Abstract
In the last couple of decades, the intensive care unit (ICU) environment is experiencing a revolutionary metamorphosis in terms of integration of electrophysiological tools for diagnosis and therapeutic management. Patients with brain dysfunction in the ICU are frequently admitted and managed, either following primary (e.g., hypoxic-ischemic encephalopathy following cardiac arrest, hemorrhage, traumatic injury, status epilepticus) or secondary (e.g., sepsis, prolonged sedation, multiorgan failure) insults to the central nervous system. This implies not only enhanced awareness regarding the specificities of these challenging conditions, including highly trained technicians, specialized nurses, and medical staff, but also implementation of user-friendly, convenient, and reliable technical setups.
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References
Claassen J, Taccone FS, Horn P, Holtkamp M, Stocchetti N, Oddo M (2013) Recommendations on the use of EEG monitoring in critically ill patients: consensus statement from the neurointensive care section of the ESICM. Intensive Care Med 39:1337–1351
Ely EW, Shintani A, Truman B, Speroff T, Gordon SM, Harrell FE Jr, Inouye SK, Bernard GR, Dittus RS (2004) Delirium as a predictor of mortality in mechanically ventilated patients in the intensive care unit. JAMA 291:1753–1762
Foreman B, Claassen J (2012) Quantitative EEG for the detection of brain ischemia. Crit Care 16:216
Friedman D, Claassen J, Hirsch LJ (2009) Continuous electroencephalogram monitoring in the intensive care unit. Anesth Analg 109:506–523
Girard TD, Jackson JC, Pandharipande PP, Pun BT, Thompson JL, Shintani AK, Gordon SM, Canonico AE, Dittus RS, Bernard GR, Ely EW (2010) Delirium as a predictor of long-term cognitive impairment in survivors of critical illness. Crit Care Med 38:1513–1520
Huff JS, Stevens RD, Weingart SD, Smith WS (2012) Emergency neurological life support: approach to the patient with coma. Neurocrit Care 17(Suppl 1):S54–S59
Kurtz P, Gaspard N, Wahl AS, Bauer RM, Hirsch LJ, Wunsch H, Claassen J (2014) Continuous electroencephalography in a surgical intensive care unit. Intensive Care Med 40(2):228–234
Oddo M, Rossetti AO (2011) Predicting neurological outcome after cardiac arrest. Curr Opin Crit Care 17:254–259
Oddo M, Carrera E, Claassen J, Mayer SA, Hirsch LJ (2009) Continuous electroencephalography in the medical intensive care unit. Crit Care Med 37:2051–2056
Oddo M, Villa F, Citerio G (2012) Brain multimodality monitoring: an update. Curr Opin Crit Care 18:111–118
Pandharipande P, Shintani A, Peterson J, Pun BT, Wilkinson GR, Dittus RS, Bernard GR, Ely EW (2006) Lorazepam is an independent risk factor for transitioning to delirium in intensive care unit patients. Anesthesiology 104:21–26
Pandharipande PP, Girard TD, Jackson JC, Morandi A, Thompson JL, Pun BT, Brummel NE, Hughes CG, Vasilevskis EE, Shintani AK, Moons KG, Geevarghese SK, Canonico A, Hopkins RO, Bernard GR, Dittus RS, Ely EW, Investigators B-IS (2013) Long-term cognitive impairment after critical illness. N Engl J Med 369:1306–1316
Rossetti AO, Lowenstein DH (2011) Management of refractory status epilepticus in adults: still more questions than answers. Lancet Neurol 10:922–930
Rossetti AO, Oddo M (2010) The neuro-ICU patient and electroencephalography paroxysms: if and when to treat. Curr Opin Crit Care 16(2):105–109
Sonneville R, Verdonk F, Rauturier C, Klein IF, Wolff M, Annane D, Chretien F, Sharshar T (2013) Understanding brain dysfunction in sepsis. Ann Intensive Care 3:15
Stevens RD, Bhardwaj A (2006) Approach to the comatose patient. Crit Care Med 34:31–41
Taccone FS, Cronberg T, Friberg H, Greer D, Horn J, Oddo M, Scolletta S, Vincent JL (2014) How to assess prognosis after cardiac arrest and therapeutic hypothermia. Crit Care 18:202
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Oddo, M. (2015). Acute Coma in the Intensive Care Unit. In: Rossetti, A., Laureys, S. (eds) Clinical Neurophysiology in Disorders of Consciousness. Springer, Vienna. https://doi.org/10.1007/978-3-7091-1634-0_1
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DOI: https://doi.org/10.1007/978-3-7091-1634-0_1
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