![]() ![]() Persistently abnormal mental status after generalized convulsive status epilepticus or clinically evident seizure(s).General indications for prolonged EEG monitoring ( 34618762) However, by facilitating more rapid recovery and extubation, EEG monitoring may be cost-neutral or cost-saving. EEG monitoring is safe, so the main drawback is that it incurs some cost.(2) Nonconvulsive status epilepticus may directly cause neurological injury (constituting one mechanism of secondary injury that can exacerbate critical neurologic illnesses).(1) Seizures may impair consciousness, thereby clouding neuroprognostication and delaying recovery/rehabilitation.(LaRoche 2018) Recognition of seizures is generally important for two reasons: Seizures or nonconvulsive status epilepticus are commonly detected among ICU patients (including “medical” or “surgical” ICU patients).Below are some rough guidelines (which are not intended to replace expert judgement). Thus, the decision to pursue EEG monitoring is a complex one, which will often involve neurology consultation. ![]() ![]() There is a broad variety of indications for EEG monitoring in the ICU (e.g., for any patient in whom there is a concern for nonconvulsive status epilepticus – as discussed further here). Indications for EEG monitoring in the ICU ![]()
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