Continuous electroencephalography (cEEG) monitoring in critically ill patients

Abstract

Critically ill patients need to be treated quickly, carefully, precisely and comprehensively. Neurological status should be concerned because of the severe impact that occurs if it is not immediately handled, that is permanent disability or death. The neurologic problem like non convulsive seizures may not distinctly clear. It is difficult to assess non-convulsive seizure only by clinical physical examination. Continuous Electroencephalography (cEEG) is a useful to measure electrical brain activity. It could be used to identify seizure, cerebral ischemic, monitor and evaluate the medication, and prognostic of the diseases. This equipment is noninvasive and could give real-time information about the patient condition. The complex procedure and availability of skilled technician and competent reviewer, is the barrier to optimize this tools. Besides the benefit and challenge, cEEG is recommended to be used in critically ill patients’ management.

Abbreviations used: ADR – Alpha to Delta Ratio; CBF – Cerebral Blood Flow; cEEG – continuous Electroencephalography; CNS – Central Nervous System; CT – Computed Tomography; DCI – Delayed Cerebral Ischemia; EEG – electroencephalography; GCS – Glasgow Coma Scale; ICU – Intensive Care Unit; MRI - Magnetic Resonance Imaging; NCS – Non-Convulsive Seizures; NCSE – Non-Convulsive Status Epilepticus; PAV – Percent Alpha Variability; PEDs – Periodic Epileptiform Discharges; RAV – Relative Alpha Variability; TBI – Traumatic Brain Injury; TCD – Transcranial Doppler

Received: 19 Oct 2018
Reviewed: 28 Oct 2018
Accepted: 5 Nov 2018

Citation: Purwandhono A, Hidayati HB, Machin A, Islamiyah WR. Continuous electroencephalography (cEEG) monitoring in critically ill patients. Anaesth Pain & Intensive Care 2018;22 Suppl 1:S46-S52