Journal ArticleDOI
Diagnostic yield of electroencephalography in the medical and surgical intensive care unit.
Hooman Kamel,John P. Betjemann,Babak B. Navi,Manu Hegde,Karl Meisel,Vanja C. Douglas,S. Andrew Josephson +6 more
TLDR
In a tertiary care medical and surgical ICU, electrographic seizures were seen on 11 % of cEEGs ordered for the evaluation of encephalopathy, and were associated with worse functional outcomes at discharge, confirming the results of a prior study suggesting a substantial burden of electrog Graphic seizures in critically ill encephalopathic patients.Abstract:
Background
To determine the incidence of electrographic seizures during continuous electroencephalography (cEEG) in the medical and surgical ICU.read more
Citations
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Journal ArticleDOI
Status epilepticus in adults
TL;DR: Substantial further research is needed to enable early identification of status epilepticus and efficacy of anti-epileptic drugs will be important to improve outcomes.
Journal ArticleDOI
Continuous and routine EEG in intensive care: Utilization and outcomes, United States 2005–2009
TL;DR: cEEG is favorably associated with inpatient survival in mechanically ventilated patients, without adding significant charges to the hospital stay, according to a retrospective cross-sectional study conducted using the Nationwide Inpatient Sample.
Journal ArticleDOI
Continuous electroencephalography in a surgical intensive care unit
Pedro Kurtz,Nicolas Gaspard,Anna-Sophia Wahl,Rebecca M. Bauer,Lawrence J. Hirsch,Hannah Wunsch,Jan Claassen +6 more
TL;DR: In this retrospective study of SICU patients with cEEG monitoring for altered mental status, NCSz and periodic discharges were frequent and NCSZ were independently associated with poor outcome.
Journal ArticleDOI
Acute brain failure in severe sepsis: a prospective study in the medical intensive care unit utilizing continuous EEG monitoring.
Emily J. Gilmore,Nicolas Gaspard,Nicolas Gaspard,Huim Ahn Choi,Emily Cohen,Kristin M. Burkart,David H. Chong,Jan Claassen,Lawrence J. Hirsch +8 more
TL;DR: NCS and PD are common in patients with severe sepsis and altered mental status and were not associated with outcome in this study, but lack of reactivity was more frequent in patients on continuous sedation during cEEG.
Journal ArticleDOI
Trends in Status Epilepticus—Related Hospitalizations and Mortality: Redefined in US Practice Over Time
TL;DR: A disconnect exists between the relatively stable status epileptus-related mortality and the marked increase in status epilepticus hospitalizations, likely reflecting an increase instatus epilepticu diagnoses through improved diagnostic sensitivity and changes in billing and coding.
References
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Journal ArticleDOI
Surviving sepsis campaign: international guidelines for management of severe sepsis and septic shock: 2012.
R. P. Dellinger,Mitchell M. Levy,Andrew Rhodes,Djillali Annane,Herwig Gerlach,Steven M. Opal,Jonathan E. Sevransky,Charles L. Sprung,Ivor S. Douglas,Roman Jaeschke,Tiffany M. Osborn,Mark E. Nunnally,Konrad Reinhart,Ruth M. Kleinpell,Derek C. Angus,Clifford S. Deutschman,Flávia Ribeiro Machado,Gordon D. Rubenfeld,Steven A R Webb,Richard Beale,Jean Louis Vincent,Rui Moreno +21 more
TL;DR: An update to the “Surviving Sepsis Campaign Guidelines for Management of Severe Sepsis and Septic Shock,” last published in 2008 is provided.
Journal ArticleDOI
The SOFA (Sepsis-related Organ Failure Assessment) score to describe organ dysfunction/failure. On behalf of the Working Group on Sepsis-Related Problems of the European Society of Intensive Care Medicine.
Jean Louis Vincent,R. Moreno,Jukka Takala,Sheila Willatts,A. de Mendonça,Hajo A. Bruining,C. K. Reinhart,P. M. Suter,L. G. Thijs +8 more
TL;DR: The ESICM developed a so-called sepsis-related organ failure assessment (SOFA) score to describe quantitatively and as objectively as possible the degree of organ dysfunction/failure over time in groups of patients or even in individual patients.
Journal ArticleDOI
Surviving Sepsis Campaign: international guidelines for management of severe sepsis and septic shock: 2008.
R. Phillip Dellinger,Mitchell M. Levy,J. Carlet,Julian Bion,Margaret M. Parker,Roman Jaeschke,Konrad Reinhart,Derek C. Angus,Christian Brun-Buisson,Richard Beale,Thierry Calandra,JF Dhainaut,Herwig Gerlach,Maurene A. Harvey,John J. Marini,John C. Marshall,Marco Ranieri,Graham Ramsay,Jonathan E. Sevransky,B. Taylor Thompson,Sean R. Townsend,Jeffrey S. Vender,Janice L. Zimmerman,Jean Louis Vincent +23 more
TL;DR: In this paper, the authors provide an update to the original Surviving Sepsis Campaign clinical management guidelines for management of severe sepsis and septic shock, published in 2004.
Surviving sepsis campaign: international guidelines for the management of severe sepsis and septic shock: 2008
TL;DR: To provide an update to the original Surviving Sepsis Campaign clinical management guidelines, the GRADE system was used to guide assessment of quality of evidence from high (A) to very low (D) and to determine the strength of recommendations.
Journal ArticleDOI
Surviving Sepsis Campaign: International guidelines for management of severe sepsis and septic shock: 2008 (Intensive Care Medicine (2008) 34, (17-60))
R. Phillip Dellinger,Mitchell M. Levy,Jean Carlet,Julian Bion,Margaret M. Parker,Roman Jaeschke,Konrad Reinhart,Derek C. Angus,Christian Brun-Buisson,Richard Beale,Thierry Calandra,JF Dhainaut,Herwig Gerlach,Maurene A. Harvey,John J. Marini,John C. Marshall,Marco Ranieri,Graham Ramsay,Jonathan E. Sevransky,B. Taylor Thompson,Sean R. Townsend,Jeffrey S. Vender,Janice L. Zimmerman,Jean Louis Vincent +23 more
TL;DR: The Grades of Recommendation, Assessment, Development and Evaluation (GRADE) system was used to guide assessment of quality of evidence from high to very low and to determine the strength of recommendations.
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Lawrence J. Hirsch,Suzette M. LaRoche,Nicholas Gaspard,Elizabeth E. Gerard,Alexandra Svoronos,Susan T. Herman,R. Mani,Hiba Arif,Nathalie Jette,Y. Minazad,J. F. Kerrigan,Paul M. Vespa,Stephen Hantus,Jan Claassen,G. B. Young,Elson L. So,Polina Kaplan,Marc R. Nuwer,Nathan B. Fountain,Frank W. Drislane +19 more