Tasker R C, Boyd S G, Harden A, Matthew D J
Hospital for Sick Children, London, UK.
Intensive Care Med. 1990;16(1):60-8. doi: 10.1007/BF01706327.
Practical guidelines for continuous single channel EEG monitoring using the Cerebral Function Analysing Monitor (CFAM) have been outlined based on experience of 54 critically ill comatose and/or paralysed sedated children monitored for up to 9 days during the acute phase of illness. Fall in amplitude and slowing of frequency following either a cerebral insult or barbiturate administration as well as paroxysmal events were readily recognisable in the CFAM traces. Such changes could be used to (1) identify effects of cerebral insults (acute or cumulative), (2) recognise unstable patients exquisitely sensitive to aspects of standard care and (3) evaluate seizure control. Despite these useful contributions to clinical care, significant limitations were apparent. It is recommended that CFAM monitoring should be combined with serial conventional EEG recording in order to check the appropriateness of the cortical areas being monitored, the quality and type of signal being processed as well as the significance of the 1 or 2 channel CFAM findings in relation to global cerebral function.
基于对54名危重症昏迷和/或瘫痪镇静儿童在疾病急性期长达9天的监测经验，已经概述了使用脑功能分析监测仪（CFAM）进行连续单通道脑电图监测的实用指南。在CFAM记录中，脑损伤或巴比妥类药物给药后振幅下降和频率减慢以及阵发性事件很容易识别。这些变化可用于：（1）识别脑损伤（急性或累积性）的影响；（2）识别对标准护理方面极其敏感的不稳定患者；（3）评估癫痫控制情况。尽管对临床护理有这些有用的贡献，但明显存在重大局限性。建议将CFAM监测与系列常规脑电图记录相结合，以检查所监测皮质区域的适当性、所处理信号的质量和类型，以及1或2通道CFAM结果与整体脑功能相关的意义。
