Epileptiform discharge detection with the 4-channel frontal electroencephalography during post-resuscitation care

Resuscitation
Kyoung Min YouJung-In Ko

Abstract

We performed this study to investigate whether the SEDline system, a 4-channel-processed electroencephalography (EEG) monitoring device in the frontal area, can detect epileptiform discharges accurately during post-resuscitation care in comatose cardiac arrest survivors. Adult comatose cardiac arrest survivors, who were admitted to the intensive care unit (ICU) for post-resuscitation care including TTM, were enrolled. Within 72h post-return of spontaneous circulation (ROSC), conventional EEG was conducted for 30min. The SEDline system data were recorded with a video camera simultaneously with conventional EEG. Data retrieved from conventional EEG were interpreted by a neurologist and data from the SEDline system were interpreted by three emergency physicians blinded to the conventional EEG data. Then, the sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), and accuracy of the SEDline system to detect epileptiform discharges were calculated. Thirty-nine patients were enrolled in this study. Epileptiform discharges were confirmed in 6 patients (15.4%) who had the same patterns of generalized periodic epileptiform discharges in both conventional EEG and the concurrent SEDline system. The SED...Continue Reading

References

Feb 22, 2002·The New England Journal of Medicine·UNKNOWN Hypothermia after Cardiac Arrest Study Group
Sep 5, 2003·Emergency Medicine Journal : EMJ·S R JonesM Harrison
Aug 3, 2012·BMC Neurology·Aline BouwesJanneke Horn
May 9, 2013·Intensive Care Medicine·Jan ClaassenUNKNOWN Neurointensive Care Section of the European Society of Intensive Care Medicine
Jan 30, 2015·Journal of Clinical Neurophysiology : Official Publication of the American Electroencephalographic Society·Susan T HermanUNKNOWN Critical Care Continuous EEG Task Force of the American Clinical Neurophysiology Society
Feb 6, 2015·Critical Care Medicine·David B SederUNKNOWN International Cardiac Arrest Registry

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Citations

Aug 30, 2019·Acta Anaesthesiologica Scandinavica·Anna LybeckErik Westhall
Apr 12, 2019·Neurology·Seungha LeeNicholas S Abend
Aug 17, 2018·Neurocritical Care·Ward EertmansCathy De Deyne
Jul 7, 2021·Seizure : the Journal of the British Epilepsy Association·Amy Gimson, Matthew Smith

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