Images in Intensive Medicine
Frontal intermittent rhythmic delta activity (firda) detected by bispectral index monitoring
Actividad rítmica delta frontal intermitente (firda) detectada con monitorización de la matriz espectral electroencefalográfica
Read
2031
Timeswas read the article
701
Total PDF
1330
Total HTML
Share statistics
array:23 [ "pii" => "S2173572722001503" "issn" => "21735727" "doi" => "10.1016/j.medine.2022.07.002" "estado" => "S300" "fechaPublicacion" => "2023-04-01" "aid" => "1675" "copyright" => "Elsevier España, S.L.U. and SEMICYUC" "copyrightAnyo" => "2021" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Med Intensiva. 2023;47:252-3" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "Traduccion" => array:1 [ "es" => array:19 [ "pii" => "S0210569121001133" "issn" => "02105691" "doi" => "10.1016/j.medin.2021.05.008" "estado" => "S300" "fechaPublicacion" => "2023-04-01" "aid" => "1675" "copyright" => "Elsevier España, S.L.U. y SEMICYUC" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Med Intensiva. 2023;47:252-3" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "es" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Imágenes en Medicina Intensiva</span>" "titulo" => "Actividad rítmica delta frontal intermitente (FIRDA) detectada con monitorización de la matriz espectral electroencefalográfica" "tienePdf" => "es" "tieneTextoCompleto" => "es" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "252" "paginaFinal" => "253" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Frontal intermittent rhythmic delta activity (FIRDA) detected by bispectral index monitoring" ] ] "contieneTextoCompleto" => array:1 [ "es" => true ] "contienePdf" => array:1 [ "es" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:6 [ "identificador" => "fig0005" "etiqueta" => "Figura 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1566 "Ancho" => 2091 "Tamanyo" => 372871 ] ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "C. Chamorro-Jambrina, D. Palacios-Castañeda, E.E. Ebrat-Mancilla" "autores" => array:3 [ 0 => array:2 [ "nombre" => "C." "apellidos" => "Chamorro-Jambrina" ] 1 => array:2 [ "nombre" => "D." "apellidos" => "Palacios-Castañeda" ] 2 => array:2 [ "nombre" => "E.E." "apellidos" => "Ebrat-Mancilla" ] ] ] ] ] "idiomaDefecto" => "es" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S2173572722001503" "doi" => "10.1016/j.medine.2022.07.002" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173572722001503?idApp=WMIE" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210569121001133?idApp=WMIE" "url" => "/02105691/0000004700000004/v1_202303262134/S0210569121001133/v1_202303262134/es/main.assets" ] ] "itemAnterior" => array:19 [ "pii" => "S2173572722001953" "issn" => "21735727" "doi" => "10.1016/j.medine.2022.07.018" "estado" => "S300" "fechaPublicacion" => "2023-04-01" "aid" => "1638" "copyright" => "Elsevier España, S.L.U. and SEMICYUC" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Med Intensiva. 2023;47:250-1" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "en" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Images in Intensive Medicine</span>" "titulo" => "Aorta's pseudoaneurysm fistulized to pulmonary artery" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "250" "paginaFinal" => "251" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Pseudoaneurisma de aorta fistulizado a arteria pulmonar" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:6 [ "identificador" => "fig0010" "etiqueta" => "Figure 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 1714 "Ancho" => 1350 "Tamanyo" => 472756 ] ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Á. Orera Pérez, A. Riaño Ondiviela, E. Sanz Granado" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Á." "apellidos" => "Orera Pérez" ] 1 => array:2 [ "nombre" => "A." "apellidos" => "Riaño Ondiviela" ] 2 => array:2 [ "nombre" => "E." "apellidos" => "Sanz Granado" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0210569121000322" "doi" => "10.1016/j.medin.2021.02.012" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210569121000322?idApp=WMIE" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173572722001953?idApp=WMIE" "url" => "/21735727/0000004700000004/v1_202303262126/S2173572722001953/v1_202303262126/en/main.assets" ] "en" => array:14 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Images in Intensive Medicine</span>" "titulo" => "Frontal intermittent rhythmic delta activity (firda) detected by bispectral index monitoring" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "252" "paginaFinal" => "253" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "C. Chamorro-Jambrina, D. Palacios-Castañeda, E.E. Ebrat-Mancilla" "autores" => array:3 [ 0 => array:4 [ "nombre" => "C." "apellidos" => "Chamorro-Jambrina" "email" => array:1 [ 0 => "carlos.chamorro@salud.madrid.org" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:4 [ "nombre" => "D." "apellidos" => "Palacios-Castañeda" "email" => array:1 [ 0 => "diegoctor@gmail.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 2 => array:4 [ "nombre" => "E.E." "apellidos" => "Ebrat-Mancilla" "email" => array:1 [ 0 => "edwinebratmancilla@gmail.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Servicio de Medicina Intensiva. HU. Puerta de Hierro-Majadahonda. Majadahonda, Madrid, Spain" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Servicio de Neurofisiología Clínica. HU. Puerta de Hierro-Majadahonda. Majadahonda, Madrid, Spain" "etiqueta" => "b" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Actividad rítmica delta frontal intermitente (firda) detectada con monitorización de la matriz espectral electroencefalográfica" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0010" "etiqueta" => "Fig. 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 1718 "Ancho" => 2259 "Tamanyo" => 641165 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0010" "detalle" => "Fig. " "rol" => "short" ] ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A patient was admitted due to super-refractory status epilepticus. After 20 days of treatment with levetiracetam, lacosamide, perampanel and the continuous infusion of midazolam and propofol to achieve electroencephalographic burst suppression, reduction of the anesthetics was started. Point of care spectral matrix (SM) and bispectral index monitoring revealed brief periods of decreased electroencephalogram (EEG) activity at delta frequencies (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>, white arrows, purple line = median of frequencies), unrelated to drug administration. On exporting the SM data to PDF format, paroxysmal repetition of these periods was observed (<a class="elsevierStyleCrossRef" href="#fig0010">Fig. 2</a>). Conventional EEG confirmed the presence of frontal intermittent rhythmic delta activity (FIRDA) (<a class="elsevierStyleCrossRef" href="#fig0015">Fig. 3</a>). The overlapped morphology of the waves displayed on the monitor BIS® monitor are shown in Figure 3 (bottom).</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia><elsevierMultimedia ident="fig0015"></elsevierMultimedia></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2021-05-10" "fechaAceptado" => "2021-05-22" "multimedia" => array:3 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1625 "Ancho" => 2175 "Tamanyo" => 405572 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Fig. " "rol" => "short" ] ] ] 1 => array:7 [ "identificador" => "fig0010" "etiqueta" => "Fig. 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 1718 "Ancho" => 2259 "Tamanyo" => 641165 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0010" "detalle" => "Fig. " "rol" => "short" ] ] ] 2 => array:7 [ "identificador" => "fig0015" "etiqueta" => "Fig. 3" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr3.jpeg" "Alto" => 1695 "Ancho" => 2259 "Tamanyo" => 359207 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0015" "detalle" => "Fig. " "rol" => "short" ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/21735727/0000004700000004/v1_202303262126/S2173572722001503/v1_202303262126/en/main.assets" "Apartado" => array:4 [ "identificador" => "64602" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Images in Intensive Medicine" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/21735727/0000004700000004/v1_202303262126/S2173572722001503/v1_202303262126/en/main.pdf?idApp=WMIE&text.app=https://medintensiva.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173572722001503?idApp=WMIE" ]
| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 November | 2 | 5 | 7 |
| 2024 October | 65 | 49 | 114 |
| 2024 September | 81 | 43 | 124 |
| 2024 August | 86 | 64 | 150 |
| 2024 July | 83 | 48 | 131 |
| 2024 June | 81 | 53 | 134 |
| 2024 May | 66 | 40 | 106 |
| 2024 April | 88 | 41 | 129 |
| 2024 March | 64 | 43 | 107 |
| 2024 February | 70 | 31 | 101 |
| 2024 January | 99 | 30 | 129 |
| 2023 December | 132 | 34 | 166 |
| 2023 November | 100 | 51 | 151 |
| 2023 October | 123 | 54 | 177 |
| 2023 September | 67 | 40 | 107 |
| 2023 August | 70 | 34 | 104 |
| 2023 July | 45 | 38 | 83 |
| 2023 March | 8 | 3 | 11 |
Show all
