A case of near-drowning:A case for routine cerebral monitoring

Ponnusamy, V., Beach, R. C., Blake, J. and Clarke, P. (2010) A case of near-drowning:A case for routine cerebral monitoring. Acta Paediatrica, International Journal of Paediatrics, 99 (3). pp. 463-466. ISSN 0803-5253

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Abstract

A 6-week-old infant presenting with near-drowning was medically paralysed and ventilated on admission. Status epilepticus was found on cerebral function monitoring, without which the diagnosis would have been missed or delayed for many hours. This case illustrates the value of cerebral function monitoring for patients in intensive care, where clinical signs of seizure activity are frequently masked by paralysis and sedation. Conclusion: Limited availability of electroencephalogram (EEG) and cerebral function monitoring (CFM) in paediatric intensive care may inadvertently delay diagnosis and appropriate treatments and so adversely affect outcomes. We propose that round-the-clock cerebral function and/or EEG monitoring should be available in all centres that provide paediatric intensive care.

Item Type: Article
Uncontrolled Keywords: brain monitoring,intensive care,neurophysiology,seizures,pediatrics, perinatology, and child health ,/dk/atira/pure/subjectarea/asjc/2700/2735
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Depositing User: LivePure Connector
Date Deposited: 19 Oct 2020 23:59
Last Modified: 24 Nov 2020 01:45
URI: https://ueaeprints.uea.ac.uk/id/eprint/77340
DOI: 10.1111/j.1651-2227.2009.01556.x

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