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Hypothermia Therapy

The Benefits of EEG(CM) Monitoring for Hypothemia Patients (HIE Newborns) 

Therapeutic hypothermia (TH) is becoming standard of care in newborns with hypoxic-ischemic encephalopathy (HIE).  Multiple studies have shown the benefit of continuous EEG monitoring of neonates with HIE.  Besides being a very useful early predictor of neurologic outcomes studies have shown that aggressive treatment of seizures decreases neurologic injury and morbidity.
 
Authors and investigators have concluded that continuous video-EEG monitoring in newborns with HIE undergoing TH provides prognostic information about early outcome (verified by MRI) and accurately identifies electrographic seizures, nearly 50% of which are subclinical.  

CortiCare cEEG monitoring for Hypothermia Therapy

Neurotelemetry:  Benefits of cEEG for Hypothermia Therapy

EEG Seizures during Hypothermia for HIE 

by CJ Wusthoff Child Neurol . 2011 June ; 26(6): 724–728.

Electrographic seizures during therapeutic hypothermia for neonatal hypoxic-ischemic encephalopathy.

 

W\usthoff CJ, et al,  2011 Jun;26(6):724-8

The objective of this prospective study was to determine the incidence and timing of electrographic seizures in term neonates undergoing whole-body therapeutic hypothermia for hypoxic-ischemic encephalopathy as detected by conventional full-array electroencephalography for 72 hours of therapeutic hypothermia and 24 hours of normothermia.
 
Electrographic seizures were common, were often nonconvulsive, and had onset over a broad range of times in the first days of life.

Wusthoff Seizure by patient o Hpothermia Therapy
Wusthoff EEG Seizure durning Hypothermia Therapy
Which monitoring services is right for your hospital?  

 

You can now select a monitoring service program that varies by the risk of having a seizure.  

 

You can vary the monitoring frequency by department (e.g., EMU, ICU, PICU), or a patient's condition (e.g., TBI, HIE, PCAS, Stroke, SAH), or vary the monitoring frequency length intra-patient as cerebral conditions change.  Our R.EEG Technologist watches your patients for changes in cerebral functions and calls real-time regardless of the monitoring frequency.  You can add our Reading Neurophysiologist on-call to interpret your patient's EEG study, or use our neurologists to read your short-term emergency Stat EEGs, or routine EEG studies.

 

The modular approach allows each service to be utilized as a component. This allows you to allocate our resources effectively and customize your monitoring program to fit specific patient care needs matching cEEG with severity and the acuity of your individual patient. 

 

 

Innovative Monitoring Model for Seizure Risk Stratification
(e.g Hypothermia Patients0

The most recent ACNS Guidelines for monitoring newnborns - state that continuous video-EEG remains the gold standard for assessing encephalopathy and detecting seizures in neonates.  CortiCare has combined this recommended monitoring modality with intermittent monitoring to provide a cost-effective method for long-term surveillance of newborns with hypoxic ischemic encephalopathy (HIE).

Combine Monitoring Service Products to cover the Risk of Seizures during Hypothermia Therapy
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