A Trial of Real-Time Electrographic Seizure Detection by Neuro-ICU Nurses Using a Panel of Quantitative EEG Trends.

Neurocritical Care
Jennifer H KangChrista B Swisher

Abstract

Non-convulsive seizures (NCS) are a common occurrence in the neurologic intensive care unit (Neuro-ICU) and are associated with worse outcomes. Continuous electroencephalogram (cEEG) monitoring is necessary for the detection of NCS; however, delays in interpretation are a barrier to early treatment. Quantitative EEG (qEEG) calculates a time-compressed simplified visual display from raw EEG data. This study aims to evaluate the performance of Neuro-ICU nurses utilizing bedside, real-time qEEG interpretation for detecting recurrent NCS. This is a prospective, single-institution study of patients admitted to the Duke Neuro-ICU between 2016 and 2018 who had NCS identified on traditional cEEG review. The accuracy of recurrent seizure detection on hourly qEEG review by bedside Neuro-ICU nurses was compared to the gold standard of cEEG interpretation by two board-certified neurophysiologists. The nurses first received brief qEEG training, individualized for their specific patient. The bedside qEEG display consisted of rhythmicity spectrogram (left and right hemispheres) and amplitude-integrated EEG (left and right hemispheres) in 1-h epochs. Twenty patients were included and 174 1-h qEEG blocks were analyzed. Forty-seven blocks contai...Continue Reading

References

Feb 11, 2000·Neurology·A R TowneR J DeLorenzo
Jan 9, 2004·Archives of Disease in Childhood. Fetal and Neonatal Edition·J M RennieR Hooper
Jul 18, 2009·Anesthesia and Analgesia·Daniel FriedmanLawrence J Hirsch
May 7, 2010·Archives of Disease in Childhood. Fetal and Neonatal Edition·E EvansM Garg
Dec 15, 2010·Epilepsy Research·Cigdem I AkmanJames J Riviello
Feb 11, 2011·Neurology·N S AbendD J Dlugos
Apr 25, 2012·Neurocritical Care·Gretchen M BrophyUNKNOWN Neurocritical Care Society Status Epilepticus Guideline Writing Committee
Sep 20, 2012·British Journal of Neurosurgery·Vibhangini S WasadeJules Constantinou
Sep 21, 2013·Neurocritical Care·Craig A WilliamsonM Brandon Westover
Mar 7, 2014·Brain : a Journal of Neurology·Eric T PayneCecil D Hahn
Aug 2, 2014·Clinical Neurophysiology : Official Journal of the International Federation of Clinical Neurophysiology·M Brandon WestoverSydney S Cash
Oct 1, 2014·Epilepsia·Jay GavvalaUNKNOWN Critical Care EEG Monitoring Research Consortium (CCEMRC)
Aug 5, 2015·Journal of Clinical Neurophysiology : Official Publication of the American Electroencephalographic Society·Christa B SwisherSaurabh R Sinha
Jul 29, 2016·Neurology·Hiba A HaiderUNKNOWN Critical Care EEG Monitoring Research Consortium
Oct 25, 2016·Journal of the Neurological Sciences·Jocelyn Y Cheng
Dec 7, 2016·Journal of Clinical Neurophysiology : Official Publication of the American Electroencephalographic Society·Christa B Swisher, Saurabh R Sinha
Dec 9, 2016·Journal of Clinical Neurophysiology : Official Publication of the American Electroencephalographic Society·Edilberto AmorimM Brandon Westover
Jul 7, 2017·Annals of Neurology·Chloe E HillBrian Litt
Mar 27, 2018·Epilepsy & Behavior : E&B·Álvaro Gutiérrez-ViedmaIrene García-Morales
Apr 13, 2018·Neurology·I Sánchez FernándezUNKNOWN Pediatric Status Epilepticus Research Group (pSERG)
Aug 17, 2018·Epileptic Disorders : International Epilepsy Journal with Videotape·Shishir Keekana RaoWazim Mohamed
Sep 7, 2018·Critical Care Medicine·Saptharishi Lalgudi GanesanCecil D Hahn

❮ Previous
Next ❯

Citations

Jun 3, 2020·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Shavonne L Massey, Alexis A Topjian
Jul 28, 2020·Current Neurology and Neuroscience Reports·Shobhit SinglaJennifer A Kim
Aug 3, 2020·The Journal of Neuroscience Nursing : Journal of the American Association of Neuroscience Nurses·Christine PicinichLara L Zimmermann
Jan 20, 2021·Intensive & Critical Care Nursing : the Official Journal of the British Association of Critical Care Nurses·Lorenzo PelusoFabio Silvio Taccone
Mar 13, 2021·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Shaurya TaranVictoria A McCredie

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.