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Skin Irritation during Video-EEG Monitoring.

Cornelia Drees1, Mary Beth Makic1, Kristen Case1

  • 1a University of Colorado Hospital , Aurora , Colorado.

The Neurodiagnostic Journal
|April 25, 2017
PubMed
Summary
This summary is machine-generated.

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Video-EEG (VEEG) monitoring can cause skin irritation. A standardized care process significantly reduced moderate to severe skin irritation during VEEG in the epilepsy monitoring unit (EMU).

Area of Science:

  • Neurology
  • Dermatology
  • Clinical Research

Background:

  • Video-EEG (VEEG) monitoring is essential for diagnosing seizures.
  • Electrodes used in VEEG can cause skin irritation.
  • The incidence and severity of electrode-related skin irritation require investigation.

Purpose of the Study:

  • To determine the incidence of electrode-related skin irritation during VEEG in the epilepsy monitoring unit (EMU).
  • To implement and evaluate interventions aimed at reducing moderate to severe skin irritation.

Main Methods:

  • Prospective data collection from 861 EMU patients between May 2012 and March 2015.
  • Assessment of skin lesions before electrode placement and at discharge.
  • Evaluation of interventions including standardization of skin prep, face washing, skin barriers, and alternative electrode materials.
Keywords:
Epilepsy monitoringlong-term video-EEG monitoringprocess improvementskin irritationskin preparation

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Main Results:

  • At baseline, 27.3% of patients experienced skin irritation, with 19.1% having moderate to severe irritation.
  • Longer monitoring duration (≥4 days) and facial electrode placement increased irritation risk.
  • Standardization of care was the only intervention that significantly reduced skin irritation rates.

Conclusions:

  • Electrode-related skin irritation affects about one-third of patients during VEEG admissions.
  • Moderate to severe irritation occurred in one-fifth of patients.
  • A standardized care process, including regular monitoring for discomfort, significantly improved irritation rates.