Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học General Psychiatry cung cấp cho các bạn kiến thức về ngành y đề tài: Role of bedside electroencephalography in the adult intensive care unit during therapeutic neuromuscular blockade. | Available online http content 1 1 15 Research Role of bedside electroencephalography in the adult intensive care unit during therapeutic neuromuscular blockade David Crippen University of Pittsburgh Medical Center Surgical ICU St Francis Medical Center Pittsburgh PA 15201 USA. Received 25 September 1996 Revisions requested 22 November 1996 Revisions received 25 November 1996 Accepted 14 January 1997 Published 13 August 1997 1997 Current Science Ltd Print ISSN 1364-8535 Online ISSN 1466-609X Crit Care 1997 1 15 Abstract Background Size weight and technical difficulties limit the use of ponderous strip chart electroencephalographs EEGs for real time evaluation of brain wave function in modern intensive care units ICUs . Portable computer processed bedside EEGs provide real time brain wave appraisal for some brain functions during therapeutic neuromuscular blockade when the visual clues of the cerebral function disappear. Results Critically ill ICU patients are frequently placed in suspended animation by neuromuscular blockade to improve hemodynamics in severe organ system failure. Using the portable bedside EEG monitor several cerebral functions were monitored continuously during sedation of selected patients in our ICU. Conclusions The processed EEG is able to continuously monitor the end result of some therapeutics at the neuronal level when natural artifacts are suppressed or eliminated by neuromuscular blockade. Computer processed EEG monitoring may be the only objective method of assessing and controlling sedation during therapeutic musculoskeletal paralysis. Keywords brain wave electroencephalograph ICU monitoring sedation neuromuscular blockade Introduction Aggressive methods of decreasing oxygen consumption such as therapeutic musculoskeletal blockade are used for patients with marginal oxygen delivery associated with cardiac and respiratory insufficiency. This is especially true during exotic mechanical ventilation methods designed to increase .
