scholarly journals Continuous Electroencephalography Monitoring for Critically Ill Neonates: A Canadian Perspective

2019 ◽  
Vol 46 (04) ◽  
pp. 394-402 ◽  
Author(s):  
Sarah Grace Buttle ◽  
Erick Sell ◽  
Richard Webster ◽  
Melanie Varin ◽  
Brigitte Lemyre ◽  
...  
Keyword(s):  
Critically Ill ◽  
Neonatal Intensive Care ◽  
Eeg Monitoring ◽  
Neurodevelopmental Outcomes ◽  
Provider Attitudes ◽  
Continuous Eeg ◽  
Significant Difference ◽  
Continuous Eeg Monitoring ◽  
Critically Ill Neonates ◽  
Detection And Diagnosis

ABSTRACT:Background: Continuous EEG monitoring, in the form of amplitude-integrated (aEEG) or conventional EEG (cEEG), is used in the neonatal intensive care unit (NICU) to detect subclinical central nervous system pathologies, inform management, and prognosticate neurodevelopmental outcomes. To learn more about provider attitudes and current practices in Canada, we evaluated neurologist and neonatologist opinions regarding NICU EEG monitoring. Methods: A 15-item electronic questionnaire was distributed to 114 pediatric neurologists and 176 neonatologists working across 25 sites. Results: The survey was completed by 87 of 290 physicians. Continuous EEG monitoring is utilized by 97% of pediatric neurologists and 92% of neonatologists. Neurologists and neonatologists differ in their EEG monitoring preferences. For seizure detection and diagnosis of encephalopathy, significantly more neonatologists favor aEEG alone or in combination with cEEG, whereas most neurologists prefer cEEG (p = 0.047, 0.001). There is a significant difference in the perceived gaps in monitoring patients with cEEG between neonatologists (13% would monitor more) and neurologists (41% would monitor more) (p = 0.007). Half of all respondents (53%) reported that they would be interested in attending an education session on neonatal EEG monitoring. Conclusions: Canadian neurologists and neonatologists do not agree on the best monitoring approach for critically ill neonates. Furthermore, neonatologists perceive a smaller cEEG monitoring gap as compared with neurologists. However, many participants from both specialties would like to increase long-term EEG monitoring in the NICU setting. Facilitating access to EEG monitoring and enhancing education may help to address these needs.

scholarly journals P.130 Canadian physician attitudes towards long term EEG monitoring in the neonatal intensive care unit

2018 ◽  
Vol 45 (s2) ◽  
pp. S50-S50
Author(s):  
SG Buttle ◽  
E Sell ◽  
B Lemyre ◽  
D Pohl
Keyword(s):  
Neonatal Intensive Care ◽  
Physician Attitudes ◽  
Eeg Monitoring ◽  
Educational Materials ◽  
Education Session ◽  
Provider Attitudes ◽  
Canadian Physician ◽  
Critically Ill Neonates ◽  
Current Monitoring

Background: Long-term EEG monitoring (LTEM), including amplitude-integrated (aEEG) or conventional EEG (cEEG), is increasingly being used in critically ill neonates. Despite an abundance of studies regarding the clinical utility of LTEM, much is unknown regarding provider attitudes toward this tool. We aimed to evaluate neurologist and neonatologist opinions regarding LTEM in the NICU and describe current Canadian practices. Methods: A 15-item questionnaire was developed with input from neonatologists and pediatric neurologists at two Canadian centres. The questionnaire was piloted at our hospital and subsequently distributed to Canadian neonatologists and pediatric neurologists. Results: All 16 local respondents use LTEM in the NICU. Neonatologists were more likely to combine aEEG and cEEG, and monitor for longer durations than pediatric neurologists. However, most pediatric neurologists would like to monitor more (71%), compared to neonatologists who were more likely to say that current monitoring practices are sufficient. High rates of neonatologists (88%) and neurologists (85%) are interested in attending an education session on LTEM. Conclusions: Preliminary data suggests neonatologists and pediatric neurologists differ in their approach to LTEM. Results from our national questionnaire will be analyzed shortly, and may inform the development of educational materials as well as future studies that involve multi-centre efforts.

Detection of electrographic seizures with continuous EEG monitoring in critically ill patients

Neurology ◽  
2004 ◽  
Vol 62 (10) ◽  
pp. 1743-1748 ◽  
Author(s):  
J. Claassen ◽  
S. A. Mayer ◽  
R. G. Kowalski ◽  
R. G. Emerson ◽  
L. J. Hirsch
Keyword(s):  
Critically Ill ◽  
Critically Ill Patients ◽  
Eeg Monitoring ◽  
Continuous Eeg ◽  
Continuous Eeg Monitoring ◽  
Electrographic Seizures

scholarly journals High Incidence of Epileptiform Potentials During Continuous EEG Monitoring in Critically Ill COVID-19 Patients

2021 ◽  
Vol 8 ◽  
Author(s):  
Barbara Schultz ◽  
Terence Krauß ◽  
Maren Schmidt ◽  
Michael Schultz ◽  
Andrea Schneider ◽  
...  
Keyword(s):  
Critically Ill ◽  
Eeg Monitoring ◽  
Hannover Medical School ◽  
Mechanically Ventilated ◽  
Mechanically Ventilated Patients ◽  
Continuous Eeg ◽  
High Incidence ◽  
Cerebral Involvement ◽  
Continuous Eeg Monitoring ◽  
Ventilated Patients

Objective: To analyze continuous 1- or 2-channel electroencephalograms (EEGs) of mechanically ventilated patients with coronavirus disease 2019 (COVID-19) with regard to occurrence of epileptiform potentials.Design: Single-center retrospective analysis.Setting: Intensive care unit of Hannover Medical School, Hannover, Germany.Patients: Critically ill COVID-19 patients who underwent continuous routine EEG monitoring (EEG monitor: Narcotrend-Compact M) during sedation.Measurements and Main Results: Data from 15 COVID-19 patients (11 men, four women; age: 19–75 years) were evaluated. Epileptiform potentials occurred in 10 of 15 patients (66.7%).Conclusions: The results of the evaluation regarding the occurrence of epileptiform potentials show that there is an unusually high percentage of cerebral involvement in patients with severe COVID-19. EEG monitoring can be used in COVID-19 patients to detect epileptiform potentials.

Expanding Access to Continuous EEG Monitoring in Neonatal Intensive Care Units

2020 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Mark P. Fitzgerald ◽  
Shavonne L. Massey ◽  
France W. Fung ◽  
Karen M. Puopolo ◽  
Michael Posencheg ◽  
...  
Keyword(s):  
Intensive Care ◽  
Intensive Care Units ◽  
Neonatal Intensive Care ◽  
Neonatal Intensive Care Units ◽  
Eeg Monitoring ◽  
Continuous Eeg ◽  
Continuous Eeg Monitoring
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