Home > Riviste > Minerva Anestesiologica > Fascicoli precedenti > Minerva Anestesiologica 2021 October;87(10) > Minerva Anestesiologica 2021 October;87(10):1139-45

ULTIMO FASCICOLO
 

JOURNAL TOOLS

eTOC
Per abbonarsi PROMO
Sottometti un articolo
Segnala alla tua biblioteca
 

ARTICLE TOOLS

Publication history
Estratti
Permessi
Per citare questo articolo
Share

 

EXPERTS’ OPINION   Freefree

Minerva Anestesiologica 2021 October;87(10):1139-45

DOI: 10.23736/S0375-9393.21.15473-2

Copyright © 2021 EDIZIONI MINERVA MEDICA

lingua: Inglese

What’s new on EEG monitoring in the ICU

Andrea O. ROSSETTI 1 , Jong-Woo LEE 2

1 Department of Clinical Neuroscience, Lausanne University Hospital and University of Lausanne, Lausanne, Switzerland; 2 Department of Neurology, Brigham and Women’s Hospital, Harvard Medical School, Boston, MA, USA



Continuous video-EEG (cEEG, lasting hours to several days) is increasingly used in ICU patients, as it is more sensitive than routine video-EEG (rEEG, lasting 20-30 min) to detect seizures or status epilepticus, and allows more frequent changes in therapeutic regimens. However, cEEG is more resource-consuming, and its relationship to outcome compared to repeated rEEG has only been formally assessed very recently in a randomized controlled trial, which did not show any significant difference in terms of long-term mortality or functional outcome. Awaiting more refined trials, it seems therefore that using repeated rEEG in ICU patients may represent a reasonable alternative in resource-limited settings. Prolonged EEG has been used recently in patients with severe COVID-19 infection, the proportion of seizures seems albeit relatively low, and similar to ICU patients with medical conditions. As a timely EEG recording is recommended in the ICU in any case, recent technical developments may ease its use in clinical practice.


KEY WORDS: Consciousness; Costs and cost analysis; Critical illness

inizio pagina