Guidelines for safe transfer of the brain-injured patient: trauma and stroke, 2019: Guidelines from the Association of Anaesthetists and the Neuro Anaesthesia and Critical Care Society.

{"article_title":"Guidelines for safe transfer of the brain-injured patient: trauma and stroke, 2019: Guidelines from the Association of Anaesthetists and the Neuro Anaesthesia and Critical Care Society.","author":"Nathanson MH, Andrzejowski J, Dinsmore J, Eynon CA, Ferguson K, Hooper T, Kashyap A, Kendall J, McCormack V, Shinde S, Smith A, Thomas E","journal_title":"Anaesthesia","issn":"1365-2044","isbn":"","publication_date":"2020-02-01","volume":"75","issue":"2","first_page":"234","page_count":"","accession_number":"31788789","doi":"","publisher":"Wiley-Blackwell","doctype":"Journal Article","subjects":"Brain Injuries therapy; Patient Transfer methods; Stroke therapy; Transportation of Patients methods; Anesthesiology; Anesthetists; Critical Care; Humans; Societies, Medical","interest_area":["Neurology"," Emergency Medicine"," Pain & Anesthesiology"],"abstract":"The location of care for many brain-injured patients has changed since 2012 following the development of major trauma centres. Advances in management of ischaemic stroke have led to the urgent transfer of many more patients. The basis of care has remained largely unchanged, however, with emphasis on maintaining adequate cerebral perfusion as the key to preventing secondary injury. Organisational aspects and training for transfers are highlighted, and we have included an expanded section on paediatric transfers. We have also provided a table with suggested blood pressure parameters for the common types of brain injury but acknowledge that there is little evidence for many of our recommendations. These guidelines remain a mix of evidence-based and consensus-based statements. We have received assistance from many organisations representing clinicians who care for these patients, and we believe our views represent the best of current thinking and opinion. We encourage departments to review their own practice using our suggestions for audit and quality improvement. \u00a9 2019 The Authors. Anaesthesia published by John Wiley & Sons Ltd on behalf of Association of Anaesthetists.","url":"https:\/\/search.ebscohost.com\/login.aspx?direct=true&db=mdl&AN=31788789","isPdfLink":true,"isSAML":false,"an":"31788789","number_other":"","type_pub":"","issn_electronic":"1365-2044","languages":"English","language":"eng","date_entry":"","date_update":"","titleSource":"Anaesthesia [Anaesthesia] 2020 Feb; Vol. 75 (2), pp. 234-246. Date of Electronic Publication: 2019 Dec 01.","date_pub_cy":"","type_document":"","contract_publisher":"","authored_on":"2020-02-01","description":"The location of care for many brain-injured patients has changed since 2012 following the development of major trauma centres. Advances in management of ischaemic stroke have led to the urgent transfer of many more patients. The basis of care has remained largely unchanged, however, with emphasis on maintaining adequate cerebral perfusion as the key to preventing secondary injury. Organisational aspects and training for transfers are highlighted, and we have included an expanded section on paediatric transfers. We have also provided a table with suggested blood pressure parameters for the common types of brain injury but acknowledge that there is little evidence for many of our recommendations. These guidelines remain a mix of evidence-based and consensus-based statements. We have received assistance from many organisations representing clinicians who care for these patients, and we believe our views represent the best of current thinking and opinion. We encourage departments to review their own practice using our suggestions for audit and quality improvement.<br \/> (© 2019 The Authors. Anaesthesia published by John Wiley & Sons Ltd on behalf of Association of Anaesthetists.)","upload_link":"https:\/\/search.ebscohost.com\/login.aspx?direct=true&site=eds-live&db=mdl&AN=31788789&authtype=shib&custid=ns346513&group=main&profile=eds","no_of_pages":"","authored_by":"Nathanson MH, Andrzejowski J, Dinsmore J, Eynon CA, Ferguson K, Hooper T, Kashyap A, Kendall J, McCormack V, Shinde S, Smith A, Thomas E","header":{"DbId":"mdl","DbLabel":"MEDLINE Ultimate","An":"31788789","RelevancyScore":"863","PubType":"Academic Journal","PubTypeId":"academicJournal","PreciseRelevancyScore":"862.51708984375"},"plink":"https:\/\/search.ebscohost.com\/login.aspx?direct=true&site=eds-live&db=mdl&AN=31788789&authtype=shib&custid=ns346513&group=main&profile=eds","physicalDescription":{"Pagination":{"StartPage":"234"}},"additionalInfo":{"Authored_By":"Nathanson MH, Andrzejowski J, Dinsmore J, Eynon CA, Ferguson K, Hooper T, Kashyap A, Kendall J, McCormack V, Shinde S, Smith A, Thomas E","Journal_Info":"Publisher: Wiley-Blackwell Country of Publication: England NLM ID: 0370524 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1365-2044 (Electronic) Linking ISSN: 00032409 NLM ISO Abbreviation: Anaesthesia Subsets: MEDLINE","Publication_Type":"Journal Article; Practice Guideline","Published_Date":"2020-02-01","Source":"Anaesthesia [Anaesthesia] 2020 Feb; Vol. 75 (2), pp. 234-246. Date of Electronic Publication: 2019 Dec 01.","Languages":"English","Electronic_ISSN":"1365-2044","MeSH_Terms":"Brain Injuries\/*therapy , Patient Transfer\/*methods , Stroke\/*therapy , Transportation of Patients\/*methods, Anesthesiology ; Anesthetists ; Critical Care ; Humans ; Societies, Medical","Subjects":"Anesthesiology, Anesthetists, Critical Care, Humans, Societies, Medical, Brain Injuries therapy, Patient Transfer methods, Stroke therapy, Transportation of Patients methods","Title_Abbreviations":"Anaesthesia","Volume":"75"}}