Guidelines for the Acute Medical Management of Severe Traumatic Brain Injury in Infants, Children, and Adolescents-Second Edition

Pediatric Critical Care Medicine:
doi: 10.1097/PCC.0b013e31823f435c
Guidelines for the Acute Medical Management of Severe Traumatic Brain Injury in Infants, Children, and Adolescents-Second Edition
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    Author Affiliations

    Patrick M. Kochanek, MD, FCCM, Professor and Vice Chair, Department of Critical Care Medicine, University of Pittsburgh School of Medicine

    Nancy Carney, PhD, Associate Professor, Department of Medical Informatics and Clinical Epidemiology, Oregon Health & Science University

    P. David Adelson, MD, FACS, FAAP, Director, Barrow Neurological Institute at Phoenix Children's Hospital, Chief, Pediatric Neurosurgery/ Children's Neurosciences

    Stephen Ashwal, MD, Distinguished Professor of Pediatrics and Neurology, Chief of the Division of Child Neurology, Department of Pediatrics, Loma Linda University School of Medicine

    Michael J. Bell, MD, Associate Professor of Critical Care Medicine, University of Pittsburgh School of Medicine

    Susan Bratton, MD, MPH, FAAP, Professor of Pediatric Critical Care Medicine, University of Utah School of Medicine

    Susan Carson, MPH, Senior Research Associate, Department of Medical Informatics and Clinical Epidemiology, Oregon Health & Science University

    Randall M. Chesnut, MD, FCCM, FACS, Professor of Neurological Surgery, Orthopedics and Sports Medicine, University of Washington School of Medicine

    Jamshid Ghajar, MD, PhD, FACS, Clinical Professor of Neurological Surgery, Weill Cornell Medical College, President of the Brain Trauma Foundation

    Brahm Goldstein, MD, FAAP, FCCM, Senior Medical Director, Clinical Research, Ikaria, Inc., Professor of Pediatrics, University of Medicine and Dentistry of New Jersey, Robert Wood Johnson Medical School

    Gerald A. Grant, MD, Associate Professor of Surgery and Pediatrics, Duke University School of Medicine

    Niranjan Kissoon, MD, FAAP, FCCM, Professor of Paediatrics and Emergency Medicine, British Columbia's Children's Hospital, University of British Columbia

    Kimberly Peterson, BSc, Research Associate, Department of Medical Informatics and Clinical Epidemiology, Oregon Health & Science University

    Nathan R. Selden, MD, PhD, FACS, FAAP, Campagna Professor and Vice Chair of Neurological Surgery, Oregon Health & Science University

    Robert C. Tasker, MBBS, MD, FRCP, Chair and Director, Neurocritical Care, Children's Hospital Boston, Professor of Neurology and Anesthesia, Harvard Medical School

    Karen A. Tong, MD, Associate Professor of Radiology, Loma Linda University

    Monica S. Vavilala, MD, Professor of Anesthesiology and Pediatrics, University of Washington School of Medicine

    Mark S. Wainwright, MD, PhD, Director, Pediatric Neurocritical Care, Associate Professor of Pediatrics, Northwestern University Feinberg School of Medicine

    Craig R. Warden, MD, MPH, MS, Professor of Emergency Medicine and Pediatrics, Chief, Pediatric Emergency Services, Oregon Health & Science University/Doernbecher Children's Hospital

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    Project Management

    Cynthia Davis-O'Reilly, BSc, Research Associate, Department of Medical Informatics and Clinical Epidemiology, Oregon Health & Science University

    Amy Huddleston, MPA, Research Associate, Department of Medical Informatics and Clinical Epidemiology, Oregon Health & Science University

    Marci Provins, BS, Editorial Assistant, Pediatric Critical Care Medicine, Pittsburgh

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    Guest Editor

    Hector R. Wong, MD

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    External Peer Reviewers

    Drs. Mark S. Dias, Richard G. Ellenbogen, Stuart H. Friess, Jeffrey P. Greenfield, Anne-Marie Guerguerian, Mary E. Hartman, Mark A. Helfaer, John W. Kuluz, Yi-Chen Lai, Leon E. Moores, Jose A. Pineda, Paul M. Shore, Kimberly D. Statler-Bennett, and Michael J. Whalen

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    Endorsements

    The following endorse these Guidelines:

    American Academy of Pediatrics-Section on Neurological Surgery

    American Association of Neurological Surgeons/Congress of Neurological Surgeons

    Child Neurology Society

    European Society of Pediatric and Neonatal Intensive Care

    Neurocritical Care Society

    Pediatric Neurocritical Care Research Group

    Society of Critical Care Medicine

    The Paediatric Intensive Care Society (UK)

    Society for Neuroscience in Anesthesiology and Critical Care

    World Federation of Pediatric Intensive and Critical Care Societies

    The following supported these Guidelines:

    We gratefully acknowledge funding from the Brain Trauma Foundation and partial funding from the Charles Maddock Foundation.

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    Author Disclosures:

    Drs. Adelson, Kochanek and Vavilala have received funding from the National Institutes of Health. Dr. Chesnut has consulted for Integra and Innerspace in the past. Drs. Grant and Kochanek have received funding from the Department of Defense. The remaining authors have not disclosed any potential conflicts of interest.

    For information regarding this article, email

    Copyright 2012 Brain Trauma Foundation

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    Disclaimer of Liability

    The information contained in this Guidelines document reflects the current state of knowledge at the time of its completion, December 5, 2011. In view of the fact that there will be future developments in both scientific information and technology, it is anticipated that these Guidelines will be periodically reviewed and updated. These Guidelines are published and distributed with the understanding that the Brain Trauma Foundation and the other organizations that have collaborated and supported their development are not engaged in rendering professional medical services. If medical advice or assistance is required, the services of a competent physician should be sought. The recommendations contained in these Guidelines may not be appropriate for use in all circumstances. The decision to adopt any particular recommendation contained in these Guidelines must be made by a treating physician with knowledge of all of the facts and circumstances in each particular case and on the basis of the available resources.

    ©2012The Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies