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Motorized bed artifact in the Intensive Care Unit

机译:重症监护室中的电动病床

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Continuous Video-EEG monitoring (CCTV) was initiated on a 63-year-old male admitted to the neurological intensive care unit (NICU) with sub-arachnoid hemorrhage due to rupture of a right posterior communicating artery aneurysm. During review of the overnight record a sudden change in the baseline record occurred with appearance of a rhythmic theta frequency sharply contoured waveform best visualized in the left para-sagittal and central ( Cz and Pz) leads ( Fig 1 and 2). This electrographic discharge was correctly recognized to be a non-physiological (non-cerebral) artifact generated by the to and fro rocking motion of the motorized bed on visual inspection of the concurrent video record. This motorized bed artifact further disappeared when the bed was switched off thus confirming its non-cerebral origin. With continuous EEG monitoring becoming increasingly common in the intensive care unit, correct identification of artifacts generated by the patient's surroundings is of paramount importance to prevent misinterpretation of the EEG and inadvertent over treatment.
机译:连续视频-EEG监测(CCTV)开始于一名因右后交通动脉瘤破裂而因蛛网膜下腔出血而入院的神经重症监护病房(NICU)的63岁男性。在查看过夜记录期间,基线记录发生了突然变化,出现了有节奏的theta频率,轮廓清晰,轮廓清晰,在左侧矢状和中央(Cz和Pz)导线中最为清晰可见(图1和2)。该电子照相放电被正确识别为是在同时检查视频记录时通过电动床的来回摇摆运动产生的非生理(非大脑)伪影。当床关闭时,这种电动床伪像进一步消失,从而确认其不是大脑起源。随着在重症监护室中连续进行EEG监测变得越来越普遍,正确​​识别患者周围环境所产生的伪影对于防止误解EEG和对治疗的疏忽至关重要。

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