Prehospital Hypocapnia and Poor Outcome After Severe Traumatic Brain Injury

The latest French Guidelines for the management in the first 24hours of patients with severe traumatic brain injury (TBI) were published in 1998. Due to recent changes (intracerebral monitoring, cerebral perfusion pressure management, treatment of raised intracranial pressure), an update was required. Our objective has been to specify the significant developments since 1998. These guidelines were conducted by a group of experts for the French Society of Anesthesia and Intensive Care Medicine (Société francaise d'anesthésie et de réanimation [SFAR]) in partnership with the Association de neuro-anesthésie-réanimation de langue française (ANARLF), The French Society of Emergency Medicine (Société française de médecine d'urgence (SFMU), the Société française de neurochirurgie (SFN), the Groupe francophone de réanimation et d'urgences pédiatriques (GFRUP) and the Association des anesthésistes-réanimateurs pédiatriques d'expression française (ADARPEF). The method used to elaborate these guidelines was the Grade method. After two Delphi rounds, 32 recommendations were formally developed by the experts focusing on the evaluation the initial severity of traumatic brain injury, the modalities of prehospital management, imaging strategies, indications for neurosurgical interventions, sedation and analgesia, indications and modalities of cerebral monitoring, medical management of raised intracranial pressure, management of multiple trauma with severe traumatic brain injury, detection and prevention of post-traumatic epilepsia, biological homeostasis (osmolarity, glycaemia, adrenal axis) and paediatric specificities.

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Management of severe traumatic brain injury (first 24 hours)

Geeraerts

Velly²,

Abdennour

et al. 2018

Anaesthesia Critical Care & Pain Medicine

163

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Prise en charge des traumatisés crâniens graves à la phase précoce (24 premières heures)

Geeraerts

Velly

Abdennour

et al. 2016

Anesthésie & Réanimation

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Prise en charge des traumatisés crâniens graves à la phase précoce (24 premières heures)

Geeraerts

Velly

Abdennour

et al. 2017

Journal Européen des Urgences et de Réanimation

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Prehospital Hypocapnia and Poor Outcome After Severe Traumatic Brain Injury

Cited by 3 publications

References 6 publications

Management of severe traumatic brain injury (first 24 hours)

Management of severe traumatic brain injury (first 24 hours)

Prise en charge des traumatisés crâniens graves à la phase précoce (24 premières heures)

Prise en charge des traumatisés crâniens graves à la phase précoce (24 premières heures)

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