[Expert consensus on neurophysiologic monitoring and evaluation of neurocritical care patients (2024 version)].

Neurophysiological monitoring is important for the assessment and prediction of regression in patients with severe neurocritical illnesses due to various etiologies. At present, the popularity of neuroelectrophysiological monitoring technology for severe neurocritical patients in China is not widespread enought, the level of monitoring varies, and there is a lack of relevant consensus and norms. This expert consensus combines the opinions of national experts in neuroelectrophysiology and neurocritical care medicine, and providess 13 expert opinions on neuroelectrophysiology technology and application. Commonly used Neurophysiologic monitoring in the Neuro-Intensive Care Unit (NICU) includes three categories: electroencephalogram, evoked potentials and electromyography. The main applications include assessment of coma level and prognosis prediction, reflection of intracranial pressure level, identification of nonconvulsive status epilepticus, assessment of sedation level, determination of brain death, and monitoring of severe peripheral neuropathy. It is recommended that NICU at all levels apply neurophysiologic monitoring techniques to severe neurocritical patients according to the expert consensus. 神经电生理监测对各种病因所致的神经重症患者的病情评估和转归预测有重要意义。目前，国内神经重症患者的神经电生理监测技术普及不够广泛，监测水平存在差异，缺乏相关的共识和规范。本专家共识结合了全国神经电生理及神经重症医学专家意见，从神经电生理技术和应用两个方面给出了13条专家意见。神经重症监护病房（NICU）常用的神经电生理监测包括脑电图、诱发电位和肌电三类。主要应用范围包括：昏迷程度评估与转归预测、反映颅内压水平、非惊厥性癫痫持续状态鉴定、镇静水平评估、脑死亡判定和重症周围神经病监测。推荐各级NICU对神经重症患者应用神经电生理监测技术参照该专家共识。.