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Management of severe traumatic brain injury (first 24 hours)

Thomas Geeraerts 1 Lionel Velly 2, 3 Lamine Abdennour 4 Karim Asehnoune 5 Gérard Audibert 6 Pierre Bouzat 7 Nicolas Bruder 2 Romain Carrillon 8 Vincent Cottenceau 9 François Cotton 10 Sonia Courtil-Teyssedre 11, 12 Claire Dahyot-Fizelier 13, 14 Frédéric Dailler 8 Jean-Stéphane David 15 Nicolas Engrand 16 Dominique Fletcher 17 Gilles Francony 18 Laurent Gergelé 19 Carole Ichai 20 Etienne Javouhey 12 Pierre-Etienne Leblanc 21, 22 Thomas Lieutaud 23, 24 Philippe Meyer 25 Sebastien Mirek 26 Gilles Orliaguet 25 François Proust 27 Hervé Quintard 20 Catherine Ract 21, 22 Mohamed Srairi 1 Karim Tazarourte 28 Bernard Vigué 21 Jean-François Payen 29
10 RMN et optique : De la mesure au biomarqueur
CREATIS - Centre de Recherche en Acquisition et Traitement de l'Image pour la Santé
22 TIGER
CRNL - Centre de recherche en neurosciences de Lyon
Abstract : The latest French Guidelines for the management in the first 24 hours 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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Thomas Geeraerts, Lionel Velly, Lamine Abdennour, Karim Asehnoune, Gérard Audibert, et al.. Management of severe traumatic brain injury (first 24 hours). Anaesthesia Critical Care & Pain Medicine, Elsevier Masson, 2018, 37 (2), pp.171-186. ⟨10.1016/j.accpm.2017.12.001⟩. ⟨hal-01788068⟩

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