CDE Detailed Report

Disease: Traumatic Brain Injury
Sub-Domain: Surgeries and Other Procedures
CRF: Intraoperative Management

Displaying 1 - 13 of 13
CDE ID CDE Name Variable Name Definition Short Description Question Text Permissible Values Description Data Type Disease Specific Instructions Disease Specific Reference Population Classification (e.g., Core) Version Number Version Date CRF Name (CRF Module / Guideline) Sub Domain Name Domain Name Size Input Restrictions Min Value Max Value Measurement Type External Id Loinc External Id Snomed External Id caDSR External Id CDISC
C05140 American Society of Anesthesiologists standard monitors used type ASAStdMonitorsUsedType Type of standard American Society of Anesthesiologists (ASA) monitors used Type of standard American Society of Anesthesiologists (ASA) monitors used ASA monitor type BP;ECG;SaO2 BP;ECG;SaO2 Alphanumeric

Choose all that apply.

No references available Adult;Pediatric Supplemental 3.00 2013-07-20 10:21:25.65 Intraoperative Management Surgeries and Other Procedures Treatment/Intervention Data

Multiple Pre-Defined Values Selected

C05141 Volatile intravenous anesthesia indicator VolatileIntravenAnesthesiaInd Indicator of volatile or intravenous anesthesia given to the participant/subject Indicator of volatile or intravenous anesthesia given to the participant/subject Volatile intravenous anesthesia given Yes;No;Unknown Yes;No;Unknown Alphanumeric

Choose one.

No references available Adult;Pediatric Supplemental 3.00 2013-07-20 10:21:25.65 Intraoperative Management Surgeries and Other Procedures Treatment/Intervention Data

Single Pre-Defined Value Selected

C05142 Arterial line indicator ArterialLineInd Indicator of an arterial line used to administer medication Indicator of an arterial line used to administer medication Arterial line used Yes;No;Unknown Yes;No;Unknown Alphanumeric

Choose one.

No references available Adult;Pediatric Supplemental 3.00 2013-07-20 10:21:25.65 Intraoperative Management Surgeries and Other Procedures Treatment/Intervention Data

Single Pre-Defined Value Selected

C05144 Foley catheter indicator FoleyCathInd Indicator of foley catheter used for the participant/subject Indicator of Foley catheter used for the participant/subject Foley catheter used Yes;No;Unknown Yes;No;Unknown Alphanumeric

Choose one.

No references available Adult;Pediatric Supplemental 3.00 2013-07-20 10:21:25.65 Intraoperative Management Surgeries and Other Procedures Treatment/Intervention Data

Single Pre-Defined Value Selected

C05147 Transfusion indicator TransfusionInd Indicator of transfusion performed on participant/subject Indicator of transfusion performed on participant/subject Transfusion performed Yes;No;Unknown Yes;No;Unknown Alphanumeric

Choose one.

No references available Adult;Pediatric Supplemental 3.00 2013-07-20 10:21:25.65 Intraoperative Management Surgeries and Other Procedures Treatment/Intervention Data

Single Pre-Defined Value Selected

C05148 Transfusion type TransfusionType Type of transfusion performed Type of transfusion performed Transfusion type FFP;Platelet;cryoppt;pRBC FFP;Platelet;cryoppt;pRBC Alphanumeric

Choose one. If transfusion indicated, specify type

No references available Adult;Pediatric Supplemental 3.00 2013-07-20 10:21:25.65 Intraoperative Management Surgeries and Other Procedures Treatment/Intervention Data

Single Pre-Defined Value Selected

C05149 End of case extubated indicator EndOfCaseExtubateInd Indicator that participant/subject was extubated at end of case Indicator that participant/subject was extubated at end of case Extubated at end of case Yes;No;Unknown Yes;No;Unknown Alphanumeric

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No references available Adult;Pediatric Supplemental 3.00 2013-07-20 10:21:25.65 Intraoperative Management Surgeries and Other Procedures Treatment/Intervention Data

Single Pre-Defined Value Selected

C05150 Microdialysis glutamate value MicrodialGlutamateVal Value of glutamate as obtained by microdialysis Value of glutamate as obtained by microdialysis Microdialysis glutamate value Numeric Values No references available Adult;Pediatric Supplemental 3.00 2013-07-20 10:21:25.65 Intraoperative Management Surgeries and Other Procedures Treatment/Intervention Data

Free-Form Entry

C05151 Microdialysis lactate to pyruvate ratio value MicrodialLactatPyruvatRatioVal Value of lactate to pyruvate ratio as obtained by microdialysis Value of lactate to pyruvate ratio as obtained by microdialysis Microdialysis lactate to pyruvate ratio value Numeric Values No references available Adult;Pediatric Supplemental 3.00 2013-07-20 10:21:25.65 Intraoperative Management Surgeries and Other Procedures Treatment/Intervention Data

Free-Form Entry

C01539 Temperature measurement TempMeasr Measurement of the participant's/subject's body temperature Measurement of the participant's/subject's body temperatur Temperature measurement Numeric Values No references available Adult;Pediatric Supplemental 3.00 2013-08-28 16:08:00.453 Intraoperative Management Surgeries and Other Procedures Treatment/Intervention Data

Free-Form Entry

0 50 degree Celsius 2644401
C05156 Cerebral spinal fluid drainage indicator CSFDrainageInd Indicator of cerebral spinal fluid (CSF) drainage Indicator of cerebral spinal fluid (CSF) drainage Cerebral spinal fluid drainage indicated Yes;No;Unknown Yes;No;Unknown Alphanumeric

Choose one.

No references available Adult;Pediatric Supplemental 3.00 2013-07-20 10:21:25.65 Intraoperative Management Surgeries and Other Procedures Treatment/Intervention Data

Single Pre-Defined Value Selected

C01558 Partial pressure oxygen brain tissue measurement PPO2BrainTissMeasr Measurement of how much oxygen is dissolved in the brain tissue (PbtO2) Measurement of how much oxygen is dissolved in the brain tissue (PbtO2) Partial pressure oxygen brain tissue measurement Numeric Values

Capture in millimeters of mercury (mmHg)

No references available Adult;Pediatric Supplemental 5.00 2017-01-25 11:38:25.0 Intraoperative Management Surgeries and Other Procedures Treatment/Intervention Data

Free-Form Entry

0 300
C05458 Inadvertent hypocapnia indicator InadvertHypocapniaInd Indicator of inadvertent hypocapnia episode. Inadvertent hypocapnia is defined as the partial pressure of carbon dioxide in the blood (paCo2) <= 25 mmHg (3.3 kPa), not deliberately employed to treat elevated intracranial pressure Indicator of inadvertent hypocapnia episode. Inadvertent hypocapnia is defined as the partial pressure of carbon dioxide in the blood (paCo2) <= 25 mmHg (3.3 kPa), not deliberately employed to treat elevated intracranial pressure Inadvertent hypocapnia indicated Yes;No;Unknown;Suspected Yes;No;Unknown;Suspected Alphanumeric

Choose one. Response obtained from medical charts and/or patient data management system. Add date stamp for when assessed. Recommend collection at least during initial medical treatment. Many types of second insults may occur in the in-hospital situation, both systemic and intracranial. Systemic second insults may for example also include episodes of hypoglaecemia, hyponatremia, hypernatremia, hyperthermia and many more. We chose to recommend to document the clinically most relevant and frequently occurring second insults: hypoxia, hypotension, inadvertent hypocapnia and seizure activity. Hypoxia, hypotension and inadvertent hypocapnia are the most frequent causes of jugular desaturations, and periods of low brain tissue oxygen tension. The depth and duration of systemic second insults during the clinical course is related to poorer outcome. In the intensive care environment with continuous monitoring, accurate detection of the number and duration of episodes of second insults should be possible. Thus permitting an accurate documentation of the number, depth and duration of these insults individually and summated per insult over a given period. Unfortunately, most commercially available monitoring systems do not include dedicated software to facilitate this approach. We therefore recommend to simply document the occurrence of second insults, differentiating single episodes of short duration from multiple episodes or those of more prolonged duration, as these latter may have more profound effects in aggravating secondary brain damage. Pediatric-specific notes: Second insults are commonly defined by threshold values but these values are not well established in pediatrics. Based on the available data for pediatric TBI , thresholds of 80-180 mg/dL for glucose are recommended. A threshold for hemoglobin is more difficult to define given emerging data on the lower limit of hemoglobin safely tolerated by critically ill children in general and the variable effect of blood transfusion in children with severe TBI specifically.

McHugh GS, Engel DC, Butcher I, et al. Prognostic value of secondary insults in traumatic brain injury: results from the IMPACT study. J Neurotrauma. Feb 2007;24(2):287-93. Signorini DF, Andrews PJ, Jones PA, et al. Adding insult to injury: the prognostic value of early secondary insults for survival after traumatic brain injury. J Neurol Neurosurg Psychiatry. Jan 1999;66(1):26-31 Pediatric reference: Adelson PD, Bratton SL, Carney, NA, Chesnut RM, du Coudray HE, Goldstein B, Kochanek PM, Miller HC, Partington MD, Selden NR, Warden CR, Wright DW. uidelines for the acute medical management of severe traumatic brain injury in infants, children, and adolescents. Chapter 6. Threshold for treatment of intracranial hypertension. (2003a). Pediatr Crit Care Med 4:S25-S27. Adult;Pediatric Supplemental 3.00 2013-07-20 10:21:25.65 Intraoperative Management Surgeries and Other Procedures Treatment/Intervention Data

Single Pre-Defined Value Selected

CSV