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Published on: September 6, 2017
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Rapid EEG Monitoring in Clinical Practice
Kapil Gururangan1, Santiago Philibert-Rosas2, Thanujaa Subramaniam3
1Department of Neurology, Northwestern University Feinberg School of Medicine, Chicago, Illinois, U.S.A.
Summary
Rapid electroencephalography (EEG) devices offer faster seizure detection in critical care, improving diagnosis and treatment. While cost-effective, they have limitations compared to conventional EEG for long-term monitoring.
Area of Science:
- Neuroscience
- Critical Care Medicine
- Medical Technology
Background:
- Growing awareness of seizures and epileptiform patterns in critically ill patients.
- Limitations of conventional electroencephalography (EEG) infrastructure in intensive care settings.
Purpose of the Study:
- To review rapid EEG utilization patterns, clinical workflows, implementation challenges, and financial considerations.
- To assess the perceived benefits and limitations of rapid EEG devices in critical care.
Main Methods:
- Narrative review supplemented by a multi-institutional survey.
- Survey included 20 centers from the Critical Care EEG Monitoring Research Consortium.
Main Results:
- Rapid EEG perceived to expedite diagnosis, treatment decisions, and clinical triage.
- Most respondents found rapid EEG sessions to be low-cost.
- Limitations include lower spatial resolution and unsuitability for prolonged monitoring.
Conclusions:
- Rapid EEG consistently augments monitoring capabilities, even with conventional EEG access.
- Variability exists in practical workflows and personnel designation.
- Development of protocols is vital for responsible, effective, and sustainable use, especially with AI integration.
