Guidelines for the Management of Severe Traumatic Brain Injury, Fourth Edition

被引：2234

作者：

Carney, Nancy ^{[1
]}

Totten, Annette M. ^{[1
]}

O'Reilly, Cindy ^{[1
]}

Ullman, Jamie S. ^{[2
]}

Hawryluk, Gregory W. J. ^{[3
]}

Bell, Michael J. ^{[4
]}

Bratton, Susan L. ^{[3
]}

Chesnut, Randall ^{[5
]}

Harris, Odette A. ^{[6
]}

Kissoon, Niranjan ^{[7
]}

Rubiano, Andres M. ^{[8
,9
]}

Shutter, Lori ^{[4
]}

Tasker, Robert C. ^{[10
,11
]}

Vavilala, Monica S. ^{[5
]}

Wilberger, Jack ^{[12
]}

Wright, David W. ^{[13
]}

Ghajar, Jamshid ^{[6
]}

机构：

[1] Oregon Hlth & Sci Univ, Portland, OR 97201 USA

[2] Hofstra North Shore LIJ Sch Med, Hempstead, NY USA

[3] Univ Utah, Salt Lake City, UT USA

[4] Univ Pittsburgh, Pittsburgh, PA USA

[5] Univ Washington, Seattle, WA 98195 USA

[6] Stanford Univ, Stanford, CA 94305 USA

[7] Univ British Columbia, Vancouver, BC, Canada

[8] El Bosque Univ, Bogota, Colombia

[9] MEDITECH Fdn, Neiva, Colombia

[10] Harvard Med Sch, Boston, MA USA

[11] Boston Childrens Hosp, Boston, MA USA

[12] Drexel Univ, Pittsburgh, PA USA

[13] Emory Univ, Atlanta, GA 30322 USA

来源：

NEUROSURGERY | 2017年 / 80卷 / 01期

关键词：

Severe traumatic brain injury; Adults; Critical care; Evidence-based medicine; Guidelines; Systematic review; CEREBRAL PERFUSION-PRESSURE; VENOUS THROMBOEMBOLISM PROPHYLAXIS; VENTILATOR-ASSOCIATED PNEUMONIA; INTRACRANIAL-PRESSURE; CRANIECTOMY; HYPOTENSION; THRESHOLDS; REACTIVITY; NUTRITION; MORTALITY;

D O I：

10.1227/NEU.0000000000001432

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

The scope and purpose of this work is 2-fold: to synthesize the available evidence and to translate it into recommendations. This document provides recommendations only when there is evidence to support them. As such, they do not constitute a complete protocol for clinical use. Our intention is that these recommendations be used by others to develop treatment protocols, which necessarily need to incorporate consensus and clinical judgment in areas where current evidence is lacking or insufficient. We think it is important to have evidence-based recommendations to clarify what aspects of practice currently can and cannot be supported by evidence, to encourage use of evidence-based treatments that exist, and to encourage creativity in treatment and research in areas where evidence does not exist. The communities of neurosurgery and neuro-intensive care have been early pioneers and supporters of evidence-based medicine and plan to continue in this endeavor. The complete guideline document, which summarizes and evaluates the literature for each topic, and supplemental appendices (A-I) are available online at https://www.braintrauma.org/coma/guidelines.

引用

页码：6 / 15

页数：10

共 45 条

[1] Gastric versus transpyloric feeding in severe traumatic brain injury: a prospective, randomized trial [J].