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Objective: To quantify the effect of inhaled 5% carbon-dioxide/95% oxygen onEEG recordings from patients in non-convulsive status epilepticus (NCSE).Methods: Five children of mixed aetiology in NCSE were given high flow ofinhaled carbogen (5% carbon dioxide/95% oxygen) using a face mask for maximum120s. EEG was recorded concurrently in all patients. The effects of inhaledcarbogen on patient EEG recordings were investigated using band-power,functional connectivity and graph theory measures. Carbogen effect wasquantified by measuring effect size (Cohen's d) between "before", "during" and"after" carbogen delivery states. Results: Carbogen's apparent effect on EEGband-power and network metrics across all patients for "before-during" and"before-after" inhalation comparisons was inconsistent across the fivepatients. Conclusion: The changes in different measures suggest a potentiallynon-homogeneous effect of carbogen on the patients' EEG. Different aetiologyand duration of the inhalation may underlie these non-homogeneous effects.Tuning the carbogen parameters (such as ratio between CO2 and O2, duration ofinhalation) on a personalised basis may improve seizure suppression in future.

Carbogen inhalation during Non-Convulsive Status Epilepticus: A quantitative analysis of EEG recordings