Current practices in epilepsy monitoring units (EMU) in India

Baheti, Neeraj N; Rathore, Chaturbhuj; Bansal, Atma Ram; Kannan, Lakshminarayanan; Gopinath, Siby; Pillai, Anju S.; Jagtap, Sujit; Patil, Sandeep B.; Jabeen, Shaik Afshan; Turaga, Suryaprabha; Jayalakshmi, Sita; Ravat, Sangeeta; Shah, Urvashi; Mani, Jayanti; Singh, Atampreet; Nayak, Dinesh; Prakash, Sanjay; Rana, Kaushik; Khan, Fayaz; Udani, Vrajesh; Murthy, J. M. K.; Radhakrishnan, Kurupath

doi:10.1016/j.seizure.2021.10.004

Cited by 1 publication

(4 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Most studies on EMU patient safety practices across the world have shown that these practices were often heterogeneous between centers. 1,3,[7][8][9][10][11] Differences in EMU structure, patient monitoring, staffing, use of standardized protocols, and general safety measures against injuries all contribute to this heterogeneity. Safety is paramount in the EMU, especially given that patients are often weaned off their medication to precipitate seizures.…”

Section: Discussionmentioning

confidence: 99%

“…1 Undertaken in epilepsy monitoring units (EMUs), LTVEM is used to record seizures for differential diagnosis, classification, and seizure quantification purposes. 2,3 More specific examples of LTVEM's usage include differentiation between epileptic and non-epileptic events, the classification of patients by seizure type or epilepsy syndrome, and the evaluation of drug-resistant PWE for resective brain surgery. 2,4 In the EMU, a combination of strategies is typically used to precipitate seizures so that they may be captured by video-EEG; these strategies include but are not limited to anti-seizure medication tapering, sleep deprivation, and photic stimulation.…”

Section: Introductionmentioning

confidence: 99%

“…7 Previous studies performed in Europe, Israel, the USA, and Canada published before December 2021 have also highlighted critical aspects of patient safety in EMUs and have emphasized the need for safety standards. 1,3,[8][9][10][11] As such, the 2021 ILAE/IFCN guidelines are a welcome step towards optimizing and standardizing EMU safety.…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Patient Safety in Canadian Epilepsy Monitoring Units: A Survey of Current Practices

Nguyen

et al. 2023

Can. J. Neurol. Sci.

View full text Add to dashboard Cite

Background: Guidelines on epilepsy monitoring unit (EMU) standards have been recently published. We aimed to survey Canadian EMUs to describe the landscape of safety practices and compare these to the recommendations from the new guidelines. Methods: A 34-item survey was created by compiling questions on EMU structure, patient monitoring, equipment, personnel, standardized protocol use, and use of injury prevention tools. The questionnaire was distributed online to 24 Canadian hospital centers performing video-EEG monitoring (VEM) in EMUs. Responses were tabulated and descriptively summarized. Results: In total, 26 EMUs responded (100% response rate), 50% of which were adult EMUs. EMUs were on average active for 23.4 years and had on average 3.6 beds. About 81% of respondents reported having a dedicated area for VEM, and 65% reported having designated EMU beds. Although a video monitoring station was available in 96% of EMUs, only 48% of EMUs provided continuous observation of patients (video and/or physical). A total of 65% of EMUs employed continuous heart monitoring. The technologist-to-patient ratio was 1:1–2 in 52% of EMUs during the day. No technologist supervision was most often reported in the evening and at night. Nurse-to-EMU-patient ratio was mostly 1:1–4 independent of the time of day. Consent forms were required before admission in 27% of EMUs. Conclusion: Canadian EMUs performed decently in terms of there being dedicated space for VEM, continuous heart monitoring, and adequate nurse-to-patient ratios. Other practices were quite variable, and adjustments should be made on a case-by-case basis to adhere to the latest guidelines.

show abstract