Sensory evoked responses in the intensive care unit.
Within the past decade, sensory evoked responses (SERs) have been increasingly applied in acute brain injury. In this paper, we present the rationale for this clinical application and discuss principles and practices that are important for successful measurement and interpretation of sensory evoked responses (SERs) in the intensive care unit. Fundamentals of pathophysiology and management of acute brain injury are reviewed. Varied uses of SERs in brain-injured children and adults are illustrated with case reports. Our experience suggests that SER measurement in acute brain injury is clinically challenging yet rewarding. We conclude that, with sufficient preparation, the audiologist can assume an important position on the intensive care unit team in acute management of brain injury.
D000293:Adolescent; D000328:Adult; D001925:Brain Damage, Chronic / Q000175:diagnosis* / Q000503:physiopathology; D001926:Brain Death; D001930:Brain Injuries / Q000175:diagnosis*; D001933:Brain Stem / Q000503:physiopathology; D002648:Child; D002675:Child, Preschool; D003128:Coma / Q000175:diagnosis; D004569:Electroencephalography; D005072:Evoked Potentials, Auditory; D005073:Evoked Potentials, Somatosensory; D005074:Evoked Potentials, Visual; D005260:Female; D006319:Hearing Loss, Sensorineural / Q000175:diagnosis; D006801:Humans; D006849:Hydrocephalus / Q000175:diagnosis; D007223:Infant; D007362:Intensive Care Units; D008297:Male; D011930:Reaction Time / Q000502:physiology; D013345:Subarachnoid Hemorrhage / Q000175:diagnosis; D014057:Tomography, X-Ray Computed