As the population ages, technology improves, intensive care medicine expands,and neurocritical care advances, the use of EEG monitoring in the critically ill is becoming increasingly important. Neurologists and intensivists need to become familiar with the use of routine brain monitoring with EEG. This atlas is an accessible introduction to the uses of EEG monitoring in the critical care setting. It includes basic EEG patterns seen in encephalopathy, both specific and nonspecific, nonconvulsive seizures, periodic EEG patterns, and controversial patterns on the ictalinterictal continuum. Confusing artifacts, including ones that mimic seizures, are shown and explained. The new standardized nomenclature for these patterns is included. After the major section on EEG patterns from both a basic and advanced viewpoint, there is an extensive section onprolonged continuous digital EEG monitoring, including data reduction, screening and trending techniques such as compressed spectral array. These techniques can aid in efficient recognition of seizures, ischemia, and other neurological events, and can help visualize long-term trends. There will also be a section on ischemia detection, an up and coming use of continuous EEG monitoring. Examples of multimodality brain monitoring in neurocritical care patients are given, including with microdialysis. This atlas is written for practitioners, fellows and residents in critical care medicine, neurology, epilepsy and clinical neurophysiology. INDICE: Preface Introduction 1. EEG Basics: 15-20 pages a. Electrode nomenclature, polarity, referential vs. bipolar b. Normal EEG: alpha rhythm, sleep transients, reactivity 2. EEG in encephalopathy: 40 pages a. Nonspecific patterns b. Patterns suggesting specific diagnoses c. Findings in specific clinicalsituations i. Postanoxia, renal failure, hepatic failure, overdose, hypothermia d. Patterns with prognostic importance e. Seizures in encephalopathic patients f. Periodic Patterns g. SIRPIDs (stimulus-induced rhythmic, periodic or ictal discharges) h. The new proposed nomenclature for controversial EEG patterns in the critically ill 3. EEG in Ischemia: 5-10 pages a. in subarachnoid hemorrhage b. other 4. Artefacts : 10 pages 5. Prolonged EEG monitoring : Quantitative EEG techniques for detecting seizures and ischemia, and for trending : 30-40 pages a. Methods (Compressed spectral array, amplitude integrated EEG, etc) b. Detecting seizures with QEEG c. Detecting ischemia and other events with QEEG d. Long term trends followed with QEEG e. Multimodality monitoring including QEEG: case studies f. Intracranial EEG in the ICU g. Other interesting cases
- ISBN: 978-0-470-98786-5
- Editorial: John Wiley & Sons
- Encuadernacion: Cartoné
- Páginas: 352
- Fecha Publicación: 08/01/2010
- Nº Volúmenes: 1
- Idioma: Inglés