Quantitative Electroencephalogram in Pediatric Intensive Care Unit in Three Different Clinical Scenarios

IF 0.2 Q4 PEDIATRICS
A. Yetimakman, E. Kıral
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引用次数: 1

Abstract

Abstract Although clinical judgement and sedation scales are primarily used in intensive care units (ICUs) to manage sedation, adjunctive data are needed to direct therapy with sedative and hypnotic agents to prevent side effects and long-term sequelae. In this report, we describe three cases where we used quantitative electroencephalogram (qEEG) data in a pediatric ICU (PICU); to manage these specific clinical situations and to identify the limitations of the qEEG data, two patients were admitted for post–cardiac arrest care and the third was admitted for status epilepticus. In post–cardiac arrest patients, qEEG was mainly used for monitoring depth of sedation and drug titration. Unnecessary use of high-drug doses was prevented, and monitoring also helped to guide clinical intervention for the management of seizure activity. In the patient with status epilepticus, qEEG data on burst suppression and depth of sedation were used. In this report, we describe three different cases where we used qEEG data in a PICU, to give insight on the use of data in specific clinical situations and to describe the limitations of the qEEG data monitoring system.
三种不同临床情况下儿科重症监护病房的定量脑电图
虽然临床判断和镇静量表主要用于重症监护病房(icu)的镇静管理,但需要辅助数据来指导镇静和催眠药物的治疗,以防止副作用和长期后遗症。在本报告中,我们描述了在儿科ICU (PICU)使用定量脑电图(qEEG)数据的三个病例;为了处理这些特殊的临床情况并确定qEEG数据的局限性,两名患者因心脏骤停后护理而入院,第三名因癫痫持续状态而入院。在心脏骤停后患者中,qEEG主要用于监测镇静深度和药物滴定。避免了不必要的高剂量药物的使用,监测也有助于指导癫痫发作活动管理的临床干预。在癫痫持续状态患者中,使用qEEG的爆发抑制和镇静深度数据。在本报告中,我们描述了在PICU中使用qEEG数据的三个不同病例,以深入了解在特定临床情况下数据的使用,并描述qEEG数据监测系统的局限性。
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来源期刊
自引率
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发文量
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期刊介绍: The Journal of Pediatric Epilepsy is an English multidisciplinary peer-reviewed international journal publishing articles on all topics related to epilepsy and seizure disorders, epilepsy surgery, neurology, neurosurgery, and neuropsychology in childhood. These topics include the basic sciences related to the condition itself, the differential diagnosis, natural history, and epidemiology of seizures, and the investigation and practical management of epilepsy (including drug treatment, neurosurgery and non-medical and behavioral treatments). Use of model organisms and in vitro techniques relevant to epilepsy are also acceptable. Journal of Pediatric Epilepsy provides an in-depth update on new subjects and current comprehensive coverage of the latest techniques used in the diagnosis and treatment of childhood epilepsy.
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