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Easy to read and well-illustrated, this unique guidebook is written for acute care providers of all backgrounds and skill levels, who may be unfamiliar with basic EEG concepts and dependent on reading EEG reports or remote interpretations. This guide introduces the basics of critical care EEG with an emphasis on the skill of real-time bedside EEG reading (pattern recognition). It is presented in two parts using case-based approaches and is full of clinical tips. Readers will become familiar with common critical care EEG patterns, their significance, and management with relevant reasoning. They will also learn how to make basic bedside EEG interpretations to supplement their clinical neurological exam and better collaborate with EEG readers. A dedicated chapter on quantitative EEG explains this important modality. In short, this book enables the use of critical care EEG as a powerful extension to the clinical assessment of critically ill patients.
The EEG is a simple and widely available neurophysiological test that, if interpreted correctly, can provide valuable insight into the functioning of the brain. However, despite its increasing usage in a range of settings, there is a common misconception that the EEG is inherently difficult to interpret. Compounding the problem is the lack of dedicated training and no standardized approach by encephalographers. This book provides a clear and concise guide to reading and interpreting EEGs in a systematic way. Presented in three sections, the first delivers foundational technical knowledge of how EEGs work, and the second concentrates on a comprehensive, stepwise approach to reading and interpreting an EEG. The third section contains examples of EEGs in common scenarios, such as seizures and post-cardiac arrest, enabling readers to correlate their findings to clinical indications. Heavily illustrated with over 200 example EEGs, this is an essential pocket guide to interpreting these tests.
As the population ages, technology improves, intensive care medicine expands and neurocritical care advances, the use of EEG monitoring in the critically ill is becoming increasingly important. This atlas is a comprehensive yet accessible introduction to the uses of EEG monitoring in the critical care setting. It includes basic EEG patterns seen in encephalopathy, both specific and non-specific, nonconvulsive seizures, periodic EEG patterns, and controversial patterns on the ictal–interictal continuum. Confusing artefacts, including ones that mimic seizures, are shown and explained, and the new standardized nomenclature for these patterns is included. The Atlas of EEG in Critical Care explains the principles of technique and interpretation of recordings and discusses the techniques of data management, and 'trending' central to long-term monitoring. It demonstrates applications in multi-modal monitoring, correlating with new techniques such as microdialysis, and features superb illustrations of commonly observed neurologic events, including seizures, hemorrhagic stroke and ischaemia. This atlas is written for practitioners, fellows and residents in critical care medicine, neurology, epilepsy and clinical neurophysiology, and is essential reading for anyone getting involved in EEG monitoring in the intensive care unit.
This book is designed to meet the need for a practically oriented textbook on the rapidly growing field of continuous EEG (cEEG) monitoring. A wide range of key clinical aspects are addressed, with explanation of status epilepticus classification, criteria for institution of monitoring, seizure patterns and their recognition, quantitative EEG analysis, and neuroimaging in patients undergoing cEEG monitoring. The value of cEEG and the nature of cEEG findings in various special situations are then reviewed, covering particular pathologies, critical care considerations, and prognostication. Treatments of nonconvulsive status epilepticus (NCSE) and nonconvulsive seizures (NCS) are discussed. The concluding section is devoted to important administrative issues including billing, staffing issues, comparison of EEG machines, and information technology (IT) issues.Continuous EEG monitoring offers the only reliable means of detecting seizures that are not clinically obvious in critically ill patients. Such seizures are common: approximately 20% of patients undergoing cEEG monitoring in hospital have NCSE or NCS. Against this background, many hospitals have started to offer cEEG monitoring as a basis for delivery of appropriate treatment. By presenting the state of the art in cEEG monitoring, this book will be invaluable to practitioners including neurophysiologists, neurologists, neurointensivists, intensivists, neurophysiology and epilepsy fellows, and neurology residents.
Atlas of Pediatric and Neonatal ICU EEG is the first and only atlas to provide a comprehensive overview of the EEG patterns encountered in critically ill neonates and children, with emphasis on their significance and implications for patient care. EEG monitoring is an essential component of neurocritical care, and the patterns seen in critically ill children and neonates are often distinctly different from those found in critically ill adults or encountered in an epilepsy monitoring unit or outpatient neurophysiology laboratory. This resource provides expert guidance in the interpretation of neonatal and pediatric critical care EEG with hundreds of examples and detailed descriptions to enhance understanding and facilitate better outcomes for EEG monitoring in children. The chapters begin by addressing the basics of each topic before focusing on specific EEG patterns and their relevance to a particular disease state. Dedicated chapters on rhythmic and periodic patterns, status epilepticus, quantitative EEG analysis, and multimodality monitoring provide a thorough grounding in ICU EEG skills and applications. The book concludes with a series of thirteen cases illustrating common scenarios to help clinicians apply lessons learned. 140 board-style questions targeting information covered on the epilepsy and clinical neurophysiology boards is included online along with 12 videos that further amplify chapter content. Incorporating the most recent American Clinical Neurophysiology Society guidelines for critical care EEG monitoring in neonates and children, this evidence-based atlas will be a trusted reference for critical care clinicians, neurologists, epileptologists, and other providers who care for critically ill neonates and children. Key Features: Detailed descriptions of the indications for and utility of ICU EEG monitoring in neonatal and pediatric patients Over 270 images of neonatal and pediatric ICU EEGs with explanations of key features Illustrative cases, board-style review questions with rationales, and videos facilitate understanding and application of the material covered in the images and text Takeaway points included at the end of chapters underscore essential information
Atlas of Intensive Care Quantitative EEG is the first resource fully dedicated to quantitative EEG (QEEG) analysis, tailored to any physician or EEG technologist who works with critically ill patients. With the rise of continuous EEG monitoring in intensive care, clinicians are increasingly called on to make real-time clinical judgments with little formal guidance on how to interpret QEEG. This book is configured to meet daily practice challenges. It addresses not only technical fundamentals but also provides numerous examples of signature QEEG patterns and artifacts to instruct both untrained and experienced eyes. Comprehensive in scope, this unique atlas walks the reader from essential principles all the way through to practical pattern recognition. With full-page reference samples pairing raw EEG with quantitative EEG spectrograms, brief clinical vignettes, and explanatory captions noting significant features, this book provides a roadmap for understanding and applying QEEG data in critically ill patients. Unrivaled in the breadth of its coverage and level of detail, its thorough discussions of both normal and abnormal findings and QEEG artifacts set the standard for effective use of quantitative electroencephalography and trend analysis in the ICU. Complete with a broad range of patterns and page after page of full-color samples, this book is designed to be the authoritative QEEG reference for neurologists, intensivists, technologists, and trainees working in critical care settings. Key Features: Includes full spectrum of abnormal ICU QEEG findings with multiple examples of each pattern to assist readers in recognizing the range of findings encountered in clinical practice Contains more than 400 full-page vivid color QEEG examples paired with raw EEG to build interpretive skills and enhance clinical decision-making Concise presentation of fundamental principles of QEEG Detailed analysis of QEEG artifacts that can be mistaken for abnormal findings
A trusted resource for anyone involved in EEG interpretation, this compact handbook is designed for on-the-go reference. Covering the essential components of EEG in clinical practice, the book provides graphic examples of classic EEG presentations with essential text points of critical information to enhance reading skills to aid in improving patient outcomes. Authored by prominent experts in clinical neurophysiology, this second edition is updated to reflect current advances in ICU and intraoperative monitoring and includes new chapters on polysomnography, status epilepticus, and pediatric EEG. The Handbook of EEG Interpretation, Second Edition fits in a lab coat pocket to facilitate immediate information retrieval during bedside, OR, ER, and ICU EEG interpretation. It is divided into eight sections that cover all major EEG topics including normal and normal variants, epileptiform and nonepileptiform abnormalities, seizures and status epilepticus, ICU EEG, sleep, and intraoperative monitoring. Each chapter highlights the principal challenges involved with a particular type of EEG interpretation. Consistently formatted and packed with practical tips, this handbook is a highly useful tool for residents, fellows, clinicians, and neurophysiology technologists looking for quick and reliable EEG information, regardless of specialty or level of training. Key Features of Handbook of EEG Interpretation, Second Edition: Updated and expanded to reflect advances in clinical EEG applications, including three new dedicated chapters Addresses all areas of EEG interpretation in a concise, pocket-sized, easy-to-access format Provides organized information and a visual approach to identifying EEG waveforms and understanding their clinical significance Presents information consistently for structured review and rapid retrieval Includes practical tips by notable experts throughout "...Large variety of subjects, good diagrams, thoroughly researched data....The book would make a good addition to a departmental or personal library." --American Journal of Electroneurodiagnostic Technology "...[H]elpful for neurology residents and fellows who are learning EEG interpretation or who need to make decisions while on call at the hospitalÖ" --Doody's Reviews
A panel of international ICU and epilepsy physicians and researchers detail the epileptic phenomena that occur in the complex environment of the ICU. Focusing on the central nervous system, the authors systematically examine the most up-to-date evidenced-based data regarding ICU seizures, including their most frequent causes, their pathophysiology, their clinical presentation, and the diagnostic evaluation needed to confirm their presence. They also discuss the challenges and specifics of the management of ICU seizures, reviewing the new antiepileptics and their interaction with other ICU medications, drugs with epileptogenic properties used in the ICU, and the role of the new enterally available antiepileptics in treating seizures. Numerous tables summarize drug interactions, neuroimages reveal common ICU seizure etiologies, and multiple electroencephalographic recordings demonstrate clinical or subclinical seizures in ICU patients.
The leading reference on electroencephalography since 1982, Niedermeyer's Electroencephalography is now in its thoroughly updated Sixth Edition. An international group of experts provides comprehensive coverage of the neurophysiologic and technical aspects of EEG, evoked potentials, and magnetoencephalography, as well as the clinical applications of these studies in neonates, infants, children, adults, and older adults. This edition's new lead editor, Donald Schomer, MD, has updated the technical information and added a major new chapter on artifacts. Other highlights include complete coverage of EEG in the intensive care unit and new chapters on integrating other recording devices with EEG; transcranial electrical and magnetic stimulation; EEG/TMS in evaluation of cognitive and mood disorders; and sleep in premature infants, children and adolescents, and the elderly. A companion website includes fully searchable text and image bank.
Why consult encyclopedic references when you only need the essentials? Practical Approach to Electroencephalography, by Mark H. Libenson, MD, equips you with just the right amount of guidance you need for obtaining optimal EEG results! It presents a thorough but readable guide to EEGs, explaining what to do, what not to do, what to look for, and how to interpret the results. It also goes beyond the technical aspects of performing EEGs by providing case studies of the neurologic disorders and conditions in which EEGs are used, making this an excellent learning tool. Abundant EEG examples throughout help you to recognize normal and abnormal EEGs in all situations. - Presents enough detail and answers to questions and problems encountered by the beginner and the non-expert. - Uses abundant EEG examples to help you recognize normal and abnormal EEGs in all situations. - Provides expert pearls from Dr. Libenson that guide you in best practices in EEG testing. - Features a user-friendly writing style from a single author that makes learning easy. - Examines the performance of EEGs—along with the disorders for which they're performed—for a resource that considers the patient and not just the technical aspects of EEGs. - Includes discussions of various disease entities, like epilepsy, in which EEGs are used, as well as other special issues, to equip you to handle more cases.