Consensus statement on continuous EEG in critically Ill adults and children, Part II: Personnel, technical specifications, and clinical practice

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 describes the qualifications and responsibilities of CCEEG personnel including neurodiagnostic technologists and interpreting physicians. The panel outlines required equipment for CCEEG, including electrodes, EEG machine and amplifier specifications, equipment for polygraphic data acquisition, EEG and video review machines, central monitoring equipment, and network, remote access, and data storage equipment. The consensus panel also describes how CCEEG should be acquired, reviewed and interpreted. The panel suggests methods for patient selection and triage; initiation of CCEEG; daily maintenance of CCEEG; electrode removal and infection control; quantitative EEG techniques; EEG and behavioral monitoring by non-physician personnel; review, interpretation, and reports; and data storage protocols. Conclusion: Recommended qualifications for CCEEG personnel and CCEEG technical specifications will facilitate standardization of this emerging technology

Original languageEnglish (US)
Pages (from-to)96-108
Number of pages13
JournalJournal of Clinical Neurophysiology
Volume32
Issue number2
DOIs
StatePublished - Apr 4 2015

Fingerprint

Critical Illness
Electroencephalography
Equipment and Supplies
Information Storage and Retrieval
Critical Care
Electrodes
Neurophysiology
Triage
Advisory Committees
Infection Control
Patient Selection
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

Consensus statement on continuous EEG in critically Ill adults and children, Part II : Personnel, technical specifications, and clinical practice. / 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. 96-108.

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 II: Personnel, technical specifications, and clinical practice', Journal of Clinical Neurophysiology, vol. 32, no. 2, pp. 96-108. https://doi.org/10.1097/WNP.0000000000000165
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 II : Personnel, technical specifications, and clinical practice. In: Journal of Clinical Neurophysiology. 2015 ; Vol. 32, No. 2. pp. 96-108.
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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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