The Utility of Conductive Plastic Electrodes in Prolonged ICU EEG Monitoring
Rohit R Dasa b, Brendan P. Luceyc d, Sherry Choud e, Patricio S Espinosac d, Amir A. Zamanid f, Barbara A. Dworetzkyc d, Edward B Bromfieldc d, Jong Woo Leec d✉
- aDivision of Epilepsy, Department of Neurology, Brigham and Women's Hospital and Harvard Medical School, 75 Francis St, Boston, MA 02115, USA
- bDivision of Epilepsy, Department of Neurology, Brigham and Women’s Hospital and Harvard Medical School, Boston, USA
- cDivision of Epilepsy, Department of Neurology, Brigham and Women’s Hospital and Harvard Medical School, 75 Francis St, Boston, MA, 02115, USA
- dHarvard University
- eDivision of Cerebrovascular Diseases and Neurocritical Care, Department of Neurology, Brigham and Women’s Hospital and Harvard Medical School, Boston, MA, USA
- fDivision of Neuroradiology, Department of Radiology, Brigham and Women’s Hospital and Harvard Medical School, Boston, MA, USA
- ✉Corresponding author
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Abstract
We investigated the feasibility and utilization of conductive plastic electrodes (CPEs) in patients undergoing continuous video-electroencephalographic (EEG) monitoring in the intensive care unit (ICU), and assessed the quality of brain magnetic resonance imaging (MRI) and computed tomography (CT) images obtained during this period. A total of 54 patients were monitored. Seizures were recorded in 16 patients. Twenty-five patients had neuroimaging performed with electrodes in place; 15 MRI and 23 CT scans were performed. All patients had excellent quality anatomical images without clinically significant artifacts, and without any signs or symptoms that raised safety concerns. Recording quality of the EEG was indistinguishable to that achieved with standard gold electrodes. The use of CPEs allowed for uninterrupted EEG recording of patients who required urgent neuroimaging, and decreased the amount of time spent by the technologists required to remove and reattach leads.
TL;DRThe use of CPEs allowed for uninterrupted EEG recording of patients who required urgent neuroimaging, and decreased the amount of time spent by the technologists required to remove and reattach leads. (Semantic Scholar)