Clinical approach to burst-suppression pattern in intensive care unit: basic and updates

  • Jie Pan
  • Amputch Karukote
  • Eri Shoji

Abstract

A burst-suppression pattern is an electroencephalographic pattern characterized by a quasi-periodic high amplitude “burst” alternating with periods of low or flatline “suppression.” Recognizing and understanding this pattern is helpful for clinical management in intensive care units. Pathological burst-suppression is commonly seen in post cardiac arrest comatose patients. It can also be induced by anesthetics or hypothermia. A burst-suppression pattern in anoxic brain injury generally predicts a poor prognosis; however, exceptions do occur. Inducing burst-suppression by general anesthetics can be used to abort super-refractory status epilepticus. This article will discuss this unique EEG pattern, including basic mechanisms, related clinical conditions, and recent research updates.

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Published
2020-10-03
How to Cite
Pan, J., Karukote, A., & Shoji, E. (2020). Clinical approach to burst-suppression pattern in intensive care unit: basic and updates. The Southwest Respiratory and Critical Care Chronicles, 8(36), 61-65. https://doi.org/10.12746/swrccc.v8i36.761