Simma, Leopold; Romano, Fabrizio; Schmidt, Steffen; Ramantani, Georgia; Bölsterli, Bigna K (2023). Integrating Neuromonitoring in Pediatric Emergency Medicine: Exploring Two Options for Point-of-Care Electroencephalogram (pocEEG) via Patient Monitors-A Technical Note. Journal of personalized medicine, 13(9) MDPI 10.3390/jpm13091411
|
Text
jpm-13-01411-v2.pdf - Published Version Available under License Creative Commons: Attribution (CC-BY). Download (12MB) | Preview |
Central nervous system (CNS) disorders are among the most frequent presentations in critically ill children. Status epilepticus (SE) is a frequent scenario in the resuscitation bay. In patients with altered mental status, non-convulsive SE (NCSE) is often underrecognized and critically impacts the neurological outcome and duration of hospitalization. An electroencephalogram (EEG) is required to diagnose NCSE. However, standard EEG recordings are time- and staff-intensive, and their availability is limited, especially outside regular working hours. We aimed to improve patient care by developing a simplified EEG recording method, using a reduced lead montage (point-of-care EEG-pocEEG), that is suitable for use in pediatric emergency departments. The objective was to devise a cost-effective unit with low space requirements that fitted the existing technical infrastructure. We present two technical options for clinical pocEEG acquisition using patient monitors (GE Carescape, Philips IntelliVue) that enable data collection for educational and research purposes. A simplified, rapid response EEG like the pocEEG enables neuromonitoring of patients with CNS disorders in pediatric emergency settings, facilitating timely diagnosis and treatment initiation when standard EEG is not readily available.
Item Type: |
Journal Article (Original Article) |
|---|---|
Division/Institute: |
04 Faculty of Medicine > Department of Gynaecology, Paediatrics and Endocrinology (DFKE) > Clinic of Paediatric Medicine > Notfallzentrum für Kinder und Jugendliche 04 Faculty of Medicine > Department of Gynaecology, Paediatrics and Endocrinology (DFKE) > Clinic of Paediatric Medicine |
UniBE Contributor: |
Romano, Fabrizio, Schmidt, Steffen |
Subjects: |
600 Technology > 610 Medicine & health |
ISSN: |
2075-4426 |
Publisher: |
MDPI |
Language: |
English |
Submitter: |
Pubmed Import |
Date Deposited: |
02 Oct 2023 15:15 |
Last Modified: |
02 Oct 2023 15:24 |
Publisher DOI: |
10.3390/jpm13091411 |
PubMed ID: |
37763178 |
Uncontrolled Keywords: |
altered mental status electroencephalogram emergency department non-convulsive status epilepticus pediatric emergency medicine point-of-care EEG rapid response EEG reduced lead electroencephalogram simplified electroencephalogram status epilepticus |
BORIS DOI: |
10.48350/186757 |
URI: |
https://boris.unibe.ch/id/eprint/186757 |
Actions (login required)
 |
Edit item |