feinberg SOM 710, N Lake Shore Drive, 11th floor Chicago IL 60611 USA
Mauro Oddo - Department of Intensive Care Medicine, Faculty of Biology and Medicine University of Lausanne CHUV University Hospital BH 08-623 1011 Lausanne Switzerland
DaiWai Olson - Neurology, Neurotherapeutics and Neurosurgery University of Texas Southwestern 5323 Harry Hines Blvd Dallas TX 75390-8897 USA
Kristine O’Phelan - Department of Neurology University of Miami, Miller School of Medicine JMH, 1611 NW 12th Ave, Suite 405 Miami FL 33136 USA
J Provencio - Cerebrovascular Center and Neuroinflammation Research Center Lerner College of Medicine, Cleveland Clinic 9500 Euclid Ave, NC30 Cleveland OH 44195 USA
Corinna Puppo - Intensive Care Unit, Hospital de Clinicas Universidad de la República Montevideo Uruguay
Richard Riker - Critical Care Medicine Maine Medical Center 22 Bramhall Street, Portland Maine 04102-3175 USA
Claudia Robertson - Department of Neurosurgery, Center for Neurosurgical Intensive Care Ben Taub Hospital, Baylor College of Medicine 1504 Taub Loop Houston TX 77030 USA
Michael Schmidt - Columbia University College of Physicians and Surgeons Milstein Hospital 8 Garden South, Suite 331, 177 Fort Washington Avenue New York NY 10032 USA
Fabio Taccone - Laboratoire de Recherche Experimentale, Department of Intensive Care Erasme Hospital Route de Lennik, 808 1070 Brussels Belgium
European Society of Intensive Care Medicine
Publication Details: Intensive care medicine, Vol.40(9), pp.1189-1209
Publisher: Springer Berlin Heidelberg
Academic Unit: UMMG Dept of Human Genetics (Dr. John T. Macdonald Foundation); UMMG Dept of Neurology - Neurocritical Care Div; Miller School of Medicine; John P. Hussman Institute for Human Genomics; UMMG Department of Neurology
Language: English
Resource Type: Journal article
PMID: 25138226
Record Identifier: 991031597737702976