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Preserve Encephalus in Surgery of Trauma: Online survey. (P.E.S.T.O.)
A World Society of Emergency Surgery (WSES) project
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* Indicates required question
In which country do you practice?
*
Your answer
Numbers of years of practice in emergency surgery (acute care surgery + trauma):
*
< 5
6-10
11-15
16-20
21-25
> 25
During your training in emergency surgery did you perform neurosurgical interventions ?
*
Yes
No
Trauma center level:
*
I
II
III
Annual number of major trauma admissions [Injury Severity Score (ISS) > 15]:
*
< 250
250 - 500
500 - 750
750 - 1000
> 1000
Annual number of major trauma patients admissions with associate severe traumatic brain injury (TBI) [Glasgow Coma Scale (GCS) < 8]:
*
< 100
100 - 200
200 - 300
300 - 400
> 400
At you center, generally who is the trauma team leader ?
*
anesthesiologist
Intensive Care Unit (ICU) physician
emergency surgeon
emergency medicine physician
trauma team not present
Other:
At your center, usually who insert intracranial pressure (ICP) probe in TBI with polytrauma in emergency setting ? (allowed more than one answer)
*
neurosurgeon (resident)
neurosurgeon (attending)
emergency surgeon (resident)
emergency surgeon (attending)
Other:
Required
At your center, usually who perform emergency trauma craniotomies in polytrauma patients ? (allowed more than one answer)
*
neurosurgeon
emergency surgeon
Other:
Required
At you center, which percentage of patients at risk of intracranial hypertension undergoing emergency extra-cranial surgery (including radiologic interventional procedures), immediately after admission, has ICP monitoring ?
*
Your answer
At you center, do you have a protocol to standardize ICP monitoring in patients at risk of intracranial hypertension undergoing emergency extra-cranial surgery (including radiologic interventional procedures) ?
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Yes
No
In our daily clinical practice, you consider safe the placement of an ICP monitor with these coagulation parameters (platelets count):
*
> 50.000 / mm3
> 100.000 / mm3
> 150.000 / mm3
In our daily clinical practice, you consider safe the placement of an ICP monitor with these coagulation parameters [Prothrombin Time (PT)/ Activated Partial Thromboplastin Time (APTT)]:
*
< 1,2 times the normal control
< 1,5 times the normal control
< 1,8 times the normal control
How important is ICP monitoring in patients at risk of intracranial hypertension undergoing emergency extra cranial surgery (including radiologic interventional procedures) ?
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not important
somewhat important
important
very important
mandatory
In patients at risk of intracranial hypertension undergoing emergency extra-cranial surgery (including radiologic interventional procedures), without ICP monitoring, you consider safe a systolic arterial pressure:
*
< 70 mmHg
70 - 80 mmHg
80 - 90 mmHg
90 - 100 mmHg
100 - 110 mmHg
> 110 mmHg
In patients at risk of intracranial hypertension undergoing emergency extra cranial surgery (including radiologic interventional procedures), without ICP monitoring, you consider safe a mean arterial pressure:
*
> 60 mmHg
> 70 mmHg
> 80 mmHg
> 90 mmHg
At your center, which percentage of patients needing both an emergency neurosurgical intervention (ex. hematoma evacuation) and an emergency extracranial surgical operation undergo simultaneous multi-system surgery* (intracranial +/- abdominal +/- thoracic +/- pelvic, etc.) ? *(including radiologic interventional procedures)
*
Your answer
At you center, do you have a protocol to standardize emergency simultaneous multi-system surgery* (intracranial +/- abdominal +/- thoracic +/- pelvic, etc.) ? *(including radiologic interventional procedures)
*
Yes
No
In our daily clinical practice, you consider safe a craniotomy with these coagulation parameters (platelets count):
*
> 50.000 / mm3
> 100.000 / mm3
> 150.000 / mm3
In our daily clinical practice, you consider safe a craniotomy with these coagulation parameters [Prothrombin Time (PT)/ Activated Partial Thromboplastin Time (APTT)]:
*
< 1,2 times the normal control
< 1,5 times the normal control
< 1,8 times the normal control
How important is the ability to perform an emergency simultaneous multisystem surgery* (intracranial +/- abdominal +/- thoracic +/- pelvic, etc.) in acute care setting ? *(including radiologic interventional procedures)
*
not important
somewhat important
important
very important
mandatory
In polytrauma patients undergoing damage control resuscitation usually you transfuse red blood cells (RBCs)/plasma (P)/platelets (PLTs) at a ratio of:
*
1 RBCs/1 P/ 1 PLTs
2 RBCs/1 P/ 1 PLTs
3 RBCs/1 P/ 1 PLTs
Other:
In polytrauma with TBI patients undergoing damage control resuscitation usually you transfuse RBCs/P/PLTs at a ratio of:
*
1 RBCs/1 P/ 1 PLTs
2 RBCs/1 P/ 1 PLTs
3 RBCs/1 P/ 1 PLTs
Other:
In polytrauma patients with ICP monitoring and intracranial hypertension, do you consider/monitor extra-cranial pressures (such as intrathoracic pressure and abdominal pressure) ?
*
Yes
No
Name, affiliation, email
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Your answer
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