在儿科重症监护病房的乳房间连续体
Arnold J Sansevere1, Julia S Keenan2, Elizabeth Pickup2
1Department of Neurology/Division of Epilepsy and Clinical Neurophysiology, Children's National Hospital, 111 Michigan Ave NW, Washington, DC, 20010, USA. asansevere@childrensnational.org.
Neurocritical care
|April 26, 2024
概括
结节 - 结节间连续 (IIC) 和节律 / 周期模式在儿科重症监护室 (PICU) 中很常见. 在超过10%的重症儿童中发现的IIC与电图发作和脑损伤有很强的相关性.
科学领域:
- 神经科学是一个神经科学.
- 儿科重症监护 儿科重症监护
- 临床电生理学 临床电生理学
背景情况:
- 眼皮 - 脑间连续体 (IIC) 包括脑电图 (EEG) 图案,这些图案经常被观察到严重病情的成年人身上.
- 在重症儿童中对IIC的研究是有限的,之前的研究集中在与电图发作 (ESs) 的关联上.
- 这项研究调查了儿科重症监护室 (PICU) 中IIC的发生率和相关性.
研究的目的:
- 为了确定IIC在PICU中的发病率.
- 为了将IIC模式与不符合IIC标准的节奏和周期模式 (RPPs) 进行比较.
- 确定IIC/RPP与急性脑异常,ES和住院死亡率之间的关联.
主要方法:
- 来自PICU患者的前性收集的连续EEG数据的回顾性审查 (2021年7月-2023年1月).
- 排除患有先前或脑损伤的患者.
- 美国临床神经生理学学会应用标准化了IIC和RPP分类的临床护理EEG术语.
主要成果:
- 在201名患者中,12% (24/201) 符合IIC标准,21% (42/201) 有RPP.
- IIC模式与ES (83%) 和脑损伤 (96%) 的高发病率有关.
- 两种IIC和RPP都与急性脑部异常相关,但只有IIC与ESs有显著的关联.
结论:
- 节律和周期性模式,包括IIC,在PICU中很普遍,与大脑损伤有关.
- IIC发生在10%以上的重症儿童中,与ESs有关.
- 需要进一步的研究来了解RPP和IIC对二次脑损伤和治疗必要性的独立影响.
相关概念视频
Seizures: Classification
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Epilepsy is primarily characterized by unpredictable seizures, either provoked by an identifiable factor, such as injury or illness, or unprovoked, occurring spontaneously without apparent cause.
Seizures are typically classified into two main categories: focal and generalized seizures.
Focal Seizures
Focal seizures originate from specific regions of the brain. These seizures are further sub-classified into two types:
Seizures are typically classified into two main categories: focal and generalized seizures.
Focal Seizures
Focal seizures originate from specific regions of the brain. These seizures are further sub-classified into two types:
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Pulse rhythm
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Pulse rhythm refers to the pattern of pulsations within specific intervals, offering valuable insights into the regularity or irregularity of the heart's beats as observed through the pattern of pulsation within specific intervals. A regular pulse exhibits a consistent heart rate with uniform waveforms and pulsation force, variations of which can be classified as normal, weak, or bounding.
Conversely, an irregular pulse pattern is termed dysrhythmia, stemming from disruptions in cardiac...
Conversely, an irregular pulse pattern is termed dysrhythmia, stemming from disruptions in cardiac...
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