Electroencephalographic Monitoring in the Pediatric Intensive Care Unit

  • Nicholas S. Abend
  • Kevin E. Chapman
  • William B. Gallentine
  • Joshua Goldstein
  • Ann E. Hyslop
  • Tobias Loddenkemper
  • Kendall B. Nash
  • James J. RivielloJr.
  • Cecil D. Hahn
  • On behalf of the Pediatric Critical Care EEG Group (PCCEG) and the Critical Care EEG Monitoring Research Consortium (CCEMRC)
Pediatric Neurology (D Nordli, Section Editor)
Part of the following topical collections:
  1. Topical Collection on Pediatric Neurology

Abstract

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.

Keywords

Electroencephalogram Electroencephalographic monitoring Seizure Status epilepticus Intensive care unit Critical care 

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Copyright information

© Springer Science+Business Media New York 2013

Authors and Affiliations

  • Nicholas S. Abend
    • 1
  • Kevin E. Chapman
    • 2
  • William B. Gallentine
    • 3
  • Joshua Goldstein
    • 4
  • Ann E. Hyslop
    • 5
  • Tobias Loddenkemper
    • 6
  • Kendall B. Nash
    • 7
  • James J. RivielloJr.
    • 8
  • Cecil D. Hahn
    • 9
  • On behalf of the Pediatric Critical Care EEG Group (PCCEG) and the Critical Care EEG Monitoring Research Consortium (CCEMRC)
  1. 1.Division of Neurology, The Children’s Hospital of PhiladelphiaThe Perelman School of Medicine at the University of PennsylvaniaPhiladelphiaUSA
  2. 2.Department of Pediatrics and NeurologyUniversity of Colorado at Denver, Children’s Hospital ColoradoDenverUSA
  3. 3.Division of Pediatric NeurologyDuke University Medical CenterDurhamUSA
  4. 4.Child Neurology, Feinberg School of MedicineNorthwestern University, Anne and Robert H. Lurie Children’s HospitalChicagoUSA
  5. 5.Pediatric NeurologyMiami Children’s HospitalMiamiUSA
  6. 6.Division of Epilepsy and Clincial Neurophysiology, Department of NeurologyBoston Children’s Hospital and Harvard Medical SchoolBostonUSA
  7. 7.Departments of Neurology and PediatricsUniversity of California at San FranciscoSan FranciscoUSA
  8. 8.Division of Pediatric Neurology and Comprehensive Epilepsy CenterNew York University School of MedicineNew YorkUSA
  9. 9.Division of Neurology, Department of PaediatricsThe Hospital for Sick Children and University of TorontoTorontoCanada

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