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脑电图在神经临床护理中的指示,结果和后果:一项回顾性研究

Wolmet E Haksteen¹, Gulsum Z Nasim¹, Marjolein M Admiraal²

¹Amsterdam UMC, University of Amsterdam, Department of Intensive Care, Amsterdam Neuroscience, Meibergdreef 9, Amsterdam, Netherlands.

Journal of critical care

|July 17, 2024

概括

常规脑电图 (EEG) 在神经临界护理患者中很少诊断出发作或状态. 然而,EEG结果经常导致严重脑损伤患者的抗发作药物 (ASM) 调整.

科学领域:

神经科学是一个神经科学.
关键护理医学关键护理医学
临床神经生理学临床神经生理学

背景情况:

电脑脑电图 (EEG) 对于评估大脑皮层活动至关重要.
常规EEG监测在神经临床护理环境中越来越多地使用.
了解这群人群中的EEG指示和结果对于优化患者管理至关重要.

研究的目的:

研究神经临界护理患者常规电脑电图 (EEG) 的适用情况.
分析严重急性脑损伤患者常规EEG记录的结果.
为了确定EEG结果对抗发作药物 (ASM) 调整的影响.

主要方法:

进行了一项单一中心的回顾性队列研究.
包括成人重症监护病房 (ICU) 患者,严重急性脑损伤接受常规EEG (30-60分钟).
收集的数据包括EEG指示,背景模式,节律/周期模式,发作和ASM变化.

主要成果:

总共分析了109名患者.
脑电图的主要指示是调查非性状态 (NCSE) 或发作.
在94%的患者中观察到缓慢的连续背景模式;只有6.4%的患者被诊断出/ (NC) SE.
在43%的患者中,抗发作药物 (ASM) 被调整,包括在24.8%的患者中停止治疗,在18.3%的患者中开始治疗.

结论:

神经临界护理患者的常规EEG主要用于检测NCSE或发作.
缓慢的,连续的背景模式是常见的,而发作/NC) SE很少被诊断出来.
在这种患者群体中,EEG发现经常指导抗发作药物调整.

关键词:

脑损伤是因为脑损伤.电脑电图 (电脑电图) 是一种脑电图.重症监护室的重症监护室是重症监护室的重症监护室.发作发作发作

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