Facultad de Medicina, Universidad de Antioquia, Medellín, Colombia; Sección de Neurología Infantil, Hospital San Vicente Fundación, Medellín, Colombia.
Sección de Neurología Infantil, IPS Soytupediatra, Medellín, Colombia.
Biomedica. 2021 Dec 15;41(4):803-809. doi: 10.7705/biomedica.5990.
Continuous non-invasive electroencephalographic monitoring is an essential technique for critical care patients as it shows directly and indirectly the patient’s brain activity and makes it possible to relate it with findings in the clinical status. It is highly sensitive, although its specificity is lower, so they can show alterations of the state of consciousness without clarifying the etiology. Continuous electroencephalographic recording in patients with altered levels of consciousness, seizures, and convulsive and non-convulsive status epilepticus has been increasing in recent years as real-time feedback of the cerebral function shows evolution changes and allows for the identification of electric and subclinical epileptic seizures that are highly important since they do not have clinical correlations. These findings in electroencephalographic monitoring also help to modify pharmacological and antiseizure treatments. For practitioners, they are advantageous when making timely decisions that impact the prognosis of the patient.
连续的非侵入性脑电图监测对于重症监护患者来说是一项至关重要的技术，因为它直接和间接地显示了患者的大脑活动，并使其能够与临床状态的发现相关联。它具有高度的敏感性，尽管特异性较低，因此它们可以显示意识状态的改变，而无需明确病因。近年来，在意识水平改变、癫痫发作、癫痫持续状态（包括有或无临床发作的癫痫持续状态）的患者中，连续脑电图记录的应用越来越多，因为脑功能的实时反馈显示了演变变化，并能够识别出具有重要意义的电和亚临床癫痫发作，因为它们与临床无关。脑电图监测中的这些发现也有助于修改药物治疗和抗癫痫治疗。对于临床医生来说，当他们做出影响患者预后的及时决策时，这是非常有利的。
