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Neuromonitoring is a shared responsibility in the ICU with several key roles for bedside nursing staff, including the identification and reporting of trends. Nursing staff should be familiar with equipment and supplies needed for neuromonitoring as well as troubleshooting common artifacts and problems. Guideline development and ongoing education are essential to the success of any neuromonitoring program. This chapter provides suggested pathways for integrating bedside neuromonitoring into clinical practice and discussion of day-to-day nursing roles and responsibilities related to bedside monitoring. Multiple modalities, including EEG, aEEG, QEEG, and NIRS, are discussed.
Demand for neuromonitoring in neonatal, pediatric and cardiac intensive care units continues to grow, motivated by increased awareness of the high prevalence of seizures among critically ill neonates and children, and emerging evidence that these seizures can contribute to brain injury. This book provides physicians, nurses and trainees caring for critically ill newborns and children with a practical overview of how to use and interpret continuous neuromonitoring to enhance patient care. Authored by international experts from diverse institutions and professional backgrounds, this is a practical guide that is accessible to intensive care specialists, but also comprehensive enough to serve as a reference book for neurologists and neurophysiologists. Concise enough to be read cover-to-cover and illustrated with over thirty case-based examples, this authoritative reference will guide readers in accurate neuromonitoring interpretation and optimal use of conventional EEG, amplitude-integrated EEG and other quantitative EEG techniques.
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