Neuroanesthesia & neurocritical care

Consensus statement from the 2025 Delphi panel on cerebral microdialysis in critical care

Crit CarePublished Consensus statement

Methodological detailsmodified Delphi study, 3-round modified Delphi, international expert panel
  • Modified Delphi study
  • 3-round modified Delphi
  • International expert panel

Recommendations

As issued by the authors

  1. 60 of 62 items achieved consensus (97%; ≥ 75% agreement) across 9 domains: indications and patient selection, technical and procedural considerations, detecting deterioration and secondary injury, metabolic interpretation, treatment algorithms, glucose management, sampling frequency, core reporting items, barriers to clinical implementation

  2. Many core recommendations of the 2014 consensus reaffirmed

  3. Cautious extension of guidance to intracerebral hemorrhage

  4. Comprehensive reporting guidance (19 items vs. 6 in 2014)

  5. 10 key barriers to routine clinical adoption identified

Original publication

Consensus statement from the 2025 Delphi panel on cerebral microdialysis in critical care. Crit Care. Published 13 April 2026. doi:10.1186/s13054-026-05993-z

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