Seizure and EEG monitoring

In prolonged status epilepticus, or in comatose ventilated patients, motor activity can be barely visible. In this situation, continuous EEG monitoring using a full EEG or a cerebral function monitor is necessary, and at the very least intermittent daily EEGs should be recorded. The latter must be calibrated individually, and then can register both burst suppression and seizure activity. Burst suppression provides an arbitrary physiological target for the titration of barbiturate or anaesthetic therapy. Drug dosing is commonly set at a level that will produce burst suppression with interburst intervals of between 2 and 30 seconds.

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