title: Electroencephalographic monitoring in the pediatric intensive care unit.
abstract: Continuous electroencephalographic (CEEG) monitoring is used with increasing frequency in critically ill children to provide insight into brain function and to identify electrographic seizures. CEEG monitoring use often impacts clinical management, most often by identifying electrographic seizures and status epilepticus. Most electrographic seizures have no clinical correlate, and thus would not be identified without CEEG monitoring. There are increasing data showing that electrographic seizures and electrographic status epilepticus are associated with worse outcome. Seizure identification efficiency may be improved by further development of quantitative electroencephalography trends. This review describes the clinical impact of CEEG data, the epidemiology of electrographic seizures and status epilepticus, the impact of electrographic seizures on outcome, the utility of quantitative electroencephalographic trends for seizure identification, and practical considerations regarding CEEG monitoring.
authors: Division of Neurology, The Children's Hospital of Philadelphia, The Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA. abend@email.chop.edu
authors: Nicholas S
authors: NS
authors: Abend
authors: Kevin E
authors: KE
authors: Chapman
authors: William B
authors: WB
authors: Gallentine
authors: Joshua
authors: J
authors: Goldstein
authors: Ann E
authors: AE
authors: Hyslop
authors: Tobias
authors: T
authors: Loddenkemper
authors: Kendall B
authors: KB
authors: Nash
authors: James J
authors: JJ
authors: Riviello
authors: Cecil D
authors: CD
authors: Hahn
mesh_terms: D002648:Child; D003422:Critical Care / Q000379:methods / Q000639:trends; D004569:Electroencephalography / Q000639:trends*; D006801:Humans; D015278:Intensive Care Units, Pediatric / Q000639:trends*; D008991:Monitoring, Physiologic / Q000379:methods* / Q000639:trends; D013226:Status Epilepticus / Q000175:diagnosis* / Q000453:epidemiology / Q000503:physiopathology*