Recovery From Acute Respiratory Distress Syndrome Is Associated With Increasing Alpha Power in the Frontal Electroencephalogram During Propofol Sedation: A Case Report.

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A&A Practice Pub Date : 2023-07-05 eCollection Date: 2023-07-01 DOI:10.1213/XAA.0000000000001698

Christian S Guay, Christopher D Bean, Ohyoon Kwon, Emery N Brown

引用次数: 0

Abstract

The effects of critical illness on electroencephalographic (EEG) signatures of sedatives have not been described, limiting the use of EEG-guided sedation in the intensive care unit (ICU). We report the case of a 36-year-old man recovering from acute respiratory distress syndrome (ARDS). Severe ARDS was characterized by slow-delta (0.1-4 Hz) and theta (4-8 Hz) oscillations but lacked the alpha (8-14 Hz) power expected during propofol sedation in a patient of this age. The alpha power emerged as ARDS resolved. This case raises the question of whether inflammatory states can alter EEG signatures during sedation.

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急性呼吸窘迫综合征的恢复与丙泊酚镇静期间额叶脑电图阿尔法功率的增加有关：病例报告。

重症疾病对镇静剂脑电图（EEG）特征的影响尚未得到描述，这限制了在重症监护室（ICU）中使用 EEG 引导镇静。我们报告了一例急性呼吸窘迫综合征（ARDS）恢复期的 36 岁男性病例。严重的 ARDS 表现为慢δ（0.1-4 Hz）和θ（4-8 Hz）振荡，但缺乏该年龄段患者在异丙酚镇静期间预期的α（8-14 Hz）功率。随着 ARDS 的缓解，α 波出现。该病例提出了一个问题：炎症状态是否会改变镇静期间的脑电图特征。

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

A&A Practice ANESTHESIOLOGY-

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期刊介绍： A & A Case Reports, our new online journal publishing Case Reports, related Editorial Commentary, and Correspondence. Anesthesia & Analgesia 1 and Anesthesiology 2 recently announced that they were suspending publication of Case Reports. One reason is that Case Reports typically reduce the Impact Factor of a journal because they are rarely cited. Regardless of the merits of Impact Factor as a metric of journal worth, journals and their editors necessarily consider Impact Factor in strategic planning. At the same time, Case Reports are appreciated by readers for describing “real life” management of difficult or unusual cases not often encountered by practitioners. In a recent issue of Anesthesia & Analgesia, Steven Shafer1 identified many Case Reports whose publication launched productive careers dedicated to solving the puzzle posed by an unusual observation in a single patient.