What's new on EEG monitoring in the ICU.

Détails

ID Serval
serval:BIB_A9F9197E19E5
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Lettre (letter): communication adressée à l'éditeur.
Collection
Publications
Institution
Titre
What's new on EEG monitoring in the ICU.
Périodique
Minerva anestesiologica
Auteur⸱e⸱s
Rossetti A.O., Lee J.W.
ISSN
1827-1596 (Electronic)
ISSN-L
0375-9393
Statut éditorial
Publié
Date de publication
10/2021
Peer-reviewed
Oui
Volume
87
Numéro
10
Pages
1139-1145
Langue
anglais
Notes
Publication types: Journal Article ; Randomized Controlled Trial
Publication Status: ppublish
Résumé
Continuous video-EEG (cEEG, lasting hours to several days) is increasingly used in ICU patients, as it is more sensitive than routine video-EEG (rEEG, lasting 20-30 min) to detect seizures or status epilepticus, and allows more frequent changes in therapeutic regimens. However, cEEG is more resource-consuming, and its relationship to outcome compared to repeated rEEG has only been formally assessed very recently in a randomized controlled trial, which did not show any significant difference in terms of long-term mortality or functional outcome. Awaiting more refined trials, it seems therefore that using repeated rEEG in ICU patients may represent a reasonable alternative in resource-limited settings. Prolonged EEG has been used recently in patients with severe COVID-19 infection, the proportion of seizures seems albeit relatively low, and similar to ICU patients with medical conditions. As a timely EEG recording is recommended in the ICU in any case, recent technical developments may ease its use in clinical practice.
Mots-clé
COVID-19, Electroencephalography, Humans, Intensive Care Units, Monitoring, Physiologic, SARS-CoV-2, Seizures/diagnosis
Pubmed
Web of science
Création de la notice
15/03/2021 13:47
Dernière modification de la notice
13/11/2021 6:35
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