Objective Continuous electroencephalography (cEEG) is increasingly used to detect non-convulsive seizures in critically ill patients but is not widely practised in Australasia. Use of cEEG is also influencing the management of status epilepticus (SE), which is rapidly evolving. We aimed to survey Australian and New Zealand cEEG use and current treatment of SE Methods A web-based survey was distributed to Epilepsy Society of Australia (ESA) members, between October and November 2019. Adult and paediatric neurologists/epileptologists with ESA membership involved in clinical epilepsy care and cEEG interpretation were invited to participate. Results Thirty-five paediatric/adult epileptologists completed the survey, 51% with over 10 years of consultant experience. cEEG was always available for only 31% of respondents, with the majority having no or only ad hoc access to cEEG. Lack of funding (74%) and personnel (71%) were the most common barriers to performing cEEG. Although experience with SE was common, responses varied regarding treatment approaches for both convulsive and non-convulsive SE. Escalation to anaesthetic treatment of convulsive SE tended to occur later than international guideline recommendations. There was general agreement that formal training in cEEG and national guidelines for SE/cEEG were needed. Conclusions cEEG availability remains limited in Australia, with lack of funding and resourcing being key commonly identified barriers. Current opinions on the use of cEEG and treatment of SE vary reflecting the complexity of management and a rapidly evolving field. An Australian-based guideline for the management of SE, including the role of cEEG is recommended.

中文翻译：

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澳大拉西亚的持续 EEG 使用和癫痫持续状态治疗：澳大利亚和新西兰癫痫学家的实践调查

目的 连续脑电图 (cEEG) 越来越多地用于检测危重患者的非惊厥性癫痫发作，但在大洋洲并未广泛应用。cEEG 的使用也影响着癫痫持续状态 (SE) 的管理，该状态正在迅速发展。我们的目的是调查澳大利亚和新西兰 cEEG 的使用和 SE 方法的当前治疗 在 2019 年 10 月至 2019 年 11 月期间向澳大利亚癫痫协会 (ESA) 成员分发了一项基于网络的调查。具有 ESA 会员资格的成人和儿科神经病学家/癫痫学家参与了临床癫痫护理和脑电图解读被邀请参加。结果 35 名儿科/成人癫痫专家完成了调查，其中 51% 具有超过 10 年的顾问经验。cEEG 始终仅适用于 31% 的受访者，大多数人没有或只能临时访问 cEEG。缺乏资金 (74%) 和人员 (71%) 是执行 cEEG 的最常见障碍。尽管 SE 的经验很普遍，但对于惊厥性和非惊厥性 SE 的治疗方法，反应各不相同。惊厥性 SE 的升级至麻醉治疗往往晚于国际指南建议。普遍认为需要在 cEEG 和国家 SE/cEEG 指南方面进行正式培训。结论 cEEG 在澳大利亚的可用性仍然有限，缺乏资金和资源是常见的主要障碍。目前关于 cEEG 使用和 SE 治疗的观点各不相同，反映了管理的复杂性和快速发展的领域。基于澳大利亚的 SE 管理指南，