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

Authors:

Helmy A, Baker MS Jr, Chen PM, Quinn A, Jalloh I, Roberts L, Badjatia N, Belli A, Boutelle MG, Bullock MR, Claassen J, Coles JP, Dahyot-Fizelier C, Ercole A, Foreman B, Gallagher C, Gilmore EJ, Gupta AK, Gupta D, Helbok R, Leroux P, Magnoni S, Mangat HS, Marklund N, Mazzeo AT, Menon DK, Nelson DW, Newcombe V, Oddo M, O’Phelan K, Petrone P, Poca MA, Puccio AM, Robertson CS, Rostami E, Sahuquillo J, Stovell MG, Strong AJ, Svedung Wettervik T, Thelin EP, Timofeev IS, Torné R, Valadka A, Venturini S, Vespa P, Zimphango C, Carpenter KLH, Chen JW, Hutchinson PJ.

Lay summary – After a serious brain bleed or injury, the brain can continue to be damaged by changes in its chemistry and energy supply. Cerebral microdialysis is a specialist monitoring technique that helps doctors track these changes in real time in intensive care. This work updated expert guidance on how the technique should be used, so care can be more consistent and better informed for patients with severe brain injuries.