TY - JOUR
T1 - Electroencephalographic monitoring in the pediatric intensive care unit
AU - Abend, Nicholas S.
AU - Chapman, Kevin E.
AU - Gallentine, William B.
AU - Goldstein, Joshua
AU - Hyslop, Ann E.
AU - Loddenkemper, Tobias
AU - Nash, Kendall B.
AU - Riviello, James J.
AU - Hahn, Cecil D.
AU - Pediatric Critical Care EEG Group (PCCEG), Critical Care EEG Group (PCCEG)
AU - Care EEG Monitoring Research Consortium (CCEMRC), EEG Monitoring Research Consortium (CCEMRC)
N1 - Funding Information:
N.S. Abend: NIH grant NS076550; K.E. Chapman: none; W.B. Gallentine: none; J. Goldstein: none; A.E. Hyslop: none; T. Loddenkemper: Supported by a Career Development Fellowship Award from Harvard Medical School and Boston Children's Hospital, the Program for Quality and Safety at Boston Children's Hospital, the Payer Provider Quality Initiative, The Epilepsy Foundation of America (EF-213583 and EF-213882), the Center for Integration of Medicine and Innovative Technology, the Epilepsy Therapy Project, and an investigator-initiated research grant from Lundbeck; K.B. Nash: none; J.J. Riviello Jr.: none; C.D. Hahn: SickKids Foundation, Canadian Institutes of Health Research, PSI Foundation. The Pediatric Critical Care EEG Consortium is the pediatric subgroup of the Critical Care EEG Monitoring Research Consortium. PCCEG has received meeting funding from The Children's Hospital of Philadelphia (Department of Pediatrics), SickKids Foundation, and the Children's Hospital of Chicago (Division of Neurology).
PY - 2013/2
Y1 - 2013/2
N2 - 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.
AB - 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.
KW - Critical care
KW - Electroencephalogram
KW - Electroencephalographic monitoring
KW - Intensive care unit
KW - Seizure
KW - Status epilepticus
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U2 - 10.1007/s11910-012-0330-3
DO - 10.1007/s11910-012-0330-3
M3 - Article
C2 - 23335026
AN - SCOPUS:84872269469
SN - 1528-4042
VL - 13
JO - Current neurology and neuroscience reports
JF - Current neurology and neuroscience reports
IS - 3
M1 - 330
ER -