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Continuous EEG Monitoring in the Intensive Care Unit: Technical and Staffing Considerations

Kull, Lewis L.; Emerson, Ronald G.

Journal of Clinical Neurophysiology: April 2005 - Volume 22 - Issue 2 - p 107-118
doi: 10.1097/01.WNP.0000158361.24544.2D
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Continuous EEG monitoring in the intensive care unit (ICU) is superficially similar to that which occurs in the epilepsy monitoring unit, but it also presents unique technical challenges. ICU monitoring imposes an expectation of reliability on EEG recording equipment exceeding that which may be demanded by other settings; performance requirements may also differ. Reliable network connectivity between ICUs and other hospital locations is necessary, as is provision for off-site EEG review and display. Staffing should be adequate to support continuous recording, including performing hookups at off-hours. Selection of electrode number, type, and application method requires weighting of monitoring needs, nursing concerns, and imaging requirements.

Clinical Neurophysiology Laboratories, The Neurological Institute of New York, Comprehensive Epilepsy Center, Columbia University, New York, New York, U.S.A.

Address correspondence and reprint requests to Dr. Ronald G. Emerson, Clinical Neurophysiology Laboratories, The Neurological Institute of New York, Comprehensive Epilepsy Center, Columbia University, 710 W 168th St., New York, NY 10032 U.S.A.; e-mail: rge2@Columbia.edu.

Copyright © 2005 American Clinical Neurophysiology Society