Book contents
- Critical Care EEG Basics
- Critical Care EEG Basics
- Copyright page
- Dedication
- Contents
- Foreword
- Preface
- Acknowledgments
- How to Read This Book
- Part I Introduction
- Chapter 1 EEG Basics
- Chapter 2 Indications
- Chapter 3 Real-Time Bedside EEG Reading
- Chapter 4 Recognizing Artifacts and Medication Effects
- Chapter 5 Epileptiform Discharges, Seizures, and Status Epilepticus
- Chapter 6 Rhythmic and Periodic Patterns (RPPs) and the Ictal‐Interictal Continuum (IIC)
- Chapter 7 Post–Cardiac Arrest EEG
- Chapter 8 Quantitative EEG (EEG Trend Analysis)
- Part II Case-Based Approach to Specific Conditions
- Appendix Understanding EEG Reports
- Index
- References
Chapter 3 - Real-Time Bedside EEG Reading
from Part I - Introduction
Published online by Cambridge University Press: 22 February 2024
- Critical Care EEG Basics
- Critical Care EEG Basics
- Copyright page
- Dedication
- Contents
- Foreword
- Preface
- Acknowledgments
- How to Read This Book
- Part I Introduction
- Chapter 1 EEG Basics
- Chapter 2 Indications
- Chapter 3 Real-Time Bedside EEG Reading
- Chapter 4 Recognizing Artifacts and Medication Effects
- Chapter 5 Epileptiform Discharges, Seizures, and Status Epilepticus
- Chapter 6 Rhythmic and Periodic Patterns (RPPs) and the Ictal‐Interictal Continuum (IIC)
- Chapter 7 Post–Cardiac Arrest EEG
- Chapter 8 Quantitative EEG (EEG Trend Analysis)
- Part II Case-Based Approach to Specific Conditions
- Appendix Understanding EEG Reports
- Index
- References
Summary
When evaluating a patient on continuous EEG monitoring at the bedside, the two fundamental questions a reader must ask themselves are: a) is the patient encephalopathic? and b) if so, is this due to epileptiform activity or seizures? This chapter describes a simple method of rapid bedside EEG interpretation using three easy steps. The first step is to analyze the background for continuity, symmetry, voltage, and the presence of a posterior dominant rhythm. The second step involves searching for abnormal waveforms, such as slow or sharp waves, and the third step involves recognizing artifacts. Sharp waves are associated with seizure activity. Finally, the chapter also describes the significance and method for testing reactivity and grading the severity of encephalopathy.
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- Critical Care EEG BasicsRapid Bedside EEG Reading for Acute Care Providers, pp. 24 - 40Publisher: Cambridge University PressPrint publication year: 2024