Open AccessHemispheric Cerebral Oximetry Monitoring During Pediatric Seizure Activity in a Pediatric Emergency Department
Author(s) -
Thomas J. Abramo,
S. McKinney,
Jessica Moore,
Richard F. Jacobs,
Gregory W. Albert,
Mark Meredith,
Nicholas Hobart Porter,
Elizabeth Storm,
Errin Willis,
Cruz Velasco Gonzalez,
Hailey Hargrave,
Bradley S. Schneider,
Gergory Sharp
Publication year - 2017
Publication title -
pediatric emergency care
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.449
H-Index - 65
eISSN - 1535-1815
pISSN - 0749-5161
DOI - 10.1097/pec.0000000000001354
Subject(s) - medicine , emergency department , anesthesia , epilepsy , pediatrics , electroencephalography , psychiatry
Sustained neuronal activity during seizures causes cellular perturbations, alterations in cerebral physiology, and potentially neurological injury, a neurological emergency. With variable clinical manifestations of seizures, frequent failure of seizure recognition by providers in pediatric and developmentally challenged patients can increase seizure complications. Neuroresuscitation should include rapid cerebral physiology assessment for increased seizure recognition and optimal neurological outcomes. In neurological emergencies, cerebral oximetry has demonstrated its utility in altered cerebral physiology and a standard combat neurological assessment tool. During adult seizures, cerebral oximetry (regional cerebral oxygen saturation [rcSO2]) has been shown as a useful neurological assessment tool, but research is lacking in pediatric emergency department (PED) seizure patients.