SCCM Resource Library-Decoding the EEG: All That Spikes Does Not Seize

Video Transcription

Video Summary

The video discusses the increasing use of continuous EEG monitoring in critical care for detecting seizures and seizure-like patterns, especially in patients with traumatic brain injury or altered mental status. EEG monitors for electrographic seizures and other non-seizure patterns, known as periodic and rhythmic patterns, which can impact patient outcomes. These patterns are associated with seizures, secondary brain injury, and poorer outcomes. However, the decision to treat these patterns is challenging due to limited data and the potential adverse effects of seizure medications. The presentation suggests a focused approach for treatment: only consider treating if there's a clinical correlate, significant metabolic derangement, history of recent seizures, or high frequency and burden of discharges. Ancillary tests like MRI, PET scans, and multimodal monitoring can aid in decision-making. Ultimately, treatment decisions should weigh patient-specific factors and continuously monitor for clinical and EEG improvement.

Asset Caption

One-Hour Concurrent Session | Neuromonitoring: Fundamentals to Cutting Edge

Meta Tag

Content Type Presentation

Membership Level Professional

Membership Level Select

Year 2024

Keywords

continuous EEG monitoring

seizure detection

traumatic brain injury

periodic rhythmic patterns

patient outcomes

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