Continuous Video EEG Monitoring for Patients with Acute Encephalopathy in a Pediatric Intensive Care Unit (PICU)
Abstract number :
1.095
Submission category :
3. Clinical Neurophysiology
Year :
2010
Submission ID :
12295
Source :
www.aesnet.org
Presentation date :
12/3/2010 12:00:00 AM
Published date :
Dec 2, 2010, 06:00 AM
Authors :
John Schreiber, J. Carpenter, H. Kaulas and W. Gaillard
Rationale: The occurrence of non-convulsive seizures (NCS) in patients with coma or altered consciousness monitored with EEG is estimated at 7% to 44%. There is no consensus regarding the duration of EEG monitoring necessary to capture NCS. We aimed to provide a framework to optimize selection of patients in whom continuous EEG monitoring to detect NCS would be beneficial. Methods: We collected data from a prospective database obtained from 96 consecutive patients, age 30 days to 18 years, admitted to the PICU at Children s National Medical Center (CNMC) between June 1, 2009 and June 1, 2010 with an acute encephalopathy and Glasgow coma scale (GCS) < 12, not explained by pharmacological sedation alone and/or baseline chronic encephalopathy. Patients were monitored continuously for 48 hours with video EEG. Monitoring was considered adequate if ? 36 hours of EEG data were collected in a 48 hour period, or if the study was discontinued due to improved mental status.
Neurophysiology