Skip to main content

Advertisement

SpringerLink
Log in

Multimodality Monitoring Consensus Statement: Monitoring in Emerging Economies

  • Review Article
  • Published:
Neurocritical Care Aims and scope Submit manuscript

Abstract

The burden of disease and so the need for care is often greater at hospitals in emerging economies. This is compounded by frequent restrictions in the delivery of good quality clinical care due to resource limitations. However, there is substantial heterogeneity in this economically defined group, such that advanced brain monitoring is routinely practiced at certain centers that have an interest in neurocritical care. It also must be recognized that significant heterogeneity in the delivery of neurocritical care exists even within individual high-income countries (HICs), determined by costs and level of interest. Direct comparisons of data between HICs and the group of low- and middle-income countries (LAMICs) are made difficult by differences in patient demographics, selection for ICU admission, therapies administered, and outcome assessment. Evidence suggests that potential benefits of multimodality monitoring depend on an appropriate environment and clinical expertise. There is no evidence to suggest that patients in LAMICs where such resources exist should be treated any differently to patients from HICs. The potential for outcome benefits in LAMICs is arguably greater in absolute terms because of the large burden of disease; however, the relative cost/benefit ratio of such monitoring in this setting must be viewed in context of the overall priorities in delivering health care at individual institutions.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Mock C, Kobusingye O, Joshipura M, Nguyen S, Arreola-Risa C. Strengthening trauma and critical care globally. Curr Opin Crit Care. 2005;11:568–75.

    Article  PubMed  Google Scholar 

  2. Hyder AA, Wunderlich CA, Puvanachandra P, Gururaj G, Kobusingye OC. The impact of traumatic brain injuries: a global perspective. NeuroRehabilitation. 2007;22:341–53.

    PubMed  Google Scholar 

  3. Jayaraman S, Ozgediz D, Miyamoto J, et al. Disparities in injury mortality between Uganda and the United States: comparative analysis of a neglected disease. World J Surg. 2011;35:505–11.

    Article  PubMed Central  PubMed  Google Scholar 

  4. Adudu OP, Ogunrin OA, Adudu OG. Morbidity and mortality patterns among neurological patients in the intensive care unit of a tertiary health facility. Ann Afr Med. 2007;6:174–9.

    Article  CAS  PubMed  Google Scholar 

  5. Agrawal A, Baisakhiya N, Kakani A, Nagrale M. Resource utilization in the management of traumatic brain injury patients in a critical care unit: an audit from a rural set-up of a developing country. Int J Crit Illn Inj Sci. 2011;1:13–6.

    Article  PubMed Central  PubMed  Google Scholar 

  6. Bahloul M, Chelly H, Ben Hmida M, et al. Prognosis of traumatic head injury in South Tunisia: a multivariate analysis of 437 cases. J Trauma. 2004;57:255–61.

    Article  PubMed  Google Scholar 

  7. Bahloul M, Ben Hamida C, Chelly H, et al. Severe head injury among children: prognostic factors and outcome. Injury. 2009;40:535–40.

    Article  PubMed  Google Scholar 

  8. Chalya PL, Gilyoma JM, Dass RM, et al. Trauma admissions to the intensive care unit at a reference hospital in Northwestern Tanzania. Scand J Trauma Resusc Emerg Med. 2011;19:61.

    Article  PubMed Central  PubMed  Google Scholar 

  9. Colohan AR, Alves WM, Gross CR, et al. Head injury mortality in two centers with different emergency medical services and intensive care. J Neurosurg. 1989;71:202–7.

    Article  CAS  PubMed  Google Scholar 

  10. Harris OA, Bruce CA, Reid M, et al. Examination of the management of traumatic brain injury in the developing and developed world: focus on resource utilization, protocols, and practices that alter outcome. J Neurosurg. 2008;109:433–8.

    Article  PubMed  Google Scholar 

  11. Sim SK, Lim SL, Lee HK, Liew D, Wong A. Care of severe head injury patients in the Sarawak General Hospital: intensive care unit versus general ward. Med J Malays. 2011;66:138–41.

    CAS  Google Scholar 

  12. Jeng TC, Haspani MS, Adnan JS, Naing NN. Delayed traumatic intracranial haemorrhage and progressive traumatic brain injury in a major referral centre based in a developing country. Malays J Med Sci. 2008;15:56–67.

    PubMed Central  PubMed  Google Scholar 

  13. Ibrahim MI, Abdullah M, Naing L, Abdullah JM, Idris Z, Aljunid SM. Cost effectiveness analysis of using multiple neuromodalities in treating severe traumatic brain injury in a developing country like Malaysia. Asian J Surg. 2007;30:261–6.

    Article  PubMed  Google Scholar 

  14. Idris Z, Ghani RI, Musa KI, et al. Prognostic study of using different monitoring modalities in treating severe traumatic brain injury. Asian J Surg. 2007;30:200–8.

    Article  PubMed  Google Scholar 

  15. Isa R, Wan Adnan WA, Ghazali G, et al. Outcome of severe traumatic brain injury: comparison of three monitoring approaches. Neurosurg Focus. 2003;15:E1.

    Article  PubMed  Google Scholar 

  16. Jain S, Dharap SB, Gore MA. Early prediction of outcome in very severe closed head injury. Injury. 2008;39:598–603.

    Article  PubMed  Google Scholar 

  17. Kumaraswamy N, Naziah A, Abdullah J, Ariff MMed AR, Abdullah MR, Ghazaime G. Outcome of children with traumatic brain injury in rural Malaysia. J Clin Neurosci. 2002;9:251–5.

    Article  CAS  PubMed  Google Scholar 

  18. Qureshi JS, Ohm R, Rajala H, et al. Head injury triage in a sub Saharan African urban population. Int J Surg. 2013;11:265–9.

    Article  PubMed  Google Scholar 

  19. Ratanalert S, Chompikul J, Hirunpat S, Pheunpathom N. Prognosis of severe head injury: an experience in Thailand. Br J Neurosurg. 2002;16:487–93.

    Article  CAS  PubMed  Google Scholar 

  20. Sut N, Memis D. Intensive care cost and survival analyses of traumatic brain injury. Ulus Travma Acil Cerrahi Derg. 2010;16:149–54.

    PubMed  Google Scholar 

  21. Wu X, Hu J, Zhuo L, et al. Epidemiology of traumatic brain injury in eastern china, 2004: a prospective large case study. J Trauma. 2008;64:1313–9.

    Article  PubMed  Google Scholar 

  22. Yuan Q, Liu H, Xu Y, Wu X, Sun Y, Hu J. Continuous measurement of the cumulative amplitude and duration of hyperglycemia best predicts outcome after traumatic brain injury. Neurocrit Care. 2012;20:69–76.

    Article  Google Scholar 

  23. Zulu BM, Mulaudzi TV, Madiba TE, Muckart DJ. Outcome of head injuries in general surgical units with an off-site neurosurgical service. Injury. 2007;38:576–83.

    Article  CAS  PubMed  Google Scholar 

  24. Sahin S, Bekar A, Dogan S, Kocaeli H, Aksoy K. Critical care management of severe head injury in children. Ulus Travma Acil Cerrahi Derg. 2005;11:336–43.

    PubMed  Google Scholar 

  25. Figaji AA, Kent SJ. Brain tissue oxygenation in children diagnosed with brain death. Neurocrit Care. 2010;12:56–61.

    Article  CAS  PubMed  Google Scholar 

  26. Figaji AA, Zwane E, Graham Fieggen A, Argent AC, Le Roux PD, Peter JC. The effect of increased inspired fraction of oxygen on brain tissue oxygen tension in children with severe traumatic brain injury. Neurocrit Care. 2010;12:430–7.

    Article  PubMed  Google Scholar 

  27. Figaji AA, Zwane E, Kogels M, et al. The effect of blood transfusion on brain oxygenation in children with severe traumatic brain injury. Pediatr Crit Care Med. 2010;11:325–31.

    PubMed  Google Scholar 

  28. Puppo C, Camacho J, Yelicich B, Moraes L, Biestro A, Gomez H. Bedside study of cerebral critical closing pressure in patients with severe traumatic brain injury: a transcranial Doppler study. Acta Neurochir Suppl. 2012;114:283–8.

    Article  PubMed  Google Scholar 

  29. Puppo C, Farina G, Lopez FL, Caragna E, Biestro A. Cerebral CO2 reactivity in severe head injury. A transcranial Doppler study. Acta Neurochir Suppl. 2008;102:171–5.

    Article  CAS  PubMed  Google Scholar 

  30. Puppo C, Lopez L, Caragna E, Biestro A. One-minute dynamic cerebral autoregulation in severe head injury patients and its comparison with static autoregulation. A transcranial Doppler study. Neurocrit Care. 2008;8:344–52.

    Article  PubMed  Google Scholar 

  31. Puppo C, Lopez L, Farina G, et al. Indomethacin and cerebral autoregulation in severe head injured patients: a transcranial Doppler study. Acta Neurochir (Wien). 2007;149(139):49.

    Google Scholar 

  32. De Silva MJ, Roberts I, Perel P, et al. Patient outcome after traumatic brain injury in high-, middle- and low-income countries: analysis of data on 8927 patients in 46 countries. Int J Epidemiol. 2009;38:452–8.

    Article  PubMed  Google Scholar 

  33. da Silva PS, Reis ME, Aguiar VE. Value of repeat cranial computed tomography in pediatric patients sustaining moderate to severe traumatic brain injury. J Trauma. 2008;65:1293–7.

    Article  PubMed  Google Scholar 

  34. Petroni G, Quaglino M, Lujan S, et al. Early prognosis of severe traumatic brain injury in an urban argentinian trauma center. J Trauma. 2010;68:564–70.

    Article  PubMed  Google Scholar 

  35. Guerra SD, Carvalho LF, Affonseca CA, Ferreira AR, Freire HB. Factors associated with intracranial hypertension in children and teenagers who suffered severe head injuries. J Pediatr (Rio J). 2010;86:73–9.

    Google Scholar 

  36. Godoy DA, Rabinstein AA, Biestro A, Ainslie PN, Di Napoli M. Effects of indomethacin test on intracranial pressure and cerebral hemodynamics in patients with refractory intracranial hypertension: a feasibility study. Neurosurgery. 2012;71(245):57.

    Google Scholar 

  37. Chesnut RM, Temkin N, Carney N, et al. A trial of intracranial-pressure monitoring in traumatic brain injury. N Engl J Med. 2012;367:2471–81.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  38. Bennett Colomer C, Solari Vergara F, Tapia Perez F, et al. Delayed intracranial hypertension and cerebral edema in severe pediatric head injury: risk factor analysis. Pediatr Neurosurg. 2012;48:205–9.

    Article  PubMed  Google Scholar 

  39. Towey RM, Ojara S. Intensive care in the developing world. Anaesthesia. 2007;62(Suppl 1):32–7.

    Article  PubMed  Google Scholar 

  40. Rondina C, Videtta W, Petroni G, et al. Mortality and morbidity from moderate to severe traumatic brain injury in Argentina. J Head Trauma Rehabil. 2005;20:368–76.

    Article  PubMed  Google Scholar 

  41. Maier D, Njoku I Jr, Schmutzhard E, et al. Traumatic brain injury in a rural and an urban Tanzanian hospital—a comparative, retrospective analysis based on Computed Tomography. World Neurosurg. 2013;81:478–82.

    Article  PubMed  Google Scholar 

  42. Su YY, Wang M, Feng HH, et al. An overview of neurocritical care in China: a nationwide survey. Chin Med J (Engl). 2013;126:3422–6.

    Google Scholar 

  43. Rohlwink UK, Zwane E, Fieggen AG, Argent AC, le Roux PD, Figaji AA. The relationship between intracranial pressure and brain oxygenation in children with severe traumatic brain injury. Neurosurgery. 2012;70(1220):30.

    Google Scholar 

  44. Figaji AA, Zwane E, Fieggen AG, et al. Pressure autoregulation, intracranial pressure, and brain tissue oxygenation in children with severe traumatic brain injury. J Neurosurg Pediatr. 2009;4:420–8.

    Article  PubMed  Google Scholar 

  45. Figaji AA, Zwane E, Fieggen AG, Siesjo P, Peter JC. Transcranial Doppler pulsatility index is not a reliable indicator of intracranial pressure in children with severe traumatic brain injury. Surg Neurol. 2009;72:389–94.

    Article  PubMed  Google Scholar 

  46. Figaji AA, Zwane E, Thompson C, et al. Brain tissue oxygen tension monitoring in pediatric severe traumatic brain injury. Part 1: Relationship with outcome. Childs Nerv Syst. 2009;25:1325–33.

    Article  PubMed  Google Scholar 

  47. Figaji AA, Fieggen AG, Argent AC, LeRoux PD, Peter JC. Intracranial pressure and cerebral oxygenation changes after decompressive craniectomy in children with severe traumatic brain injury. Acta Neurochir Suppl. 2008;102:77–80.

    Article  CAS  PubMed  Google Scholar 

  48. Schoon P, Benito Mori L, Orlandi G, Larralde C, Radrizzani M. Incidence of intracranial hypertension related to jugular bulb oxygen saturation disturbances in severe traumatic brain injury patients. Acta Neurochir Suppl. 2002;81:285–7.

    CAS  PubMed  Google Scholar 

  49. Perez A, Minces PG, Schnitzler EJ, Agosta GE, Medina SA, Ciraolo CA. Jugular venous oxygen saturation or arteriovenous difference of lactate content and outcome in children with severe traumatic brain injury. Pediatr Crit Care Med. 2003;4:33–8.

    Article  PubMed  Google Scholar 

  50. Simm RF, de Aguiar PH, de Oliveira Lima M, Paiva BL. Transcranial Doppler as a routine in the treatment of vasospasm following subarachanoid hemorrhage (SAH). Acta Neurochir Suppl. 2013;115:75–6.

    PubMed  Google Scholar 

  51. Bor-Seng-Shu E, Figueiredo EG, Fonoff ET, Fujimoto Y, Panerai RB, Teixeira MJ. Decompressive craniectomy and head injury: brain morphometry, ICP, cerebral hemodynamics, cerebral microvascular reactivity, and neurochemistry. Neurosurg Rev. 2013;36:361–70.

    Article  PubMed  Google Scholar 

  52. Bor-Seng-Shu E, Hirsch R, Teixeira MJ, De Andrade AF, Marino R Jr. Cerebral hemodynamic changes gauged by transcranial Doppler ultrasonography in patients with posttraumatic brain swelling treated by surgical decompression. J Neurosurg. 2006;104:93–100.

    Article  PubMed  Google Scholar 

  53. Forte LV, Peluso CM, Prandini MN, Godoy R, Rojas SS. Regional cooling for reducing brain temperature and intracranial pressure. Arq Neuropsiquiatr. 2009;67:480–7.

    Article  PubMed  Google Scholar 

  54. Torres RB, Terzi RG, Falcao AL, Hoehr NF, Dantas Filho VP. Optimized hyperventilation preserves 2,3-diphosphoglycerate in severe traumatic brain injury. Arq Neuropsiquiatr. 2007;65:739–44.

    Article  PubMed  Google Scholar 

  55. da Rocha AB, Schneider RF, de Freitas GR, et al. Role of serum S100B as a predictive marker of fatal outcome following isolated severe head injury or multitrauma in males. Clin Chem Lab Med. 2006;44:1234–42.

    Article  PubMed  Google Scholar 

  56. da Rocha AB, Zanoni C, de Freitas GR, et al. Serum Hsp70 as an early predictor of fatal outcome after severe traumatic brain injury in males. J Neurotrauma. 2005;22:966–77.

    Article  PubMed  Google Scholar 

  57. Zeng J, Tong W, Zheng P. Decreased risk of acute kidney injury with intracranial pressure monitoring in patients with moderate or severe brain injury. J Neurosurg. 2013;119:1228–32.

    Article  PubMed  Google Scholar 

  58. Biestro A, Barrios E, Baraibar J, et al. Use of vasopressors to raise cerebral perfusion pressure in head injured patients. Acta Neurochir Suppl. 1998;71:5–9.

    CAS  PubMed  Google Scholar 

  59. Biestro A, Alberti R, Galli R, et al. Osmotherapy for increased intracranial pressure: comparison between mannitol and glycerol. Acta Neurochir (Wien). 1997;139(725):32.

    Google Scholar 

  60. Biestro AA, Alberti RA, Soca AE, Cancela M, Puppo CB, Borovich B. Use of indomethacin in brain-injured patients with cerebral perfusion pressure impairment: preliminary report. J Neurosurg. 1995;83:627–30.

    Article  CAS  PubMed  Google Scholar 

  61. Figaji AA, Zwane E, Thompson C, et al. Brain tissue oxygen tension monitoring in pediatric severe traumatic brain injury. Part 2: Relationship with clinical, physiological, and treatment factors. Childs Nerv Syst. 2009;25:1335–43.

    Article  PubMed  Google Scholar 

  62. Figaji AA, Zwane E, Fieggen AG, Peter JC, LeRoux PD. Acute clinical grading in pediatric severe traumatic brain injury and its association with subsequent intracranial pressure, cerebral perfusion pressure, and brain oxygenation. Neurosurg Focus. 2008;25:E4.

    Article  PubMed  Google Scholar 

  63. Figaji AA, Fieggen AG, Argent AC, Leroux PD, Peter JC. Does adherence to treatment targets in children with severe traumatic brain injury avoid brain hypoxia? A brain tissue oxygenation study. Neurosurgery. 2008;63(83):91.

    Google Scholar 

  64. Whitmore RG, Thawani JP, Grady MS, Levine JM, Sanborn MR, Stein SC. Is aggressive treatment of traumatic brain injury cost-effective? J Neurosurg. 2012;116:1106–13.

    Article  PubMed  Google Scholar 

  65. Yuan Q, Liu H, Wu X, et al. Characteristics of acute treatment costs of traumatic brain injury in Eastern China—a multi-centre prospective observational study. Injury. 2012;43:2094–9.

    Article  PubMed  Google Scholar 

  66. Thapa A, Chandra SP, Sinha S, Sreenivas V, Sharma BS, Tripathi M. Post-traumatic seizures-A prospective study from a tertiary level trauma center in a developing country. Seizure. 2010;19:211–6.

    Article  PubMed  Google Scholar 

  67. Kouvarellis AJ, Rohlwink UK, Sood V, Van Breda D, Gowen MJ, Figaji AA. The relationship between basal cisterns on CT and time-linked intracranial pressure in paediatric head injury. Childs Nerv Syst. 2011;27:1139–44.

    Article  PubMed  Google Scholar 

  68. Jiang JY. Chinese head trauma study collaborators. Head trauma in China. Injury. 2013;44(11):1453–7.

  69. Mukhida K, Sharma MR, Shilpakar SK. Pediatric neurotrauma in Kathmandu, Nepal: implications for injury management and control. Childs Nerv Syst. 2006;22:352–62.

    Article  PubMed  Google Scholar 

  70. Previgliano IJ, Ripoll PI, Chiappero G, et al. Optimizing cerebral perfusion pressure during fiberoptic bronchoscopy in severe head injury: effect of hyperventilation. Acta Neurochir Suppl. 2002;81:103–5.

    CAS  PubMed  Google Scholar 

  71. Thiesen RA, Dragosavac D, Roquejani AC, et al. Influence of the respiratory physiotherapy on intracranial pressure in severe head trauma patients. Arq Neuropsiquiatr. 2005;63:110–3.

    Article  PubMed  Google Scholar 

  72. Grille P, Biestro A, Farina G, Miraballes R. Effects of dexmedetomidine on intracranial hemodynamics in severe head injured patients. Neurocirugia (Astur). 2005;16:411–8.

    Article  CAS  Google Scholar 

  73. Fridman EA, Krimchansky BZ, Bonetto M, et al. Continuous subcutaneous apomorphine for severe disorders of consciousness after traumatic brain injury. Brain Inj. 2010;24:636–41.

    Article  PubMed  Google Scholar 

  74. Chacon M, Pardo C, Puppo C, Curilem M, Landerretche J. Non-invasive intracranial pressure estimation using support vector machine. Conf Proc IEEE Eng Med Biol Soc. 2010;2010:996–9.

    PubMed  Google Scholar 

  75. Bohmer AE, Oses JP, Schmidt AP, et al. Neuron-specific enolase, S100B, and glial fibrillary acidic protein levels as outcome predictors in patients with severe traumatic brain injury. Neurosurgery. 2011;68(1624):30.

    Google Scholar 

  76. Falcao AL, Dantas Filho VP, Sardinha LA, et al. Highlighting intracranial pressure monitoring in patients with severe acute brain trauma. Arq Neuropsiquiatr. 1995;53:390–4.

    Article  CAS  PubMed  Google Scholar 

  77. Puppo C, Lopez L, Panzardo H, Caragna E, Mesa P, Biestro A. Comparison between two static autoregulation evaluation methods. Acta Neurochir Suppl. 2002;81:129–32.

    CAS  PubMed  Google Scholar 

  78. Sobuwa S, Hartzenberg HB, Geduld H, Uys C. Outcomes following prehospital airway management in severe traumatic brain injury. S Afr Med J. 2013;103:644–6.

    Article  PubMed  Google Scholar 

  79. Pillai S, Praharaj SS, Mohanty A, Kolluri VR. Prognostic factors in children with severe diffuse brain injuries: a study of 74 patients. Pediatr Neurosurg. 2001;34:98–103.

    Article  CAS  PubMed  Google Scholar 

  80. Tandon A, Suri A, Kasliwal MK, et al. Assessment of endocrine abnormalities in severe traumatic brain injury: a prospective study. Acta Neurochir (Wien). 2009;151:1411–7.

    Article  Google Scholar 

  81. Liko O, Chalau P, Rosenfeld JV, Watters DA. Head injuries in Papua New Guinea. P N G Med J. 1996;39:100–4.

    CAS  PubMed  Google Scholar 

  82. Reed AR, Welsh DG. Secondary injury in traumatic brain injury patients—a prospective study. S Afr Med J. 2002;92:221–4.

    PubMed  Google Scholar 

  83. Smith ZA, Ayele Y, McDonald P. Outcomes in critical care delivery at Jimma University Specialised Hospital, Ethiopia. Anaesth Intensive Care. 2013;41:363–8.

    CAS  PubMed  Google Scholar 

Download references

Conflict of interest

Anthony Figaji and Corinna Puppo have declared no conflicts of interest.

Author information

Authors and Affiliations

  1. Division of Neurosurgery, School of Child and Adolescent Health, University of Cape Town, Cape Town, South Africa

    Anthony Figaji

  2. Departamento de Emergencia, Hospital de Clínicas, Facultad de Medicina, Universidad de la República, Montevideo, Uruguay

    Corina Puppo

  3. Red Cross Children’s Hospital, 617 ICH Building, Rondebosch, Cape Town, 7700, South Africa

    Anthony Figaji

Authors
  1. Anthony Figaji
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Corina Puppo
    View author publications

    You can also search for this author in PubMed Google Scholar

Consortia

The Participants in the International Multidisciplinary Consensus Conference on Multimodality Monitoring

Corresponding author

Correspondence to Anthony Figaji.

Additional information

The Participants in the International Multidisciplinary Consensus Conference on Multimodality Monitoring are listed in “Appendix” section

Appendix: Participants in the International Multidisciplinary Consensus Conference on Multimodality Monitoring

Appendix: Participants in the International Multidisciplinary Consensus Conference on Multimodality Monitoring

Peter Le Roux, MD, FACS,

Brain and Spine Center,

Suite 370, Medical Science Building,

Lankenau Medical Center,

100 East Lancaster Avenue, Wynnewood, PA 19096, USA.

Tel: +1 610 642 3005;

Fax: 610 642 3057

lerouxp@mlhs.org

David K Menon MD PhD FRCP FRCA FFICM FMedSci

Head, Division of Anaesthesia, University of Cambridge

Consultant, Neurosciences Critical Care Unit

Box 93, Addenbrooke’s Hospital,

Cambridge CB2 2QQ, UK

dkm13@wbic.cam.ac.uk

Paul Vespa, MD, FCCM, FAAN, FNCS

Professor of Neurology and Neurosurgery

Director of Neurocritical Care

David Geffen School of Medicine at UCLA

Los Angeles, CA 90095 USA

PVespa@mednet.ucla.edu

Giuseppe Citerio,

Director NeuroIntensive Care Unit,

Department of Anesthesia and Critical Care

Ospedale San Gerardo, Monza.

Via Pergolesi 33, Monza 20900, Italy

g.citerio@hsgerardo.org

Mary Kay Bader RN, MSN, CCNS, FAHA, FNCS

Neuro/Critical Care CNS

Mission Hospital

Mission Viejo CA 92691, USA

Marykay.Bader@stjoe.org

Gretchen M. Brophy, PharmD, BCPS, FCCP, FCCM

Professor of Pharmacotherapy & Outcomes Science and Neurosurgery

Virginia Commonwealth University

Medical College of Virginia Campus

410 N. 12th Street

Richmond, Virginia 23298-0533 USA

gbrophy@vcu.edu

Michael N. Diringer, MD

Professor of Neurology, Neurosurgery & Anesthesiology

Chief, Neurocritical Care Section

Washington University

Dept. of Neurology, Campus Box 8111

660 S Euclid Ave

St Louis, MO 63110 USA

diringerm@neuro.wustl.edu

Nino Stocchetti, MD

Professor of Anesthesia and Intensive Care

Department of physiopathology and transplant,

Milan University

Director Neuro ICU

Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico

Via F Sforza, 35 20122 Milan Italy

e-mail stocchet@policlinico.mi.it

Walter Videtta, MD

ICU Neurocritical Care

Hospital Nacional ‘Prof. a. Posadas’

El Palomar - Pcia. de Buenos Aires

Argentina

wvidetta@ar.inter.net

Rocco Armonda, MD

Department of Neurosurgery

MedStar Georgetown University Hospital

Medstar Health, 3800 Reservoir Road NW

Washington DC 20007

USA

Rocco.Armonda@gmail.com

Neeraj Badjatia, MD

Department of Neurology

University of Maryland Medical Center,

22 S Greene St

Baltimore, MD, 21201

USA

nbadjatia@umm.edu

Julian Boesel, MD

Department of Neurology

Ruprect-Karls University

Hospital Heidelberg, Im Neuenheimer Feld 400,

D-69120 Heidelberg,

Germany

Julian.Boesel@med.uni-heidelberg.de

Randal Chesnut, MD, FCCM, FACS

Harborview Medical Center,

University of Washington Mailstop 359766

325 Ninth Ave,

Seattle WA 98104-2499

USA

chesnutr@u.washington.edu

Sherry Chou, MD, MMSc

Department of Neurology,

Brigham and Women’s Hospital

75 Francis Street,

Boston MA 02115

USA

schou1@partners.org

Jan Claassen, MD, PhD, FNCS

Assistant Professor of Neurology and Neurosurgery

Head of Neurocritical Care and Medical Director of the Neurological Intensive Care Unit

Columbia University College of Physicians & Surgeons

177 Fort Washington Avenue, Milstein 8 Center room 300,

New York, NY 10032

USA

jc1439@cumc.columbia.edu

Marek Czosnyka, PhD

Department of Neurosurgery

University of Cambridge,

Addenbrooke’s Hospital, Box 167

Cambridge, CB20QQ

United Kingdom

mc141@medschl.cam.ac.uk

Michael De Georgia, MD

Professor of Neurology

Director, Neurocritical Care Center

Co-Director, Cerebrovascular Center

University Hospital Case Medical Center

Case Western Reserve University School of Medicine

11100 Euclid Avenue

Cleveland, Ohio 44106

michael.degeorgia@uhhospitals.org

Anthony Figaji, MD, PhD

Professor of Neurosurgery

Head of Pediatric Neurosurgery

University of Cape Town

617 Institute for Child Health

Red Cross Children’s Hospital

Rondebosch, 7700 Cape Town,

South Africa

anthony.figaji@uct.ac.za

Jennifer Fugate, DO

Department of Neurology,

Mayo Clinic,

200 First Street SW

Rochester, MN 55905

Fugate.Jennifer@mayo.edu

Raimund Helbok, MD

Department of Neurology, Neurocritical Care Unit

Innsbruck Medical University,

Anichstr.35, 6020

Innsbruck,

Austria

raimund.helbok@uki.at

David Horowitz, MD

Associate Chief Medical Officer

University of Pennsylvania Health System,

3701 Market Street

Philadelphia, PA, 19104

USA

david.horowitz@uphs.upenn.edu

Peter Hutchinson, MD

Professor of Neurosurgery

NIHR Research Professor

Department of Clinical Neurosciences

University of Cambridge

Box 167 Addenbrooke’s Hospital

Cambridge CB2 2QQ

United Kingdom

pjah2@cam.ac.uk

Monisha Kumar, MD

Department of Neurology

Perelman School of Medicine, University of Pennsylvania,

3 West Gates

3400 Spruce Street

Philadelphia, PA, 19104

USA

monisha.kumar@uphs.upenn.edu

Molly McNett, RN, PhD

Director, Nursing Research

The MetroHealth System

2500 MetroHealth Drive,

Cleveland, OH 44109

USA

mmcnett@metrohealth.org

Chad Miller, MD

Division of Cerebrovascular Diseases and Neurocritical Care

The Ohio State University

395 W. 12th Ave, 7th Floor

Columbus, OH 43210

ChadM.Miller@osumc.edu

Andrew Naidech, MD, MSPH

Department of Neurology

Northwestern University Feinberg SOM 710

N Lake Shore Drive, 11th floor

Chicago, IL 60611

ANaidech@nmff.org

Mauro Oddo, MD

Department of Intensive Care Medicine

CHUV University Hospital, BH 08-623

Faculty of Biology and Medicine University of Lausanne

1011 Lausanne, Switzerland

Mauro.Oddo@chuv.ch

DaiWai Olson, RN, PhD

Associate Professor of Neurology, Neurotherapeutics and Neurosurgery

University of Texas Southwestern

5323 Harry Hines Blvd.

Dallas, TX 75390-8897

USA

daiwai.olson@utsouthwestern.edu

Kristine O’Phelan M.D.

Director of Neurocritical Care

Associate Professor, Department of Neurology

University of Miami, Miller School of Medicine

JMH, 1611 NW 12th Ave, Suite 405

Miami, FL, 33136

USA

kophelan@med.miami.edu

Javier Provencio, MD

Associate Professor of Medicine

Cerebrovascular Center and Neuroinflammation Research Center

Lerner College of Medicine

Cleveland Clinic,

9500 Euclid Ave, NC30

Cleveland, OH 44195

USA

provenj@ccf.org

Corina Puppo, MD

Assistant Professor, Intensive Care Unit,

Hospital de Clinicas, Universidad de la República,

Montevideo

Uruguay

coripuppo@gmail.com

Richard Riker, MD

Critical Care Medicine

Maine Medical Center,

22 Bramhall Street

Portland, Maine 04102-3175

USA

RRiker@cmamaine.com

Claudia Robertson, MD

Department of Neurosurgery

Medical Director of Center for Neurosurgical Intensive Care,

Ben Taub Hospital

Baylor College of Medicine,

1504 Taub Loop, Houston, TX 77030

USA

claudiar@bcm.tmc.edu

J. Michael Schmidt, PhD, MSc

Director of Neuro-ICU Monitoring and Informatics

Columbia University College of Physicians and Surgeons

Milstein Hospital 8 Garden South, Suite 331

177 Fort Washington Avenue,

New York, NY 10032

USA

mjs2134@columbia.edu

Fabio Taccone, MD

Department of Intensive Care, Laboratoire de Recherche Experimentale

Erasme Hospital,

Route de Lennik, 808

1070 Brussels

Belgium

ftaccone@ulb.ac.be

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Figaji, A., Puppo, C. & The Participants in the International Multidisciplinary Consensus Conference on Multimodality Monitoring. Multimodality Monitoring Consensus Statement: Monitoring in Emerging Economies. Neurocrit Care 21 (Suppl 2), 239–269 (2014). https://doi.org/10.1007/s12028-014-0019-3

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12028-014-0019-3

Keywords

Search

Navigation