EEG Monitoring Clinical Pathway, PICU, N/IICU and CICU – Duration

EEG Monitoring Clinical Pathway — PICU, N/IICU, and CICU

Duration of EEG Monitoring

  • Determined by clinical context
  • Generally terminated after 24-48 hrs if no electrographic seizures are identified and no major changes have occurred in the child's condition
  • If electrographic seizures occur, monitoring continues until child has been seizure-free for ~ 24 hrs

EEG monitoring may extend longer if:

  • Ongoing risk for electrographic seizures
  • Evolving acute neurologic disorder
  • Anti-seizure or sedative medications are being weaned/adjusted

EEG monitoring may be terminated more quickly if:

  • Child is rapidly improving
  • EEG background suggests a very low risk for electrographic seizures
  • Transport is required
  • Additional seizure management is not clinically indicated

EEG Monitoring Discontinuation

EEG Technologist ensures approval from EEG MD, ICU MD and/or NeuroICU Consultation Service, and then screens up to present time prior to discontinuation.