新生儿、儿童及成人治疗性低温期间的脑电图监测。
EEG monitoring during therapeutic hypothermia in neonates, children, and adults.
作者信息
Abend Nicholas S, Mani Ram, Tschuda Tammy N, Chang Tae, Topjian Alexis A, Donnelly Maureen, LaFalce Denise, Krauss Margaret C, Schmitt Sarah E, Levine Joshua M
机构信息
Department of Neurology, Children's Hospital of Philadelphia, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania, USA.
出版信息
Am J Electroneurodiagnostic Technol. 2011 Sep;51(3):141-64.
Abstract
Therapeutic hypothermia is being utilized as a neuroprotective strategy in neonates, children, and adults. The most common indications are hypoxic ischemic encephalopathy in neonates and post cardiac arrest in adults. Electroencephalographic monitoring use is increasing in critical care units, and is sometimes a component of therapeutic hypothermia clinical pathways. Monitoring may detect non-convulsive seizures or non-convulsive status epilepticus, and it may provide prognostic information. We review data regarding indications for therapeutic hypothermia and electroencephalographic monitoring in neonatal, pediatric, and adult critical care units, and discuss technical aspects related to such monitoring.
摘要
治疗性低温正被用作新生儿、儿童和成人的神经保护策略。最常见的适应症是新生儿缺氧缺血性脑病和成人心脏骤停后。脑电图监测在重症监护病房的使用正在增加，并且有时是治疗性低温临床路径的一个组成部分。监测可能检测到非惊厥性癫痫发作或非惊厥性癫痫持续状态，并且它可能提供预后信息。我们回顾了有关新生儿、儿科和成人重症监护病房治疗性低温和脑电图监测适应症的数据，并讨论了与此类监测相关的技术方面。
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