Neuroanesthesia & neurocritical care
Consensus statement from the 2025 Delphi panel on cerebral microdialysis in critical care
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
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
Many core recommendations of the 2014 consensus reaffirmed
Cautious extension of guidance to intracerebral hemorrhage
Comprehensive reporting guidance (19 items vs. 6 in 2014)
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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