2018 AANS Annual Scientific Meeting-Guidelines for TBI: Time for Change?

Video Transcription

Video Summary

In the video, Franco Servadai, the President of the World Federation of Neurological Surgeons, discusses the process of producing guidelines for traumatic brain injury (TBI). He explains that the first set of guidelines was published in 1996 and was the first ever published in neurosurgery. The guidelines were based on grading papers according to their level of evidence and producing standards, guidelines, and options based on the grades. However, Servadai acknowledges that the first set of guidelines had some limitations and were later found to be incorrect in some cases. He highlights the challenges of producing guidelines for surgical interventions, as there is often a lack of high-quality evidence due to the difficulty of randomizing patients for surgery. Servadai also discusses the limitations of the guideline process, including the lack of representation from various countries, and the need to incorporate local protocols and patient needs. He concludes by calling for a balance between methodology and patient care in producing guidelines. Overall, the video raises important points about the complexity and challenges of producing guidelines for TBI, and the need for ongoing evaluation and integration of new evidence. No specific credits were mentioned in the transcript.

Asset Caption

Franco Servadei, MD (Italy)

Keywords

Franco Servadai

President

World Federation of Neurological Surgeons

guidelines

traumatic brain injury

TBI