Electroencephalographic Monitoring in the Pediatric Intensive Care Unit

被引:32
作者
Abend, Nicholas S. [1 ]
Chapman, Kevin E. [2 ]
Gallentine, William B. [3 ]
Goldstein, Joshua [4 ]
Hyslop, Ann E. [5 ]
Loddenkemper, Tobias [6 ,7 ]
Nash, Kendall B. [8 ,9 ]
Riviello, James J., Jr. [10 ,11 ]
Hahn, Cecil D. [12 ,13 ]
机构
[1] Univ Penn, Childrens Hosp Philadelphia, Div Neurol, Perelman Sch Med, Philadelphia, PA 19104 USA
[2] Univ Colorado, Dept Pediat & Neurol, Childrens Hosp Colorado, Denver, CO 80202 USA
[3] Duke Univ, Med Ctr, Div Pediat Neurol, Durham, NC USA
[4] Northwestern Univ, Anne & Robert H Lurie Childrens Hosp, Feinberg Sch Med, Chicago, IL 60611 USA
[5] Miami Childrens Hosp, Miami, FL USA
[6] Boston Childrens Hosp, Dept Neurol, Div Epilepsy & Clincial Neurophysiol, Boston, MA USA
[7] Harvard Univ, Sch Med, Boston, MA USA
[8] Univ Calif San Francisco, Dept Neurol, San Francisco, CA USA
[9] Univ Calif San Francisco, Dept Pediat, San Francisco, CA USA
[10] NYU, Sch Med, Div Pediat Neurol, New York, NY USA
[11] NYU, Sch Med, Comprehens Epilepsy Ctr, New York, NY USA
[12] Hosp Sick Children, Dept Paediat, Div Neurol, Toronto, ON M5G 1X8, Canada
[13] Univ Toronto, Toronto, ON, Canada
关键词
Electroencephalogram; Electroencephalographic monitoring; Seizure; Status epilepticus; Intensive care unit; Critical care; NONCONVULSIVE STATUS EPILEPTICUS; HYPOTHERMIC CIRCULATORY ARREST; AMPLITUDE-INTEGRATED ELECTROENCEPHALOGRAPHY; HYPOXIC-ISCHEMIC ENCEPHALOPATHY; TRAUMATIC BRAIN-INJURY; CONTINUOUS VIDEO-EEG; CRITICALLY-ILL; ELECTROGRAPHIC SEIZURES; HEART-SURGERY; EMERGENT EEG;
D O I
10.1007/s11910-012-0330-3
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Continuous electroencephalographic (CEEG) monitoring is used with increasing frequency in critically ill children to provide insight into brain function and to identify electrographic seizures. CEEG monitoring use often impacts clinical management, most often by identifying electrographic seizures and status epilepticus. Most electrographic seizures have no clinical correlate, and thus would not be identified without CEEG monitoring. There are increasing data showing that electrographic seizures and electrographic status epilepticus are associated with worse outcome. Seizure identification efficiency may be improved by further development of quantitative electroencephalography trends. This review describes the clinical impact of CEEG data, the epidemiology of electrographic seizures and status epilepticus, the impact of electrographic seizures on outcome, the utility of quantitative electroencephalographic trends for seizure identification, and practical considerations regarding CEEG monitoring.
引用
收藏
页数:10
相关论文
共 91 条
[1]   Nonconvulsive seizures are common in critically ill children [J].
Abend, N. S. ;
Gutierrez-Colina, A. M. ;
Topjian, A. A. ;
Zhao, H. ;
Guo, R. ;
Donnelly, M. ;
Clancy, R. R. ;
Dlugos, D. J. .
NEUROLOGY, 2011, 76 (12) :1071-1077
[2]   Electroencephalographic monitoring during hypothermia after pediatric cardiac arrest [J].
Abend, N. S. ;
Topjian, A. ;
Ichord, R. ;
Herman, S. T. ;
Helfaer, M. ;
Donnelly, M. ;
Nadkarni, V. ;
Dlugos, D. J. ;
Clancy, R. R. .
NEUROLOGY, 2009, 72 (22) :1931-1940
[3]   Predicting outcome in children with hypoxic ischemic encephalopathy [J].
Abend, Nicholas S. ;
Licht, Daniel J. .
PEDIATRIC CRITICAL CARE MEDICINE, 2008, 9 (01) :32-39
[4]   Nonconvulsive status epilepticus in a pediatric intensive care unit [J].
Abend, Nicholas S. ;
Dlugos, Dennis J. .
PEDIATRIC NEUROLOGY, 2007, 37 (03) :165-170
[5]   Seizures as a Presenting Symptom of Acute Arterial Ischemic Stroke in Childhood [J].
Abend, Nicholas S. ;
Beslow, Lauren A. ;
Smith, Sabrina E. ;
Kessler, Sudha K. ;
Vossough, Arastoo ;
Mason, Stefanie ;
Agner, Shannon ;
Licht, Daniel J. ;
Ichord, Rebecca N. .
JOURNAL OF PEDIATRICS, 2011, 159 (03) :479-483
[6]   Interobserver Reproducibility of Electroencephalogram Interpretation in Critically Ill Children [J].
Abend, Nicholas S. ;
Gutierrez-Colina, Ana ;
Zhao, Huaqing ;
Guo, Rong ;
Marsh, Eric ;
Clancy, Robert R. ;
Dlugos, Dennis J. .
JOURNAL OF CLINICAL NEUROPHYSIOLOGY, 2011, 28 (01) :15-19
[7]   Impact of Continuous EEG Monitoring on Clinical Management in Critically Ill Children [J].
Abend, Nicholas S. ;
Topjian, Alexis A. ;
Gutierrez-Colina, Ana M. ;
Donnelly, Maureen ;
Clancy, Robert R. ;
Dlugos, Dennis J. .
NEUROCRITICAL CARE, 2011, 15 (01) :70-75
[8]   Use of EEG Monitoring and Management of Non-Convulsive Seizures in Critically Ill Patients: A Survey of Neurologists [J].
Abend, Nicholas S. ;
Dlugos, Dennis J. ;
Hahn, Cecil D. ;
Hirsch, Lawrence J. ;
Herman, Susan T. .
NEUROCRITICAL CARE, 2010, 12 (03) :382-389
[9]   Seizure detection using digital trend analysis: Factors affecting utility [J].
Akman, Cigdem I. ;
Micic, Vesna ;
Thompson, Anita ;
Riviello, James J., Jr. .
EPILEPSY RESEARCH, 2011, 93 (01) :66-72
[10]   Utility of electroencephalography in the pediatric emergency department [J].
Alehan, FK ;
Morton, LD ;
Pellock, JM .
JOURNAL OF CHILD NEUROLOGY, 2001, 16 (07) :484-487