Consensus statement from the International Consensus Meeting on the Role of Decompressive Craniectomy in the Management of Traumatic Brain Injury : Consensus statement.
Journal: Acta neurochirurgica
Volume: 161
Issue: 7
Year of Publication: 2020
Affiliated Institutions:
Division of Neurosurgery, Department of Clinical Neurosciences, Addenbrooke's Hospital and University of Cambridge, Cambridge Biomedical Campus, Cambridge, CBQQ, UK. pjah@cam.ac.uk.
Division of Neurosurgery, Department of Clinical Neurosciences, Addenbrooke's Hospital and University of Cambridge, Cambridge Biomedical Campus, Cambridge, CBQQ, UK.
Division of Neurological Surgery, Department of Surgery, College of Medicine, University of Ibadan, Ibadan, Nigeria.
Neurosurgical Unit, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia.
Department of Neurosurgery, Faculty of Medicine, Universitas Airlangga, Soetomo General Hospital, Surabaya, Indonesia.
Program in Global Surgery and Social Change, Department of Global Health and Social Medicine, Harvard Medical School, Boston, MA, USA.
Department of Neurosurgery, National Institute for Mental Health and Neurosciences, Bangalore, India.
Wessex Neurological Centre, University Hospital Southampton, Southampton, UK.
Harborview Medical Center, University of Washington, Seattle, WA, USA.
School of Medicine and Surgery, University of Milan-Bicocca, Milan, Italy.
Australian and New Zealand Intensive Care Research Centre, Monash University, Melbourne, Victoria, Australia.
Division of Neurosurgery, Department of Surgery, The Ottawa Hospital, Ottawa, ON, Canada.
Department of Neurosurgery, Faculty of Medicine, Cairo University, Cairo, Egypt.
Division of Neurosurgery and Neuroscience Institute, University of Cape Town, Cape Town, South Africa.
Department of Neurosurgery, University Hospital of Larissa and University of Thessaly, Larissa, Greece.
Division of Neurosurgery, Department of Clinical Neurosciences, University of Calgary, Calgary, Alberta, Canada.
Department of Neurosurgery, University of Manitoba, Winnipeg, Manitoba, Canada.
Department of Neurosurgery, Azienda Ospedaliero Universitaria di Parma, Parma, Italy.
Department of Neurosurgery, Christian Medical College, Vellore, India.
Department of Neurosurgery, North West General Hospital and Research Center, Peshawar, Pakistan.
Department of Neurosurgery, Moscow State University of Medicine and Dentistry, Moscow, Russian Federation.
Department of Neurosurgery, Beijing Tiantan Medical Hospital, Capital Medical University, Beijing, China.
Department of Neurosurgery, Antwerp University Hospital and University of Antwerp, Antwerp, Belgium.
Department of Neurological Surgery, University of California San Francisco, San Francisco, CA, USA.
Department of Plastic and Reconstructive Surgery, Johns Hopkins Hospital, Baltimore, MD, USA.
Anesthesia and Intensive Care Unit, Department of Surgical Sciences, University of Torino, Torino, Italy.
Division of Anaesthesia, Addenbrooke's Hospital and University of Cambridge, Cambridge, UK.
Oakland University William Beaumont School of Medicine and Michigan Head & Spine Institute, Auburn Hills, MI, USA.
Departments of Neurology, Anesthesia/Critical Care & Surgery, University of Massachusetts Medical School, Worcester, MA, USA.
Department of Neurosurgery, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.
Global Neurosurgery Initiative, Program in Global Surgery and Social Change, Department of Global Health and Social Medicine, Harvard Medical School, Boston, MA, USA.
Department of Neurosurgery, Alfred Hospital, Melbourne, Australia.
George Washington University School of Medicine and Health Sciences, Washington, DC, USA.
INUB/MEDITECH Research Group, El Bosque University, Bogotá, Colombia.
Department of Neurosurgery, Muhimbili Orthopedic-Neurosurgical Institute, Dar es Salaam, Tanzania.
Department of Physiopathology and Transplantation, Milan University, Milan, Italy.
Department of Neurological Surgery, Penn State University Milton S. Hershey Medical Center, Hershey, PA, USA.
Department of Neurosurgery, The Royal London Hospital, London, UK.
Department of Neurosurgery, Hofstra North Shore-LIJ School of Medicine, Hempstead, NY, USA.
Department of Neurosurgery, Virginia Commonwealth University, Richmond, VA, USA.
Neurosurgery Division, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia.
Department of Neurosurgery, Royal Adelaide Hospital, University of Adelaide, Adelaide, South Australia, Australia.
Imperial Neurotrauma Centre, Department of Surgery and Cancer, Imperial College, London, UK.
Department of Neurosurgery, Humanitas University and Research Hospital, Milan, Italy.
Abstract summary
Two randomised trials assessing the effectiveness of decompressive craniectomy (DC) following traumatic brain injury (TBI) were published in recent years: DECRA in 2011 and RESCUEicp in 2016. As the results have generated debate amongst clinicians and researchers working in the field of TBI worldwide, it was felt necessary to provide general guidance on the use of DC following TBI and identify areas of ongoing uncertainty via a consensus-based approach.The International Consensus Meeting on the Role of Decompressive Craniectomy in the Management of Traumatic Brain Injury took place in Cambridge, UK, on the 28th and 29th September 2017. The meeting was jointly organised by the World Federation of Neurosurgical Societies (WFNS), AO/Global Neuro and the NIHR Global Health Research Group on Neurotrauma. Discussions and voting were organised around six pre-specified themes: (1) primary DC for mass lesions, (2) secondary DC for intracranial hypertension, (3) peri-operative care, (4) surgical technique, (5) cranial reconstruction and (6) DC in low- and middle-income countries.The invited participants discussed existing published evidence and proposed consensus statements. Statements required an agreement threshold of more than 70% by blinded voting for approval.In this manuscript, we present the final consensus-based recommendations. We have also identified areas of uncertainty, where further research is required, including the role of primary DC, the role of hinge craniotomy and the optimal timing and material for skull reconstruction.
Authors & Co-authors:
Hutchinson Peter J PJ
Kolias Angelos G AG
Tajsic Tamara T
Adeleye Amos A
Aklilu Abenezer Tirsit AT
Apriawan Tedy T
Bajamal Abdul Hafid AH
Barthélemy Ernest J EJ
Devi B Indira BI
Bhat Dhananjaya D
Bulters Diederik D
Chesnut Randall R
Citerio Giuseppe G
Cooper D Jamie DJ
Czosnyka Marek M
Edem Idara I
El-Ghandour Nasser M F NMF
Figaji Anthony A
Fountas Kostas N KN
Gallagher Clare C
Hawryluk Gregory W J GWJ
Iaccarino Corrado C
Joseph Mathew M
Khan Tariq T
Laeke Tsegazeab T
Levchenko Oleg O
Liu Baiyun B
Liu Weiming W
Maas Andrew A
Manley Geoffrey T GT
Manson Paul P
Mazzeo Anna T AT
Menon David K DK
Michael Daniel B DB
Muehlschlegel Susanne S
Okonkwo David O DO
Park Kee B KB
Rosenfeld Jeffrey V JV
Rosseau Gail G
Rubiano Andres M AM
Shabani Hamisi K HK
Stocchetti Nino N
Timmons Shelly D SD
Timofeev Ivan I
Uff Chris C
Ullman Jamie S JS
Valadka Alex A
Waran Vicknes V
Wells Adam A
Wilson Mark H MH
Servadei Franco F
Study Outcome
Source Link: Visit source