Critical care EEG standardized nomenclature in clinical practice: Strengths, limitations, and outlook on the example of prognostication after cardiac arrest

De Stefano, Pia; Seeck, Margitta; Rossetti, Andrea O.

doi:10.1016/j.cnp.2021.03.002

Scientific article

Open access

English

Critical care EEG standardized nomenclature in clinical practice: Strengths, limitations, and outlook on the example of prognostication after cardiac arrest

ContributorsDe Stefano, Pia; Seeck, Margitta; Rossetti, Andrea O.

Published inClinical Neurophysiology Practice, vol. 6, p. 149-154

Publication date2021

Abstract

We discuss the achievements of the ACNS critical care EEG nomenclature proposed in 2013 and, from a clinical angle, outline some limitations regarding translation into treatment implications. While the recently proposed updated 2021 version of the nomenclature will probable improve some uncertainty areas, a refined understanding of the mechanisms at the origin of the EEG patterns, and a multimodal integration of the nomenclature to the clinical context may help improving the rationale supporting therapeutic procedures. We illustrate these aspects on prognostication after cardiac arrest.

Keywords

American Clinical Neurophysiology Society (ACNS) Standardized Terminology
Ictal-Interictal Continuum
GPD
Burst suppression
Prognostication assessment
Cardiac arrest (CA)

Affiliation

Faculté de médecine / Section de médecine clinique / Département des neurosciences cliniques

Research group

Epilepsie et Chirurgie (149)

Citation (ISO format)

DE STEFANO, Pia, SEECK, Margitta, ROSSETTI, Andrea O. Critical care EEG standardized nomenclature in clinical practice: Strengths, limitations, and outlook on the example of prognostication after cardiac arrest. In: Clinical Neurophysiology Practice, 2021, vol. 6, p. 149–154. doi: 10.1016/j.cnp.2021.03.002