Neuroanesthesia & neurocritical care

Intracranial multimodal monitoring in neurocritical care (Neurocore-iMMM): an open, decentralized consensus

Crit CarePublished Delphi consensus study

Authors' conclusion

This consensus establishes foundational COS and reporting guidelines for iMMM in neurocritical care.

Study context

Population
Neurocritical physicians and researchers involved in intracranial multimodal monitoring (iMMM)attrition 12%
Participants
58 physicians
Outcome
Agreement on items for core outcome sets (COS) and reporting guidelines
Methodological detailsopen, decentralized, three-round, international, multidisciplinary, December 2023 to June 2024, Panel predominantly from Western regions (96%), actively involved in iMMM (82%), at least weekly (72.4%), >10 years of experience (57%)
  • Open
  • Decentralized
  • Three-round
  • International
  • Multidisciplinary
  • December 2023 to June 2024
  • Panel predominantly from Western regions (96%), actively involved in iMMM (82%), at least weekly (72.4%), >10 years of experience (57%)

Recommendations

As reported in the abstract

Items assessed
127
Strong agreement (≥ 75%)
45 (35.4%)
Moderate agreement (≥ 66%)
8 (6.3%)
Age
98%
Sex/gender
90%
Coagulation/platelet disorders
95%
GCS
97%
Pathology-specific scores
90%
Antithrombotics
95%
iMMM implantation indications
98%
iMMM-guided interventions
91%
Targeting strategies
97%
Concomitant external ventricular drainage
97%
Recording modalities
98%
Monitoring duration
97%
Triggered interventions
95%
Standardized outcome reporting
93%
Surgical complications (postoperative intracranial hemorrhages, CNS infections, probe misplacement)
all > 90%
Adverse events (accidental dislodgement, probe breakage, technical malfunctions)
all > 90%

Original publication

Intracranial multimodal monitoring in neurocritical care (Neurocore-iMMM): an open, decentralized consensus. Crit Care. Published 20 December 2024. doi:10.1186/s13054-024-05211-8

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