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Continuous EEG monitoring

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Unplanned clinical event with increased risk for seizure

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• Patients with cardiac arrest with CPR > 2 min and/or eCPR

• ECMO patient with emergent circuit change due to clotting resulting in pump failure

• HUS/HCT with new ICH or stroke

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Procedures associated with increased seizure risk

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• ECMO deployment (24 hours) and if not eligible for HUS (i.e. no fontanelle) Q Mon, Wed, Friday (4 hour)

• Neonates (<30 days) post op for surgery including cardiopulmonary bypass (48 hours)

• Hybrid patients (all ages) post op for surgery including cardiopulmonary bypass (48 hours)

• BAS patients sedated and paralyzed post procedure (24 hours)

• Cardiac cath sedated and paralyzed post procedure (24 hours)

• Cardiac surgery with bypass and sedated and paralyzed post procedure (24 hours)

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Clinical scenario with suspicion for seizure

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• Abnormal motor movements of unclear etiology

• Acute event for severe and prolonged hypoxia

• Unexplained encephalopathy

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Neuroimaging

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Head ultrasound (HUS)

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• Neonates (<30 days) post op for surgery including cardiopulmonary bypass

• ECMO Qday x 3 days then QMonday, Wednesday, Friday

 

Head CT

• Pre-VAD implant

 

MRI brain without gad

• Infants (< 1 year of age) having cardiac surgery including cardiopulmonary bypass à pre and post op

• ECMO patients à post decannulation

• VAD patients à post OHT or VAD removal