Neuroanesthesia & neurocritical care

The Brussels consensus for non-invasive intracranial pressure (ICP) monitoring when invasive systems are not available in the care of traumatic brain injury (TBI) patients (the B-ICONIC consensus, recommendations, and management algorithm)

Intensive Care MedPublished Consensus statement

Methodological detailsmodified Delphi, 3 scoping and 4 systematic reviews with meta-analysis, in-person meeting with voting
  • Modified Delphi
  • 3 scoping and 4 systematic reviews with meta-analysis
  • In-person meeting with voting

Recommendations

As issued by the authors

  1. 34 recommendations (32 Strong, 2 Weak) in 3 domains: general considerations for nICP use, management of ICP using nICP methods, and nICP thresholds for escalating/de-escalating treatment

  2. 4 clinical algorithms for escalating treatment and heatmaps for de-escalating treatment

  3. Strong

    Defined as agreement of at least 85%

  4. Weak

    Defined as agreement of 75-85%

Original publication

The Brussels consensus for non-invasive ICP monitoring when invasive systems are not available in the care of TBI patients (the B-ICONIC consensus, recommendations, and management algorithm). Intensive Care Med. Published 23 January 2025. doi:10.1007/s00134-024-07756-2

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