Buzea C E
Methodist Hospital, Merrillville, Indiana 46410, USA.
J Neurosci Nurs. 1995 Oct;27(5):292-7. doi: 10.1097/01376517-199510000-00010.
Computerized EEG (CEEG) monitoring has recently been introduced to intensive care units (ICU). Unlike the intermittent assessment using coma scales, CEEG monitoring provides continuous information about a patients' neurological condition. Patient status can be monitored more accurately with CEEG. The use of CEEG monitoring has been proposed for those patients who may experience a decline in cerebral blood flow related to increased intracranial pressure (ICP) or other ischemic events. CEEG is also used in status epilepticus, non-convulsive seizures, metabolic disorders, intracerebral tumors and all etiologies of coma. The goal of continuous CEEG monitoring is to recognize a decline in a patient's condition before physical signs and symptoms are present. The neuroscience nurse participates in the assessment of the EEG recording as well as in evaluating therapy. This article introduces the neuroscience nurse to the basic terminology, rationale for use and clinical application for continuous computerized EEG monitoring.
计算机化脑电图（CEEG）监测最近已被引入重症监护病房（ICU）。与使用昏迷量表的间歇性评估不同，CEEG监测可提供有关患者神经状况的连续信息。使用CEEG可以更准确地监测患者状态。对于那些可能因颅内压（ICP）升高或其他缺血性事件而出现脑血流量下降的患者，建议使用CEEG监测。CEEG还用于癫痫持续状态、非惊厥性癫痫发作、代谢紊乱、脑内肿瘤以及所有昏迷病因。持续CEEG监测的目标是在出现体征和症状之前识别患者病情的下降。神经科学护士参与脑电图记录的评估以及治疗评估。本文向神经科学护士介绍连续计算机化脑电图监测的基本术语、使用原理和临床应用。
