Feasibility of a nurse-led patch-type electroencephalography monitoring protocol with arterial spin labeling in patients with severe traumatic brain injury: a prospective observational study.

IF 7.5 2区医学 Q1 CRITICAL CARE MEDICINE

Journal of Intensive Care Pub Date : 2026-06-12 DOI:10.1186/s40560-026-00893-4

Masahiro Asami, Hikaru Nakata, Ryoichiro Kondo, Yukiko Nakajima, Shintaro Furuya, Junko Yoshida, Koichi Yasaka, Tomoo Inoue, Nobuo Noshita, Toshie Takahashi, Hiroki Sasaki, Shigemasa Taguchi, Kazuya Kiyota

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引用次数: 0

Abstract

Nonconvulsive seizures are clinically important in severe traumatic brain injury but are difficult to detect when continuous electroencephalography (EEG) is not feasible in the intensive care unit. We conducted a prospective observational study to evaluate a nurse-led patch-type EEG protocol, with arterial spin labeling (ASL) magnetic resonance imaging as an exploratory comparator. Patch-type EEG monitoring was feasible in 21 of 24 enrolled patients (87.5%), and both EEG and ASL assessments were evaluable in 16 patients. Electrographic seizures were detected in four patients (25%), with all of them showing corresponding focal hyperperfusion on imaging. These findings suggest that simplified patch-type EEG monitoring is feasible in this setting; however, further studies are warranted to determine the clinical relevance of nurse-led patch-type EEG monitoring.

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一项前瞻性观察研究：护士主导的贴片式脑电图监测方案对严重创伤性脑损伤患者动脉自旋标记的可行性。

非惊厥性发作在严重创伤性脑损伤中具有重要的临床意义，但在重症监护病房不能进行连续脑电图（EEG）时难以发现。我们进行了一项前瞻性观察研究，以评估护士主导的贴片式脑电图方案，以动脉自旋标记（ASL）磁共振成像作为探索性比较。24例入组患者中，有21例（87.5%）可行贴片式脑电图监测，16例患者脑电图和ASL评估均可评估。4例患者（25%）出现电图癫痫发作，影像学上均表现出相应的局灶性高灌注。这些结果表明，简化的贴片式脑电图监测在这种情况下是可行的；然而，需要进一步的研究来确定护士主导的贴片式脑电图监测的临床意义。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Intensive Care Medicine-Critical Care and Intensive Care Medicine

CiteScore

11.90

自引率

1.40%

发文量

审稿时长

15 weeks

期刊介绍： "Journal of Intensive Care" is an open access journal dedicated to the comprehensive coverage of intensive care medicine, providing a platform for the latest research and clinical insights in this critical field. The journal covers a wide range of topics, including intensive and critical care, trauma and surgical intensive care, pediatric intensive care, acute and emergency medicine, perioperative medicine, resuscitation, infection control, and organ dysfunction. Recognizing the importance of cultural diversity in healthcare practices, "Journal of Intensive Care" also encourages submissions that explore and discuss the cultural aspects of intensive care, aiming to promote a more inclusive and culturally sensitive approach to patient care. By fostering a global exchange of knowledge and expertise, the journal contributes to the continuous improvement of intensive care practices worldwide.