Status epilepticus in the ICU

Rossetti, Andrea O.; Claassen, Jan; Gaspard, Nicolas

doi:10.1007/s00134-023-07263-w

Cited by 3 publications

(1 citation statement)

References 109 publications

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“…Seizure detection (Fig. 1b) Up to 15% of ICU patients with impaired consciousness of unclear cause may have nonconvulsive seizures [8]. Ideally, their detection should be made through continuous EEG monitoring using a standard 21-electrode montage system applied by a trained technician.…”

Section: Future Applicationsmentioning

confidence: 99%

Broad use of processed EEG: ready for prime time yet?

Rasulo,

Claassen,

Romagnoli

2024

Intensive Care Med

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Section: Future Applicationsmentioning

confidence: 99%

Broad use of processed EEG: ready for prime time yet?

Rasulo,

Claassen,

Romagnoli

2024

Intensive Care Med

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Editorial: The neurologist's guide to the ICU galaxy

Sharshar

2024

Current Opinion in Critical Care

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Neurological assessment has become a major dimension of the practice of intensive care physicians. First of all, many patients are admitted to an intensive care unit (ICU) for a neurological cause. Thus, coma remains one of the most frequent reasons for admission to intensive care. Status epilepticus [1,2] and autoimmune encephalitis [3] are undoubtedly the neuro-critical care pathologies which have attracted the most interest in recent years.The neurological component of intensive care patients has become increasingly predominant for essentially two reasons. Due to the aging of the general population, patients with neurological comorbidities, such as a neurodegenerative disease, are more and more often admitted to intensive care.

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Acute encephalopathy in the ICU: a practical approach

Kurtz,

van den Boogaard,

Girard

et al. 2024

Current Opinion in Critical Care

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Purpose of review Acute encephalopathy (AE) – which frequently develops in critically ill patients with and without primary brain injury – is defined as an acute process that evolves rapidly and leads to changes in baseline cognitive status, ranging from delirium to coma. The diagnosis, monitoring, and management of AE is challenging. Here, we discuss advances in definitions, diagnostic approaches, therapeutic options, and implications to outcomes of the clinical spectrum of AE in ICU patients without primary brain injury. Recent findings Understanding and definitions of delirium and coma have evolved. Delirium is a neurocognitive disorder involving impairment of attention and cognition, usually fluctuating, and developing over hours to days. Coma is a state of unresponsiveness, with absence of command following, intelligible speech, or visual pursuit, with no imaging or neurophysiological evidence of cognitive motor dissociation. The CAM-ICU(−7) and the ICDSC are validated, guideline-recommended tools for clinical delirium assessment, with identification of clinical subtypes and stratification of severity. In comatose patients, the roles of continuous EEG monitoring and neuroimaging have grown for the early detection of secondary brain injury and treatment of reversible causes. Summary Evidence-based pharmacologic treatments for delirium are limited. Dexmedetomidine is effective for mechanically ventilated patients with delirium, while haloperidol has minimal effect of delirium but may have other benefits. Specific treatments for coma in nonprimary brain injury are still lacking.

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Status epilepticus in the ICU

Cited by 3 publications

References 109 publications

Broad use of processed EEG: ready for prime time yet?

Broad use of processed EEG: ready for prime time yet?

Editorial: The neurologist's guide to the ICU galaxy

Acute encephalopathy in the ICU: a practical approach

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