Usefulness of Continuous Electroencephalography Monitoring in Intensive Care Unit
Won-Joo Kim, MD
Department of Neurology, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Korea
ABSTRACT
When we care critically ill patient in intensive care unit (ICU), many kinds of monitoring such as pulse oximetry, electrocardiogram, respir-ation, arterial blood pressure and etc. are needed. But for brain, continuous monitoring has been unavailable until recently. By mechanical development, continuous EEG monitoring (cEEG) is possible to use and provides functional information about brain function. Those ICUs caring for patients with status epilepticus should have access to cEEG monitoring for treatment and recognizing non-convulsive seizures. cEEG should be integrated into the multimodality brain monitoring approach of acutely brain-injured patients. Various kinds of quantitative EEG parameters can now be analyzed in combination with other neuromonitoring measures to detect early pathological changes preceding clinical detection of these events. Further studies show the impact on outcome and making cEEG monitoring out of the subspecialized ICU setting into the general ICU environment.
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