Table 3.

Summarized recommendations of the international multidisciplinary consensus conference on multimodality monitoring in neurocritical care¹⁰

Technology	Indication	Recommendation	Quality of evidence	Prevalence in clinical practice
ICP monitors	Patients with acute brain injury who are at risk of elevated intracranial pressure based on clinical or imaging features	Strong	Moderate	High
	Patients with imminent brain herniation to guide therapy	Strong	High	High
Cerebral autoregulation	Targeting of CPP management goals and prognostication in acute brain injury; pressure reactivity has been commonly used for this purpose, but many different approaches may be equally valid	Weak	Moderate	Emerging
Electroencephalography	Patients with persistent and unexplained alteration of mental status; convulsive status epilepticus that does not return to baseline within 60 minutes of treatment; refractory status epilepticus; comatose patients after cardiac arrest during therapeutic hypothermia and within 24 hours of rewarming	Strong	Low	High
	Patients with aneurysmal subarachnoid hemorrhage who have unreliable neurologic examination, at risk for delayed cerebral ischemia	Weak	Low	Low
Jugular venous bulb oximetry	Patients with or at risk for cerebral ischemia and/or hypoxia	Strong	Low	Low
Brain tissue oxygen monitoring	Patients with or at risk for cerebral ischemia and/or hypoxia	Strong	Low	Emerging
Cerebral microdialysis	Patients with or at risk of cerebral ischemia, hypoxia, energy failure, and glucose deprivation	Strong	Low	Low
Thermal diffusion flowmeter	Patients with risk of focal cerebral ischemia	Weak	Low	Low