Use of bispectral index EEG monitoring for a fast and reliable detection of epileptic activity in postcardiac arrest patients

J Haesen,L Ernon,J Demeestere,C De Deyne,L Desteghe,C Genbrugge,I Meex,J Dens

doi:10.1186/cc14514

J Haesen, L Ernon + Show 6 more

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https://doi.org/10.1186/cc14514

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Journal: Critical Care	Publication Date: Jan 1, 2015
Citations: 1	License type: cc-by

Affiliation: Hasselt University, Ziekenhuis Oost-Limburg

Abstract

Assessment of prognosis in postcardiac arrest (post-CA) patients became very challenging since the Introduction of therapeutic hypothermia (TH). Continuous EEG monitoring has been proposed to improve prognostication; however, its use is limited due to difficulties in ready interpretation. Thus emerges the need for a simple EEG montage. The bispectral index (BIS) monitor is a simplified EEG system, mainly calculating an index ranging from 0 (isoelectric EEG) to 100 (full consciousness) to provide information on hypnotic depth of anaesthesia. The aim of the study was to validate the accuracy of simplified EEG monitoring in a CA setting.

Highlights

To assess cerebral hemodynamics in an experimental sepsis model
Healthy bowel function is an important factor when judging the advisability of early enteral nutrition in critically ill patients
The study was a prospective, observational pilot study conducted in our hospital

Summary

Introduction

To assess cerebral hemodynamics in an experimental sepsis model. Healthy bowel function is an important factor when judging the advisability of early enteral nutrition in critically ill patients, Methods The study was a prospective, observational pilot study conducted in our hospital. The aim of this study is to demonstrate the ICU costs, in a private hospital, in patients admitted with severe sepsis and septic shock. We investigated the diagnostic and prognostic value of initial lactate and procalcitonin levels and their kinetics within the ICU stay for prediction of positive blood cultures and fatal outcome in a well characterized cohort of sepsis patients in a US critical care setting. Sepsis is the main cause of admission to the ICU and is associated with elevated mortality rates and healthcare costs In this population, specific factors such as poor functional status and immunosuppression secondary to malignancy and/or antineoplastic treatment contribute to decreased survival.

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