Consensus statement on continuous EEG in critically Ill adults and children, part I: Indications

Susan T. Herman, Nicholas S. Abend, Thomas P. Bleck, Kevin E. Chapman, Frank W. Drislane, Ronald G. Emerson, Elizabeth E. Gerard, Cecil D. Hahn, Aatif M. Husain, Peter W Kaplan, Suzette M. LaRoche, Marc R. Nuwer, Mark Quigg, James J. Riviello, Sarah E. Schmitt, Liberty A. Simmons, Tammy N. Tsuchida, Lawrence J. Hirsch

Research output: Contribution to journalArticle

Abstract

Introduction: Critical Care Continuous EEG (CCEEG) is a common procedure to monitor brain function in patients with altered mental status in intensive care units. There is significant variability in patient populations undergoing CCEEG and in technical specifications for CCEEG performance. Methods: The Critical Care Continuous EEG Task Force of the American Clinical Neurophysiology Society developed expert consensus recommendations on the use of CCEEG in critically ill adults and children. Recommendations: The consensus panel recommends CCEEG for diagnosis of nonconvulsive seizures, nonconvulsive status epilepticus, and other paroxysmal events, and for assessment of the efficacy of therapy for seizures and status epilepticus. The consensus panel suggests CCEEG for identification of ischemia in patients at high risk for cerebral ischemia; for assessment of level of consciousness in patients receiving intravenous sedation or pharmacologically induced coma; and for prognostication in patients after cardiac arrest. For each indication, the consensus panel describes the patient populations for which CCEEG is indicated, evidence supporting use of CCEEG, utility of video and quantitative EEG trends, suggested timing and duration of CCEEG, and suggested frequency of review and interpretation. Conclusion: CCEEG has an important role in detection of secondary injuries such as seizures and ischemia in critically ill adults and children with altered mental status

Original languageEnglish (US)
Pages (from-to)87-95
Number of pages9
JournalJournal of Clinical Neurophysiology
Volume32
Issue number2
DOIs
StatePublished - Apr 4 2015

Fingerprint

Critical Illness
Electroencephalography
Consensus
Seizures
Status Epilepticus
Critical Care
Ischemia
Neurophysiology
Advisory Committees
Coma
Heart Arrest
Brain Ischemia
Consciousness
Population
Intensive Care Units

Keywords

  • Adults
  • Children
  • Critical care
  • EEG
  • EEG monitoring
  • epilepticus
  • Intensive care unit
  • Nonconvulsive seizure
  • Nonconvulsive status
  • Quantitative EEG
  • Seizure
  • Status epilepticus

ASJC Scopus subject areas

  • Clinical Neurology
  • Neurology
  • Physiology
  • Physiology (medical)

Cite this

Herman, S. T., Abend, N. S., Bleck, T. P., Chapman, K. E., Drislane, F. W., Emerson, R. G., ... Hirsch, L. J. (2015). Consensus statement on continuous EEG in critically Ill adults and children, part I: Indications. Journal of Clinical Neurophysiology, 32(2), 87-95. https://doi.org/10.1097/WNP.0000000000000166

Consensus statement on continuous EEG in critically Ill adults and children, part I : Indications. / Herman, Susan T.; Abend, Nicholas S.; Bleck, Thomas P.; Chapman, Kevin E.; Drislane, Frank W.; Emerson, Ronald G.; Gerard, Elizabeth E.; Hahn, Cecil D.; Husain, Aatif M.; Kaplan, Peter W; LaRoche, Suzette M.; Nuwer, Marc R.; Quigg, Mark; Riviello, James J.; Schmitt, Sarah E.; Simmons, Liberty A.; Tsuchida, Tammy N.; Hirsch, Lawrence J.

In: Journal of Clinical Neurophysiology, Vol. 32, No. 2, 04.04.2015, p. 87-95.

Research output: Contribution to journalArticle

Herman, ST, Abend, NS, Bleck, TP, Chapman, KE, Drislane, FW, Emerson, RG, Gerard, EE, Hahn, CD, Husain, AM, Kaplan, PW, LaRoche, SM, Nuwer, MR, Quigg, M, Riviello, JJ, Schmitt, SE, Simmons, LA, Tsuchida, TN & Hirsch, LJ 2015, 'Consensus statement on continuous EEG in critically Ill adults and children, part I: Indications', Journal of Clinical Neurophysiology, vol. 32, no. 2, pp. 87-95. https://doi.org/10.1097/WNP.0000000000000166
Herman, Susan T. ; Abend, Nicholas S. ; Bleck, Thomas P. ; Chapman, Kevin E. ; Drislane, Frank W. ; Emerson, Ronald G. ; Gerard, Elizabeth E. ; Hahn, Cecil D. ; Husain, Aatif M. ; Kaplan, Peter W ; LaRoche, Suzette M. ; Nuwer, Marc R. ; Quigg, Mark ; Riviello, James J. ; Schmitt, Sarah E. ; Simmons, Liberty A. ; Tsuchida, Tammy N. ; Hirsch, Lawrence J. / Consensus statement on continuous EEG in critically Ill adults and children, part I : Indications. In: Journal of Clinical Neurophysiology. 2015 ; Vol. 32, No. 2. pp. 87-95.
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AU - Herman, Susan T.

AU - Abend, Nicholas S.

AU - Bleck, Thomas P.

AU - Chapman, Kevin E.

AU - Drislane, Frank W.

AU - Emerson, Ronald G.

AU - Gerard, Elizabeth E.

AU - Hahn, Cecil D.

AU - Husain, Aatif M.

AU - Kaplan, Peter W

AU - LaRoche, Suzette M.

AU - Nuwer, Marc R.

AU - Quigg, Mark

AU - Riviello, James J.

AU - Schmitt, Sarah E.

AU - Simmons, Liberty A.

AU - Tsuchida, Tammy N.

AU - Hirsch, Lawrence J.

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