Tolerability of a comprehensive cardiorespiratory monitoring protocol in an epilepsy monitoring unit.
Tolerability of a comprehensive cardiorespiratory monitoring protocol in an epilepsy monitoring unit.
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DOI：
10.1016/j.yebeh.2018.06.006
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发表时间：
2018-08
期刊：
影响因子：
--
通讯作者：
Richerson GB
中科院分区：
文献类型：
--
作者：
Gehlbach BK;Sainju RK;Tadlock DK;Dragon DN;Granner MA;Richerson GB
最近报告的致命或近致命的事件，在EMU和癫痫发作对呼吸的影响越来越多的认识，刺激了兴趣，心肺监测患者进行视频脑电图记录。患者和提供者对这些额外记录设备的接受程度之前尚未进行过研究，可能是广泛采用的障碍。我们询问EMU受试者关于他们的监测方案的经验，包括连续测量口鼻气流、呼吸努力（胸部和腹部呼吸感应体积描记法）、氧饱和度和经皮CO2。71.4%（100/140）的合格受试者返回了调查。总体而言，73%的参与者报告对监测中度至高度满意，82%的参与者报告中度至高度一致，即提前了解监测不会改变他们继续进行视频EEG研究的决定。除了鼻气流，没有一个额外的监测设备比EEG电极引起更大的不适。患者对EMU综合心肺监测方案的接受程度很高。从“多模态记录”中获得的信息应有助于临床医生和研究人员了解癫痫发作对心脏和呼吸生理学的影响，可能会提高EMU的安全性，并可能有助于识别SUDEP的生物标志物。
Recent reports of fatal or near-fatal events in the EMU and an increasing awareness of the effects of seizures on breathing have stimulated interest in cardiorespiratory monitoring for patients undergoing video EEG recording. Patient and provider acceptance of these extra recording devices has not previously been studied and may represent a barrier to widespread adoption. We queried EMU subjects regarding their experiences with a monitoring protocol that included the continuous measurement of oral-nasal airflow, respiratory effort (chest and abdominal respiratory inductance plethysmography), oxygen saturation, and transcutaneous CO2. Surveys were returned by 71.4% (100/140) of eligible subjects. Overall, 73% of participants reported being moderately to highly satisfied with the monitoring, and 82% reported moderate to strong agreement that advance knowledge of the monitoring would not have changed their decision to proceed with the video-EEG study. Except for nasal airflow, none of the additional monitoring devices caused more discomfort than EEG electrodes. Patient acceptance of an EMU comprehensive cardiorespiratory monitoring protocol is high. The information obtained from “multimodality recording” should help clinicians and investigators understand the effect of seizures on both cardiac and respiratory physiology, may enhance safety in the EMU, and may aid in the identification of biomarkers for SUDEP.
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影响因子：
5.6
作者：
Velis, Demetrios;Plouin, Perrine;Lopes da Silva, Fernando
通讯作者：
Lopes da Silva, Fernando
影响因子：
15.9
作者：
Kim, YuJaung;Bravo, Eduardo;Richerson, George B.
通讯作者：
Richerson, George B.
影响因子：
5.3
作者：
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通讯作者：
Richerson, George B.
DOI：
10.1038/nrneurol.2014.64
发表时间：
2014-05
期刊：
Nature reviews. Neurology
影响因子：
--
作者：
Massey CA;Sowers LP;Dlouhy BJ;Richerson GB
通讯作者：
Richerson GB
影响因子：
14.5
作者：
Bateman, Lisa M.;Li, Chin-Shang;Seyal, Masud
通讯作者：
Seyal, Masud