title: The utility of conductive plastic electrodes in prolonged ICU EEG monitoring.
abstract: We investigated the feasibility and utilization of conductive plastic electrodes (CPEs) in patients undergoing continuous video-electroencephalographic (EEG) monitoring in the intensive care unit (ICU), and assessed the quality of brain magnetic resonance imaging (MRI) and computed tomography (CT) images obtained during this period. A total of 54 patients were monitored. Seizures were recorded in 16 patients. Twenty-five patients had neuroimaging performed with electrodes in place; 15 MRI and 23 CT scans were performed. All patients had excellent quality anatomical images without clinically significant artifacts, and without any signs or symptoms that raised safety concerns. Recording quality of the EEG was indistinguishable to that achieved with standard gold electrodes. The use of CPEs allowed for uninterrupted EEG recording of patients who required urgent neuroimaging, and decreased the amount of time spent by the technologists required to remove and reattach leads.
authors.affiliation: Division of Epilepsy, Department of Neurology, Brigham and Women's Hospital and Harvard Medical School, 75 Francis St, Boston, MA 02115, USA.
authors.forename: Rohit R
authors.initials: RR
authors.lastname: Das
authors.forename: Brendan P
authors.initials: BP
authors.lastname: Lucey
authors.forename: Sherry H-Y
authors.initials: SH
authors.lastname: Chou
authors.forename: Patricio S
authors.initials: PS
authors.lastname: Espinosa
authors.forename: Amir A
authors.initials: AA
authors.lastname: Zamani
authors.forename: Barbara A
authors.initials: BA
authors.lastname: Dworetzky
authors.forename: Edward B
authors.initials: EB
authors.lastname: Bromfield
authors.forename: Jong Woo
authors.initials: JW
authors.lastname: Lee
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D016477:Artifacts; D001927:Brain Diseases / Q000000981:diagnostic imaging / Q000473:pathology / Q000503:physiopathology*; D015331:Cohort Studies; D003422:Critical Care; D004566:Electrodes; D004569:Electroencephalography / Q000295:instrumentation*; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D010969:Plastics; D012189:Retrospective Studies; D014057:Tomography, X-Ray Computed; D055815:Young Adult
chemical_list: D010969:Plastics