Dr Barney Scholefield is an NIHR Clinician Scientist & clinical academic researcher at the University of Birmingham and consultant in paediatric intensive care at Birmingham Children’s Hospital. He graduated in 2000 from Guy’s and St Thomas’ Medical School, London and followed with paediatric and paediatric critical care higher specialist training in the West Midlands. He completed his academic PhD at the University of Warwick in 2013, undertaking a neuro-critical care research programme focused on the feasibility of therapeutic hypothermia trials in paediatric critical care. Dr Barney Scholefield post-doctoral interests include 1) post cardiac arrest neuroprotective therapies in children (eg. therapeutic hypothermia); 2) prognostic value of neurophysiological monitoring and biomarkers (continuous aEEG, EEG and SSEPs). He is an NIHR Clinician Scientist investigating neurological prognosis after Paediatric cardiac arrest.
Author Of 3 Presentations
THE DIFFICULT NEUROCRITICAL CARE CONSULT
Presenter
Room
Mozart Hall 1
Date
19.06.2019
Session Time
08:00 - 09:00
Session Name
Duration
20 Minutes
Video on Demand
VARIABILITY IN TRAUMATIC BRAIN INJURY MANAGEMENT GUIDELINES ACROSS THE UK PAEDIATRIC INTENSIVE CARE UNITS
Presenter
Authors
Room
Doppler Hall
Date
19.06.2019
Session Time
11:10 - 12:10
Session Name
Duration
10 Minutes
Abstract
Background
The 2012 Brain Trauma Foundation (BTF) guidelines for severe traumatic brain injury (TBI) in infants, children and adolescents (2nd edition) provided recommendations for management in paediatric intensive care units (PICU). However, weak recommendations based on low quality evidence can lead to variability in clinical practice.
Objectives
Describe the variability of individual UK PICU TBI guidelines compared to BTF guidelines and/or each other.
Methods
Current TBI guidelines were requested from 17 UK PICUs. Guidelines were anonymised and analysed for consistency in 12 key areas of clinical practice.
Results
12/17 (71%) UK PICU TBI guidelines were received. None of the guidelines were entirely consistent with the BTF. Widespread variability was observed in all analysed areas of clinical practice including intracranial, cerebral perfusion pressure thresholds and intracranial hypertension management strategies (Figure 1). Of note, none of the analysed guidelines recommended the choice of 6.5-10mL/kg 3% hypertonic saline suggested by BTF for bolus dose of hyperosmotic therapy. Most of the guidelines (83%) recommended decompressive craniectomy as a rescue option in refractory intracranial hypertension, consistent with BTF. However, lack of clarity about exact timing, indication and surgical technique were widely observed.
Conclusion
Current UK PICUs TBI guidelines differ significantly with BTF recommendations and amongst each other. There is potential for significant differences in clinical practice and the need for higher quality data to inform recommendations.
WHERE EVERYTHING IS AN OPTION
Presenter
Room
Mozart Hall 1
Date
20.06.2019
Session Time
09:10 - 10:40
Duration
20 Minutes
Presentation files
-
Where everything is an option in neurocritical care ESPNIC 2019 v2 18.06.2019 17:57
Video on Demand
Presenter of 2 Presentations
THE DIFFICULT NEUROCRITICAL CARE CONSULT
Presenter
Room
Mozart Hall 1
Date
19.06.2019
Session Time
08:00 - 09:00
Session Name
Duration
20 Minutes
Video on Demand
WHERE EVERYTHING IS AN OPTION
Presenter
Room
Mozart Hall 1
Date
20.06.2019
Session Time
09:10 - 10:40
Duration
20 Minutes
Presentation files
-
Where everything is an option in neurocritical care ESPNIC 2019 v2 18.06.2019 17:57
Video on Demand
Moderator of 4 Sessions
EDUCATION SYMPOSIUM
Room
Mozart Hall 1
Date
19.06.2019
Session Time
08:00 - 09:00
Session Webcast
SHORT SCIENTIFIC SESSION
Room
Doppler Hall
Date
19.06.2019
Session Time
11:10 - 12:10
SHORT ORAL PRESENTATION
Room
Trakl Hall
Date
19.06.2019
Session Time
13:40 - 15:10
POSTER WALK
Room
Poster Area 5
Date
19.06.2019
Session Time
12:20 - 13:40