Le Roux Peter, Menon David K, Citerio Giuseppe, Vespa Paul, Bader Mary Kay, Brophy Gretchen, Diringer Michael N, Stocchetti Nino, Videtta Walter, Armonda Rocco, Badjatia Neeraj, Bösel Julian, Chesnut Randall, Chou Sherry, Claassen Jan, Czosnyka Marek, De Georgia Michael, Figaji Anthony, Fugate Jennifer, Helbok Raimund, Horowitz David, Hutchinson Peter, Kumar Monisha, McNett Molly, Miller Chad, Naidech Andrew, Oddo Mauro, Olson DaiWai, O'Phelan Kristine, Provencio J Javier, Puppo Corinna, Riker Richard, Roberson Claudia, Schmidt Michael, Taccone Fabio
Brain and Spine Center, Suite 370, Medical Science Building, Lankenau Medical Center, 100 East Lancaster Avenue, Wynnewood, PA, 19096, USA,
Neurocrit Care. 2014 Dec;21 Suppl 2(Suppl 2):S297-361. doi: 10.1007/s12028-014-0081-x.
A variety of technologies have been developed to assist decision-making during the management of patients with acute brain injury who require intensive care. A large body of research has been generated describing these various technologies. The Neurocritical Care Society (NCS) in collaboration with the European Society of Intensive Care Medicine (ESICM), the Society for Critical Care Medicine (SCCM), and the Latin America Brain Injury Consortium (LABIC) organized an international, multidisciplinary consensus conference to perform a systematic review of the published literature to help develop evidence-based practice recommendations on bedside physiologic monitoring. This supplement contains a Consensus Summary Statement with recommendations and individual topic reviews on physiologic processes important in the care of acute brain injury. In this article we provide the evidentiary tables for select topics including systemic hemodynamics, intracranial pressure, brain and systemic oxygenation, EEG, brain metabolism, biomarkers, processes of care and monitoring in emerging economies to provide the clinician ready access to evidence that supports recommendations about neuromonitoring.
为了辅助管理需要重症监护的急性脑损伤患者的决策制定,已经开发了多种技术。已经产生了大量描述这些不同技术的研究。神经重症监护学会(NCS)与欧洲重症监护医学学会(ESICM)、危重病医学学会(SCCM)以及拉丁美洲脑损伤联盟(LABIC)合作组织了一次国际多学科共识会议,对已发表的文献进行系统综述,以帮助制定关于床边生理监测的循证实践建议。本增刊包含一份共识总结声明及建议,以及关于急性脑损伤护理中重要生理过程的各个主题综述。在本文中,我们提供了选定主题的证据表,包括全身血流动力学、颅内压、脑和全身氧合、脑电图、脑代谢、生物标志物、新兴经济体中的护理和监测过程,以便临床医生能够随时获取支持神经监测建议的证据。