Clinical Use of EEG in the ICU: Technical Setting

被引：20
作者：
Alvarez, Vincent [1 ,2 ,3 ,4 ]
Rossetti, Andrea O. [2 ,3 ]
机构：
[1] Hop Valais, Dept Neurol, CH-1950 Sion, Switzerland
[2] CHU Vaudois, Dept Clin Neurosci, Lausanne, Switzerland
[3] Univ Lausanne, Lausanne, Switzerland
[4] Harvard Univ, Brigham & Womens Hosp, Sch Med, Dept Neurol, Boston, MA 02115 USA
来源：
JOURNAL OF CLINICAL NEUROPHYSIOLOGY | 2015年 / 32卷 / 06期
关键词：
Impedance; Electrodes; The; 10-20; system; Montages; Amplifiers; Filters; HYPOTHERMIC CIRCULATORY ARREST; ELECTROGRAPHIC SEIZURES; CARDIAC-ARREST; ELECTRODES; INJURY; COLLODION; COMATOSE;
D O I：
10.1097/WNP.0000000000000194
中图分类号：
R74 [神经病学与精神病学];
学科分类号：
摘要：
Neurophysiology is an essential tool for clinicians dealing with patients in the intensive care unit. Because of consciousness disorders, clinical examination is frequently limited. In this setting, neurophysiological examination provides valuable information about seizure detection, treatment guidance, and neurological outcome. However, to acquire reliable signals, some technical precautions need to be known. EEG is prone to artifacts, and the intensive care unit environment is rich in artifact sources (electrical devices including mechanical ventilation, dialysis, and sedative medications, and frequent noise, etc.). This review will discuss and summarize the current technical guidelines for EEG acquisition and also some practical pitfalls specific for the intensive care unit.
引用
收藏
页码：481 / 485
页数：5
相关论文
共 37 条
[1]   Yield of intermittent versus continuous EEG in comatose survivors of cardiac arrest treated with hypothermia [J].
Alvarez, Vincent ;
Sierra-Marcos, Alba ;
Oddo, Mauro ;
Rossetti, Andrea O. .
CRITICAL CARE, 2013, 17 (05)
[2]  
American Clinical Neurophysiology Society, 2006, J Clin Neurophysiol, V23, P111
[3]  
American Clinical Neurophysiology Society, 2008, J CLIN NEUROPHYSIOL, V23, P86
[4]  
[Anonymous], RECOMMENDATIONS PRAC
[5]  
Bauer G, 2012, ELECTROEN CLIN NEURO, P901
[6]   IFCN recommended standards for electrophysiologic monitoring in comatose and other unresponsive states. Report of an IFCN committee [J].
Chatrian, GE ;
Bergamasco, B ;
Bricolo, A ;
Frost, JD ;
Prior, PF .
ELECTROENCEPHALOGRAPHY AND CLINICAL NEUROPHYSIOLOGY, 1996, 99 (02) :103-122
[7]   Hypothermia for acute brain injury-mechanisms and practical aspects [J].
Choi, H. Alex ;
Badjatia, Neeraj ;
Mayer, Stephan A. .
NATURE REVIEWS NEUROLOGY, 2012, 8 (04) :214-222
[8]   Electrographic seizures and periodic discharges after intracerebral hemorrhage [J].
Claassen, J. ;
Jette, N. ;
Chum, F. ;
Green, R. ;
Schmidt, M. ;
Choi, H. ;
Jirsch, J. ;
Frontera, J. A. ;
Connolly, E. Sander ;
Emerson, R. G. ;
Mayer, S. A. ;
Hirsch, L. J. .
NEUROLOGY, 2007, 69 (13) :1356-1365
[9]   Detection of electrographic seizures with continuous EEG monitoring in critically ill patients [J].
Claassen, J ;
Mayer, SA ;
Kowalski, RG ;
Emerson, RG ;
Hirsch, LJ .
NEUROLOGY, 2004, 62 (10) :1743-1748
[10]   Nonconvulsive Seizures after Subarachnoid Hemorrhage: Multimodal Detection and Outcomes [J].
Claassen, Jan ;
Perotte, Adler ;
Albers, David ;
Kleinberg, Samantha ;
Schmidt, J. Michael ;
Tu, Bin ;
Badjatia, Neeraj ;
Lantigua, Hector ;
Hirsch, Lawrence J. ;
Mayer, Stephan A. ;
Connolly, E. Sander ;
Hripcsak, George .
ANNALS OF NEUROLOGY, 2013, 74 (01) :53-64
1234