In this episode of Critical Care Scenarios, Brandon Odo and Brian Bowling host Carolina Maciel, a triple-boarded expert in neurology, neurocritical care, and critical care EEG, to discuss the use of EEGs in the ICU setting. The conversation covers the utility of EEGs for patients with altered mental status, the limitations of short EEGs, and the importance of considering factors beyond seizure detection, such as drug toxicity and metabolic disturbances. They delve into the nuances of EEG interpretation, emphasizing the need for timely and comprehensive reads that address specific clinical questions. The discussion also explores the practical aspects of ordering EEGs, the impact of sedation, and the role of bedside EEG devices, highlighting the importance of collaboration between ICU clinicians and EEG readers to optimize patient care.
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