Consensus summary statement of the International Multidisciplinary Consensus Conference on Multimodality Monitoring in Neurocritical Care: A statement for healthcare professionals from the Neurocritical Care Society and the European Society of Intensive Care Medicine

Peter Le Roux, David K. Menon, Giuseppe Citerio, Paul Vespa, Mary Kay Bader, Gretchen M. Brophy, Michael N. Diringer, Nino Stocchetti, Walter Videtta, Rocco Armonda, Neeraj Badjatia, Julian Böesel, Randall Chesnut, Sherry Chou, Jan Claassen, Marek Czosnyka, Michael De Georgia, Anthony Figaji, Jennifer Fugate, Raimund HelbokDavid Horowitz, Peter Hutchinson, Monisha Kumar, Molly McNett, Chad Miller, Andrew Naidech, Mauro Oddo, DaiWai Olson, Kristine H O'Phelan, J. Javier Provencio, Corinna Puppo, Richard Riker, Claudia Robertson, Michael Schmidt, Fabio Taccone

Research output: Contribution to journalArticle

113 Citations (Scopus)

Abstract

Neurocritical care depends, in part, on careful patient monitoring but as yet there are little data on what processes are the most important to monitor, how these should be monitored, and whether monitoring these processes is cost-effective and impacts outcome. At the same time, bioinformatics is a rapidly emerging field in critical care but as yet there is little agreement or standardization on what information is important and how it should be displayed and analyzed. The Neurocritical Care Society in collaboration with the European Society of Intensive Care Medicine, the Society for Critical Care Medicine, and the Latin America Brain Injury Consortium organized an international, multidisciplinary consensus conference to begin to address these needs. International experts from neurosurgery, neurocritical care, neurology, critical care, neuroanesthesiology, nursing, pharmacy, and informatics were recruited on the basis of their research, publication record, and expertise. They undertook a systematic literature review to develop recommendations about specific topics on physiologic processes important to the care of patients with disorders that require neurocritical care. This review does not make recommendations about treatment, imaging, and intraoperative monitoring. A multidisciplinary jury, selected for their expertise in clinical investigation and development of practice guidelines, guided this process. The GRADE system was used to develop recommendations based on literature review, discussion, integrating the literature with the participants' collective experience, and critical review by an impartial jury. Emphasis was placed on the principle that recommendations should be based on both data quality and on trade-offs and translation into clinical practice. Strong consideration was given to providing pragmatic guidance and recommendations for bedside neuromonitoring, even in the absence of high quality data.

Original languageEnglish
Pages (from-to)1189-1209
Number of pages21
JournalIntensive Care Medicine
Volume40
Issue number9
DOIs
StatePublished - Jan 1 2014

Fingerprint

Critical Care
Nursing Informatics
Critical Care Nursing
Delivery of Health Care
Intraoperative Monitoring
Latin America
Neurosurgery
Physiologic Monitoring
Neurology
Computational Biology
Practice Guidelines
Brain Injuries
Publications
Patient Care
Medicine
Costs and Cost Analysis
Research
Data Accuracy
Therapeutics

Keywords

  • Bioinformatics
  • Biomarkers
  • Brain metabolism
  • Brain oxygen
  • Brain physiology
  • Clinical guidelines
  • Clinical trials
  • Consensus development conference
  • Grading of Recommendations Assessment Development and Evaluation (GRADE)
  • Intracranial pressure
  • Microdialysis
  • Multimodal monitoring
  • Neurocritical care
  • Neuromonitoring
  • Traumatic brain injury

ASJC Scopus subject areas

  • Critical Care and Intensive Care Medicine

Cite this

Consensus summary statement of the International Multidisciplinary Consensus Conference on Multimodality Monitoring in Neurocritical Care : A statement for healthcare professionals from the Neurocritical Care Society and the European Society of Intensive Care Medicine. / Le Roux, Peter; Menon, David K.; Citerio, Giuseppe; Vespa, Paul; Bader, Mary Kay; Brophy, Gretchen M.; Diringer, Michael N.; Stocchetti, Nino; Videtta, Walter; Armonda, Rocco; Badjatia, Neeraj; Böesel, 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 H; Provencio, J. Javier; Puppo, Corinna; Riker, Richard; Robertson, Claudia; Schmidt, Michael; Taccone, Fabio.

In: Intensive Care Medicine, Vol. 40, No. 9, 01.01.2014, p. 1189-1209.

Research output: Contribution to journalArticle

Le Roux, P, Menon, DK, Citerio, G, Vespa, P, Bader, MK, Brophy, GM, Diringer, MN, Stocchetti, N, Videtta, W, Armonda, R, Badjatia, N, Böesel, J, Chesnut, R, Chou, S, Claassen, J, Czosnyka, M, De Georgia, M, Figaji, A, Fugate, J, Helbok, R, Horowitz, D, Hutchinson, P, Kumar, M, McNett, M, Miller, C, Naidech, A, Oddo, M, Olson, D, O'Phelan, KH, Provencio, JJ, Puppo, C, Riker, R, Robertson, C, Schmidt, M & Taccone, F 2014, 'Consensus summary statement of the International Multidisciplinary Consensus Conference on Multimodality Monitoring in Neurocritical Care: A statement for healthcare professionals from the Neurocritical Care Society and the European Society of Intensive Care Medicine', Intensive Care Medicine, vol. 40, no. 9, pp. 1189-1209. https://doi.org/10.1007/s00134-014-3369-6
Le Roux, Peter ; Menon, David K. ; Citerio, Giuseppe ; Vespa, Paul ; Bader, Mary Kay ; Brophy, Gretchen M. ; Diringer, Michael N. ; Stocchetti, Nino ; Videtta, Walter ; Armonda, Rocco ; Badjatia, Neeraj ; Böesel, 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 H ; Provencio, J. Javier ; Puppo, Corinna ; Riker, Richard ; Robertson, Claudia ; Schmidt, Michael ; Taccone, Fabio. / Consensus summary statement of the International Multidisciplinary Consensus Conference on Multimodality Monitoring in Neurocritical Care : A statement for healthcare professionals from the Neurocritical Care Society and the European Society of Intensive Care Medicine. In: Intensive Care Medicine. 2014 ; Vol. 40, No. 9. pp. 1189-1209.
@article{eebc7d0c6a684a8bbfa4bcdc491df575,
title = "Consensus summary statement of the International Multidisciplinary Consensus Conference on Multimodality Monitoring in Neurocritical Care: A statement for healthcare professionals from the Neurocritical Care Society and the European Society of Intensive Care Medicine",
abstract = "Neurocritical care depends, in part, on careful patient monitoring but as yet there are little data on what processes are the most important to monitor, how these should be monitored, and whether monitoring these processes is cost-effective and impacts outcome. At the same time, bioinformatics is a rapidly emerging field in critical care but as yet there is little agreement or standardization on what information is important and how it should be displayed and analyzed. The Neurocritical Care Society in collaboration with the European Society of Intensive Care Medicine, the Society for Critical Care Medicine, and the Latin America Brain Injury Consortium organized an international, multidisciplinary consensus conference to begin to address these needs. International experts from neurosurgery, neurocritical care, neurology, critical care, neuroanesthesiology, nursing, pharmacy, and informatics were recruited on the basis of their research, publication record, and expertise. They undertook a systematic literature review to develop recommendations about specific topics on physiologic processes important to the care of patients with disorders that require neurocritical care. This review does not make recommendations about treatment, imaging, and intraoperative monitoring. A multidisciplinary jury, selected for their expertise in clinical investigation and development of practice guidelines, guided this process. The GRADE system was used to develop recommendations based on literature review, discussion, integrating the literature with the participants' collective experience, and critical review by an impartial jury. Emphasis was placed on the principle that recommendations should be based on both data quality and on trade-offs and translation into clinical practice. Strong consideration was given to providing pragmatic guidance and recommendations for bedside neuromonitoring, even in the absence of high quality data.",
keywords = "Bioinformatics, Biomarkers, Brain metabolism, Brain oxygen, Brain physiology, Clinical guidelines, Clinical trials, Consensus development conference, Grading of Recommendations Assessment Development and Evaluation (GRADE), Intracranial pressure, Microdialysis, Multimodal monitoring, Neurocritical care, Neuromonitoring, Traumatic brain injury",
author = "{Le Roux}, Peter and Menon, {David K.} and Giuseppe Citerio and Paul Vespa and Bader, {Mary Kay} and Brophy, {Gretchen M.} and Diringer, {Michael N.} and Nino Stocchetti and Walter Videtta and Rocco Armonda and Neeraj Badjatia and Julian B{\"o}esel and Randall Chesnut and Sherry Chou and Jan Claassen and Marek Czosnyka and {De Georgia}, Michael and Anthony Figaji and Jennifer Fugate and Raimund Helbok and David Horowitz and Peter Hutchinson and Monisha Kumar and Molly McNett and Chad Miller and Andrew Naidech and Mauro Oddo and DaiWai Olson and O'Phelan, {Kristine H} and Provencio, {J. Javier} and Corinna Puppo and Richard Riker and Claudia Robertson and Michael Schmidt and Fabio Taccone",
year = "2014",
month = "1",
day = "1",
doi = "10.1007/s00134-014-3369-6",
language = "English",
volume = "40",
pages = "1189--1209",
journal = "Intensive Care Medicine",
issn = "0342-4642",
publisher = "Springer Verlag",
number = "9",

}

TY - JOUR

T1 - Consensus summary statement of the International Multidisciplinary Consensus Conference on Multimodality Monitoring in Neurocritical Care

T2 - A statement for healthcare professionals from the Neurocritical Care Society and the European Society of Intensive Care Medicine

AU - Le Roux, Peter

AU - Menon, David K.

AU - Citerio, Giuseppe

AU - Vespa, Paul

AU - Bader, Mary Kay

AU - Brophy, Gretchen M.

AU - Diringer, Michael N.

AU - Stocchetti, Nino

AU - Videtta, Walter

AU - Armonda, Rocco

AU - Badjatia, Neeraj

AU - Böesel, Julian

AU - Chesnut, Randall

AU - Chou, Sherry

AU - Claassen, Jan

AU - Czosnyka, Marek

AU - De Georgia, Michael

AU - Figaji, Anthony

AU - Fugate, Jennifer

AU - Helbok, Raimund

AU - Horowitz, David

AU - Hutchinson, Peter

AU - Kumar, Monisha

AU - McNett, Molly

AU - Miller, Chad

AU - Naidech, Andrew

AU - Oddo, Mauro

AU - Olson, DaiWai

AU - O'Phelan, Kristine H

AU - Provencio, J. Javier

AU - Puppo, Corinna

AU - Riker, Richard

AU - Robertson, Claudia

AU - Schmidt, Michael

AU - Taccone, Fabio

PY - 2014/1/1

Y1 - 2014/1/1

N2 - Neurocritical care depends, in part, on careful patient monitoring but as yet there are little data on what processes are the most important to monitor, how these should be monitored, and whether monitoring these processes is cost-effective and impacts outcome. At the same time, bioinformatics is a rapidly emerging field in critical care but as yet there is little agreement or standardization on what information is important and how it should be displayed and analyzed. The Neurocritical Care Society in collaboration with the European Society of Intensive Care Medicine, the Society for Critical Care Medicine, and the Latin America Brain Injury Consortium organized an international, multidisciplinary consensus conference to begin to address these needs. International experts from neurosurgery, neurocritical care, neurology, critical care, neuroanesthesiology, nursing, pharmacy, and informatics were recruited on the basis of their research, publication record, and expertise. They undertook a systematic literature review to develop recommendations about specific topics on physiologic processes important to the care of patients with disorders that require neurocritical care. This review does not make recommendations about treatment, imaging, and intraoperative monitoring. A multidisciplinary jury, selected for their expertise in clinical investigation and development of practice guidelines, guided this process. The GRADE system was used to develop recommendations based on literature review, discussion, integrating the literature with the participants' collective experience, and critical review by an impartial jury. Emphasis was placed on the principle that recommendations should be based on both data quality and on trade-offs and translation into clinical practice. Strong consideration was given to providing pragmatic guidance and recommendations for bedside neuromonitoring, even in the absence of high quality data.

AB - Neurocritical care depends, in part, on careful patient monitoring but as yet there are little data on what processes are the most important to monitor, how these should be monitored, and whether monitoring these processes is cost-effective and impacts outcome. At the same time, bioinformatics is a rapidly emerging field in critical care but as yet there is little agreement or standardization on what information is important and how it should be displayed and analyzed. The Neurocritical Care Society in collaboration with the European Society of Intensive Care Medicine, the Society for Critical Care Medicine, and the Latin America Brain Injury Consortium organized an international, multidisciplinary consensus conference to begin to address these needs. International experts from neurosurgery, neurocritical care, neurology, critical care, neuroanesthesiology, nursing, pharmacy, and informatics were recruited on the basis of their research, publication record, and expertise. They undertook a systematic literature review to develop recommendations about specific topics on physiologic processes important to the care of patients with disorders that require neurocritical care. This review does not make recommendations about treatment, imaging, and intraoperative monitoring. A multidisciplinary jury, selected for their expertise in clinical investigation and development of practice guidelines, guided this process. The GRADE system was used to develop recommendations based on literature review, discussion, integrating the literature with the participants' collective experience, and critical review by an impartial jury. Emphasis was placed on the principle that recommendations should be based on both data quality and on trade-offs and translation into clinical practice. Strong consideration was given to providing pragmatic guidance and recommendations for bedside neuromonitoring, even in the absence of high quality data.

KW - Bioinformatics

KW - Biomarkers

KW - Brain metabolism

KW - Brain oxygen

KW - Brain physiology

KW - Clinical guidelines

KW - Clinical trials

KW - Consensus development conference

KW - Grading of Recommendations Assessment Development and Evaluation (GRADE)

KW - Intracranial pressure

KW - Microdialysis

KW - Multimodal monitoring

KW - Neurocritical care

KW - Neuromonitoring

KW - Traumatic brain injury

UR - http://www.scopus.com/inward/record.url?scp=84906939768&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84906939768&partnerID=8YFLogxK

U2 - 10.1007/s00134-014-3369-6

DO - 10.1007/s00134-014-3369-6

M3 - Article

C2 - 25138226

AN - SCOPUS:84906939768

VL - 40

SP - 1189

EP - 1209

JO - Intensive Care Medicine

JF - Intensive Care Medicine

SN - 0342-4642

IS - 9

ER -