Non-invasive neuromonitoring in intensive care units in Colombia

Blair Ortiz , Sara Lanau , .

Keywords: Monitoring, critical care, electroencephalography, spectrum analysis, oximetry

Abstract

Continuous non-invasive electroencephalographic monitoring is an essential technique for critical care patients as it shows directly and indirectly the patient’s brain activity and makes it possible to relate it with findings in the clinical status. It is highly sensitive, although its specificity is lower, so they can show alterations of the state of consciousness without clarifying the etiology.
Continuous electroencephalographic recording in patients with altered levels of consciousness, seizures, and convulsive and non-convulsive status epilepticus has been increasing in recent years as real-time feedback of the cerebral function shows evolution changes and allows for the identification of electric and subclinical epileptic seizures that are highly important since they do not have clinical correlations.
These findings in electroencephalographic monitoring also help to modify pharmacological and antiseizure treatments. For practitioners, they are advantageous when making timely decisions that impact the prognosis of the patient.

Downloads

Download data is not yet available.

References

Abend N, Chapman K, Gallentine W, Goldstein J, Hyslop A, Loddenkemper T, et al. Electroencephalographic monitoring in the pediatric intensive care unit. Curr Neurol Neurosci Rep. 2013;13:330. https://doi.org/10.1007/s11910-012-0330-3

Sánchez S, Carpenter J, Chapman K, Dlugos D, Gallentine W, Giza C, et al. Pediatric ICU EEG monitoring: Current resources and practice in the United States and Canada. J Clin Neurophysiol. 2013;30:156-60. https://doi.org/10.1097/WNP.0b013e31827eda27

Punjasawadwong Y, Phongchiewboon A, Bunchungmongkol N. Bispectral index for improving anaesthetic delivery and postoperative recovery. Cochrane Database Syst Rev. 2014;2014:CD003843. https://doi.org/10.1002/14651858

Hernández-Hernández M, Iglesias-Posadilla D, Ruiz-Ruiz A, Gómez-Marcos V, Fernández-Torre J. Matriz de densidad espectral de color del BIS bilateral en estado epiléptico. An Pediatr (Barc). 2016;85:44-47. https://doi.org/10.1016/j.anpedi.2015.09.021

Hernández-Hernández M, Fernández-Torre J, Ruiz-Ruiz A, Iglesias-Posadilla D, Gómez-Marcos V, Holanda-Peña M. Utilidad de la matriz de densidad espectral del sistema de índice biespectral bilateral en la monitorización del status epilepticus no convulsivo. Medicina Intensiva. 2014;38:265-7. https://doi.org/10.1016/j.medin.2013.01.01

Glass H, Wusthoff C, Shellhaas R. Amplitude-integrated electroencephalography. J Child Neurol. 2013;28:1342-50. https://doi.org/10.1177/0883073813488663

Buttle S, Lemyre B, Sell E, Redpath S, Bulusu S, Webster R, et al. Combined conventional and amplitude-integrated EEG monitoring in neonates: A prospective study. J Child Neurol. 2019;34:313-20. https://doi.org/10.1177/0883073819829256

Ranucci M, Isgrò G, De La Torre T, Romitti F, Conti D, Carlucci C. Near-infrared spectroscopy correlates with continuous superior vena cava oxygen saturation in pediatric cardiac surgery patients. Paediatr Anaesth. 2008;18:1163-9. https://doi.org/10.1111/j.1460-9592.2008.02783.x

Murkin J, Arango M. Near-infrared spectroscopy as an index of brain and tissue oxygenation. Br J Anaesth. 2009;103:i3-13. https://doi.org/10.1093/bja/aep299

Rasulo FA, Bertuetti RJ. Transcranial doppler and optic nerve sonography. Cardiothorac Vasc Anesth. 2019;33(Suppl.1):S38-S52. https://doi.org/10.1053/j.jvca.2019.03.040

Matta B, Czosnyka M. Transcranial Doppler ultrasonography in anesthesia and neurosurgery. In: Cotrell JE, Patel P, editors. Cottrell and Patel’s Neuroanesthesia. 6th edition. Philadelphia, PA: Elsevier; 2017.

Rasulo FA, Bertuetti R, Robba C, Lusenti F, Cantoni A, Bernini M. The accuracy of transcranial Doppler in excluding intracranial hypertension following acute brain injury: A multicenter prospective pilot study. Crit Care. 2017;21:44. https://doi.org/10.1186/s13054-017-1632-2

Brzan-Simenc G, Ambrozic J, Prokselj K, Tul N, Cvijic M, Mirkovic T, et al. Ocular ultrasonography for diagnosing increased intracranial pressure in patients with severe preeclampsia. Int J Obstet Anesth. 2018;36:49‑55. https://doi.org/10.1016/j.ijoa.2018.06.005

Aaslid R, Markwalder TM, Nornes H. Noninvasive transcranial Doppler ultrasound recording of flow velocity in basal cerebral arteries. J Neurosurg. 1982;57:769-74. https://doi.org/10.1515/9783110847000-032

Bellner, J Romner B, Reinstrup P, Kristiansson KA, Ryding E, Brandt L. Transcranial Doppler sonography pulsatility index (PI) reflects intracranial pressure (ICP). Surg Neurol. 2004;62:45-51. https://doi.org/10.1016/j.surneu.2003.12.007

How to Cite
1.
Ortiz B, Lanau S. Non-invasive neuromonitoring in intensive care units in Colombia. biomedica [Internet]. 2021 Dec. 15 [cited 2024 May 19];41(4):803-9. Available from: https://revistabiomedica.org/index.php/biomedica/article/view/5990
Published
2021-12-15
Section
Update

Altmetric

Article metrics
Abstract views
Galley vies
PDF Views
HTML views
Other views
QR Code