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.
authors.affiliation: Brain and Spine Center, Suite 370, Medical Science Building, Lankenau Medical Center, 100 East Lancaster Avenue, Wynnewood, PA, 19096, USA, lerouxp@mlhs.org.
authors.forename: Peter
authors.initials: P
authors.lastname: Le Roux
authors.forename: David K
authors.initials: DK
authors.lastname: Menon
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Citerio
authors.forename: Paul
authors.initials: P
authors.lastname: Vespa
authors.forename: Mary Kay
authors.initials: MK
authors.lastname: Bader
authors.forename: Gretchen M
authors.initials: GM
authors.lastname: Brophy
authors.forename: Michael N
authors.initials: MN
authors.lastname: Diringer
authors.forename: Nino
authors.initials: N
authors.lastname: Stocchetti
authors.forename: Walter
authors.initials: W
authors.lastname: Videtta
authors.forename: Rocco
authors.initials: R
authors.lastname: Armonda
authors.forename: Neeraj
authors.initials: N
authors.lastname: Badjatia
authors.forename: Julian
authors.initials: J
authors.lastname: Böesel
authors.forename: Randall
authors.initials: R
authors.lastname: Chesnut
authors.forename: Sherry
authors.initials: S
authors.lastname: Chou
authors.forename: Jan
authors.initials: J
authors.lastname: Claassen
authors.forename: Marek
authors.initials: M
authors.lastname: Czosnyka
authors.forename: Michael
authors.initials: M
authors.lastname: De Georgia
authors.forename: Anthony
authors.initials: A
authors.lastname: Figaji
authors.forename: Jennifer
authors.initials: J
authors.lastname: Fugate
authors.forename: Raimund
authors.initials: R
authors.lastname: Helbok
authors.forename: David
authors.initials: D
authors.lastname: Horowitz
authors.forename: Peter
authors.initials: P
authors.lastname: Hutchinson
authors.forename: Monisha
authors.initials: M
authors.lastname: Kumar
authors.forename: Molly
authors.initials: M
authors.lastname: McNett
authors.forename: Chad
authors.initials: C
authors.lastname: Miller
authors.forename: Andrew
authors.initials: A
authors.lastname: Naidech
authors.forename: Mauro
authors.initials: M
authors.lastname: Oddo
authors.forename: DaiWai
authors.initials: D
authors.lastname: Olson
authors.forename: Kristine
authors.initials: K
authors.lastname: O'Phelan
authors.forename: J Javier
authors.initials: JJ
authors.lastname: Provencio
authors.forename: Corinna
authors.initials: C
authors.lastname: Puppo
authors.forename: Richard
authors.initials: R
authors.lastname: Riker
authors.forename: Claudia
authors.initials: C
authors.lastname: Robertson
authors.forename: Michael
authors.initials: M
authors.lastname: Schmidt
authors.forename: Fabio
authors.initials: F
authors.lastname: Taccone
mesh_terms: D015415:Biomarkers; D003422:Critical Care; D004562:Electrocardiography; D004569:Electroencephalography; D006801:Humans; D007427:Intracranial Pressure; D008991:Monitoring, Physiologic; D009422:Nervous System Diseases / Q000378:metabolism / Q000503:physiopathology / Q000628:therapy*; D010092:Oximetry; D012720:Severity of Illness Index; D012955:Societies, Medical; D015599:Trauma Severity Indices
chemical_list: D015415:Biomarkers