Skip to main content Accessibility help
×
Hostname: page-component-78c5997874-mlc7c Total loading time: 0 Render date: 2024-11-16T11:15:12.413Z Has data issue: false hasContentIssue false

Chapter 3 - Logistics of Neuromonitoring

from Part I - General Considerations in Neuromonitoring

Published online by Cambridge University Press:  08 September 2022

Cecil D. Hahn
Affiliation:
The Hospital for Sick Children, University of Toronto
Courtney J. Wusthoff
Affiliation:
Lucile Packard Children’s Hospital, Stanford University
Get access

Summary

Starting an ICU neuromonitoring program requires in-depth logistical planning prior to initiation. Seemingly small changes to continuous EEG monitoring practices may have a striking impact on resource availability and utilization. Essential decisions include what patient populations are to be monitored and for how long, as well as how often EEG data will be reviewed and by whom. Consideration must be given to which equipment to purchase and the personnel required to handle it. Involving the entire team early in logistical planning -- including EEG readers (attending physicians and trainees), pediatric neurologists, neonatal and pediatric intensivists and nurses, neurodiagnostic technologists, neurodiagnostic laboratory team and hospital administrators -- will help identify possible flaws in the implementation plan and avoid costly financial decisions or committing to practices that resources will not support. Functioning as a multidisciplinary team is essential for the long-term success of an ICU neuromonitoring program. This chapter details practical considerations for establishing and leading an ICU neuromonitoring program.

Type
Chapter
Information
Publisher: Cambridge University Press
Print publication year: 2022

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Abend, NS, Topjian, AA, Williams, S. Could EEG monitoring in critically ill children be a cost-effective neuroprotective strategy? J Clin Neurophysiol. 2015;32(6):486–94.CrossRefGoogle ScholarPubMed
Gutierrez-Colina, AM, Topjian, AA, Dlugos, DJ, Abend, NS. Electroencephalogram monitoring in critically ill children: indications and strategies. Pediatr Neurol. 2012;46(3):158–61.CrossRefGoogle ScholarPubMed
Sanchez, SM, Carpenter, J, Chapman, KE, et al. Pediatric ICU EEG monitoring: current resources and practice in the United States and Canada. J Clin Neurophysiol. 2013;30(2):156–60.CrossRefGoogle ScholarPubMed
Herman, ST, Abend, NS, Bleck, TP, et al. Consensus statement on continuous EEG in critically ill adults and children, part I: indications. J Clin Neurophysiol. 2015;32(2):8795.CrossRefGoogle ScholarPubMed
Herman, ST, Abend, NS, Bleck, TP, et al. Consensus statement on continuous EEG in critically ill adults and children, part II: personnel, technical specifications, and clinical practice. J Clin Neurophysiol. 2015;2(2):96108.CrossRefGoogle Scholar
Shellhaas, RA, Chang, T, Tsuchida, T, et al. The American Clinical Neurophysiology Society’s Guideline on Continuous Electroencephalography Monitoring in Neonates. J Clin Neurophysiol. 2011;28(6):611–17.Google Scholar

Save book to Kindle

To save this book to your Kindle, first ensure [email protected] is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×