Train of four stimulation artifact mimicking a seizure during computerized automated ICU EEG monitoring

A 54-year-old man was admitted to the intensive care unit with an aneurysmal subarachnoid hemorrhage and subsequently underwent mechanical ventilation and received neuromuscular blocking drugs to control refractory elevated intracranial pressure. During quantitative EEG monitoring, an automated aler...

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Main Authors: Laxmi P. Dhakal, William O. Tatum, William D. Freeman
Format: Article
Language:English
Published: Elsevier 2017-01-01
Series:Epilepsy and Behavior Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2213323217300233
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spelling doaj-33a3e3669e5c4f86b94c5672360983df2020-11-25T00:23:55ZengElsevierEpilepsy and Behavior Case Reports2213-32322017-01-018C697210.1016/j.ebcr.2017.09.002Train of four stimulation artifact mimicking a seizure during computerized automated ICU EEG monitoringLaxmi P. Dhakal0William O. Tatum1William D. Freeman2Department of Neurology, Mayo Clinic, Jacksonville, FL, United StatesDepartment of Neurology, Mayo Clinic, Jacksonville, FL, United StatesDepartment of Neurology, Mayo Clinic, Jacksonville, FL, United StatesA 54-year-old man was admitted to the intensive care unit with an aneurysmal subarachnoid hemorrhage and subsequently underwent mechanical ventilation and received neuromuscular blocking drugs to control refractory elevated intracranial pressure. During quantitative EEG monitoring, an automated alert was triggered by the train of four peripheral nerve stimulation artifacts. Real-time feedback was made possible due to remote monitoring. This case illustrates how computerized, automated artificial intelligence algorithms can be used beyond typical seizure detection in the intensive care unit for remote monitoring to benefit patient care.http://www.sciencedirect.com/science/article/pii/S2213323217300233Peripheral nerve stimulationElectroencephalogramQuantitative EEGAutomatic seizure detectionIntensive care unit
collection DOAJ
language English
format Article
sources DOAJ
author Laxmi P. Dhakal
William O. Tatum
William D. Freeman
spellingShingle Laxmi P. Dhakal
William O. Tatum
William D. Freeman
Train of four stimulation artifact mimicking a seizure during computerized automated ICU EEG monitoring
Epilepsy and Behavior Case Reports
Peripheral nerve stimulation
Electroencephalogram
Quantitative EEG
Automatic seizure detection
Intensive care unit
author_facet Laxmi P. Dhakal
William O. Tatum
William D. Freeman
author_sort Laxmi P. Dhakal
title Train of four stimulation artifact mimicking a seizure during computerized automated ICU EEG monitoring
title_short Train of four stimulation artifact mimicking a seizure during computerized automated ICU EEG monitoring
title_full Train of four stimulation artifact mimicking a seizure during computerized automated ICU EEG monitoring
title_fullStr Train of four stimulation artifact mimicking a seizure during computerized automated ICU EEG monitoring
title_full_unstemmed Train of four stimulation artifact mimicking a seizure during computerized automated ICU EEG monitoring
title_sort train of four stimulation artifact mimicking a seizure during computerized automated icu eeg monitoring
publisher Elsevier
series Epilepsy and Behavior Case Reports
issn 2213-3232
publishDate 2017-01-01
description A 54-year-old man was admitted to the intensive care unit with an aneurysmal subarachnoid hemorrhage and subsequently underwent mechanical ventilation and received neuromuscular blocking drugs to control refractory elevated intracranial pressure. During quantitative EEG monitoring, an automated alert was triggered by the train of four peripheral nerve stimulation artifacts. Real-time feedback was made possible due to remote monitoring. This case illustrates how computerized, automated artificial intelligence algorithms can be used beyond typical seizure detection in the intensive care unit for remote monitoring to benefit patient care.
topic Peripheral nerve stimulation
Electroencephalogram
Quantitative EEG
Automatic seizure detection
Intensive care unit
url http://www.sciencedirect.com/science/article/pii/S2213323217300233
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