Electroencephalogram in the intensive care unit: a focused look at acute brain injury.
Electroencephalogram in the intensive care unit: a focused look at acute brain injury.
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DOI：
10.1007/s00134-022-06854-3
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发表时间：
2022-10
影响因子：
38.9
通讯作者：
Claassen, Jan
中科院分区：
文献类型：
--
作者：
Alkhachroum, Ayham;Appavu, Brian;Egawa, Satoshi;Foreman, Brandon;Gaspard, Nicolas;Gilmore, Emily J.;Hirsch, Lawrence J.;Kurtz, Pedro;Lambrecq, Virginie;Kromm, Julie;Vespa, Paul;Zafar, Sahar F.;Rohaut, Benjamin;Claassen, Jan
关键词：
在过去的几十年里，脑电图（EEG）已成为一种广泛应用的和高度复杂的大脑监测工具，在各种重症监护病房（ICU）的设置。目前EEG监测最常见的适应症是难治性癫痫持续状态的管理。此外，许多研究将频繁癫痫发作（包括非惊厥性癫痫持续状态（NCSE））与继发性脑损伤恶化和预后不良联系起来。随着EEG（点和连续EEG）的广泛使用，已识别出不符合严格癫痫发作标准的节律性和周期性模式，并在流行病学上进行了量化，并与包括急性脑损伤在内的各种危重和急性疾病的病理生理事件相关。越来越多地，EEG不仅被定性描述，而且还与其他模式一起进行定量分析，以生成具有可能临床相关性的创新测量。在这篇综述中，我们讨论了目前的知识和新兴的应用脑电图在ICU，包括癫痫发作检测，缺血监测，检测皮层扩散去极化，评估意识和意识。我们还回顾了在ICU中使用EEG的一些技术方面和挑战，包括在资源有限的环境中建立ICU EEG监测的物流。
Over the past decades, electroencephalography (EEG) has become a widely applied and highly sophisticated brain monitoring tool in a variety of intensive care unit (ICU) settings. The most common indication for EEG monitoring currently is the management of refractory status epilepticus. In addition, a number of studies have associated frequent seizures, including nonconvulsive status epilepticus (NCSE), with worsening secondary brain injury and with worse outcomes. With the widespread utilization of EEG (spot and continuous EEG), rhythmic and periodic patterns that do not fulfill strict seizure criteria have been identified, epidemiologically quantified, and linked to pathophysiological events across a wide spectrum of critical and acute illnesses, including acute brain injury. Increasingly, EEG is not just qualitatively described, but also quantitatively analyzed together with other modalities to generate innovative measurements with possible clinical relevance. In this review, we discuss the current knowledge and emerging applications of EEG in the ICU, including seizure detection, ischemia monitoring, detection of cortical spreading depolarizations, assessment of consciousness and prognostication. We also review some technical aspects and challenges of using EEG in the ICU including the logistics of setting up ICU EEG monitoring in resource-limited settings.
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DOI：
10.1097/wnp.0000000000000753
发表时间：
2020-09
期刊：
Journal of clinical neurophysiology : official publication of the American Electroencephalographic Society
影响因子：
--
作者：
Amorim E;McGraw CM;Westover MB
通讯作者：
Westover MB
影响因子：
11.2
作者：
Bosche, Bert;Graf, Rudolf;Ernestus, Ralf-Ingo;Dohmen, Christian;Reithmeier, Thomas;Brinker, Gerrit;Strong, Anthony J.;Dreier, Jens P.;Woitzik, Johannes
通讯作者：
Woitzik, Johannes
影响因子：
4.7
作者：
Chatelle, Camille;Spencer, Camille A.;Edlow, Brian L.
通讯作者：
Edlow, Brian L.
影响因子：
2.4
作者：
Alkhachroum, Ayham M.;Al-Abri, Haifa;Luders, Hans O.
通讯作者：
Luders, Hans O.
影响因子：
9.9
作者：
Alkhachroum, Ayham;Bustillo, Antonio J.;Rundek, Tatjana
通讯作者：
Rundek, Tatjana