EMU, ICU, and NICU EEG Monitoring

In the high-stakes environment of critical care, constant neurological vigilance is essential in certain patients. Stratus offers turn-key EEG monitoring services to meet the demands of your critical care and epilepsy monitoring units. And as the largest employer of R. EEG T.s in the nation, we have the ability to customize service delivery to fit your needs.  

With a team providing monitoring services, your hospital or healthcare facility can reduce administrative, training, and cost burdens — all while providing critical care to those patients at risk of brain injury and consequent neurological damage.

Patient lying in a hospital bed undergoing an EEG test with electrodes on the head and brain wave activity displayed on a monitor.

The Critical Need for cEEG Monitoring Services

The data is clear: Continuous EEG (cEEG) is essential for identifying non-convulsive seizures, which are common and clinically invisible in critical care settings.
Up to
33
%
prevalence of seizures
in ICU population with AMS1,2
Up to
90
%
of these seizures have no or only
subtle clinical signs detected only with EEG3
Up to
87
-
90
%
of seizures captured within
48 hours of cEEG4

Aligning With ACNS Best Practice Guidelines

The American Clinical Neurophysiology Society (ACNS) Guidelines⁵ recommend cEEG in the ICU for the following critical applications:
Woman speaking on a corded phone while pointing at a computer monitor displaying EEG brain wave data.

✓ Diagnosis

of nonconclusive seizures, nonconvulsive status epilepticus, and other paroxysmal events

✓ Assessment

of therapy for seizures and status epilepticus

✓ Identification

of cerebral ischemia

✓ Monitoring

of sedation and high-dose suppressive therapy

✓ Assessment

of severity of encephalopathy and prognostication

EEG Monitoring Solutions

At Stratus, we design our services to match your specific clinical protocols and staffing needs, so you have support when you need it most.
24/7 on a monitor

Continuous EEG Monitoring

With a 4:1 patient-to-technologist ratio, on average, Stratus can provide continuous EEG monitoring as a service, changing the way you manage patient care.

Intermittent Plus Monitoring

Retrospective review of EEG and video at a minimum of every 2 hours for noncritical patients.

Intermittent EEG Monitoring

Flexible monitoring services to meet healthcare provider needs, such as after-hours or weekend monitoring and support during holidays or vacations. We ensure a patient to-technologist ratio of no greater than 12:1 to confirm quality and CPT code requirements.

VEEG Clipping Service

Stratus’ highly qualified R. EEG T.s and CLTMs will remotely clip VEEGs on your current hospital system’s platform for the purpose of data reduction and storage—no clinical interpretation, annotations, or report generation included.

VEEG Annotation and Pruning Service

Stratus provides a consistent, high-quality annotation and pruning process that reduces EEG study length while preserving essential clinical content. Our analysts follow a standardized workflow that integrates patient history, event review, and report generation within the hospital system’s platform, ensuring physician-ready data every time.
Clock icon with green EEG waveform beside it above text reading '36 hrs of continuous EEG monitoring'.

EEG Monitoring
Best Practices

A Cleveland Clinic study recommends that the standard monitoring duration be increased to 36 hours of continuous EEG monitoring in critically ill patients. For certain patients, up to 24 hours of continuous monitoring is adequate, while multiple situations actually warrant 48 hours of cEEG monitoring.

Transforming Continuous EEG Monitoring

Providing EEG testing and monitoring in the ICU can be a challenge, that’s why we offer full outsourcing, contingency staffing, or off-hour/after-hours shifts. Stratus’ services are not only flexible enough to meet your monitoring protocols but are also cost-effective. Plus, no additional software is needed. Stratus can access and monitor using your current EEG hardware and software.
Bald man with glasses working on a laptop at a desk with two large monitors displaying data and waveforms.

We’re Here to Help

Ready to Discuss Your Hospital System's cEEG Monitoring Needs?
Sources: 1. Veauthier B, Hornecker JR, Thrasher T. Recent-Onset Altered Mental Status: Evaluation and Management. Am Fam Physician. 2021 Nov 1;104(5):461- 470. 2. Boggs JG. Seizure Management in the Intensive Care Unit. Curr Treat Options Neurol. 2021;23(11):36. 3. Bermeo-Ovalle, A. Continuous EEG in ICU: Not a  Luxury After All. Epilepsy Currents. 2021; 21(1) 21-23 4. Zawar, I., Briskin, I., & Hantus, S. Risk factors that predict delayed seizure detection on continuous electroencephalogram (cEEG) in a large sample size of critically ill patients. Epilepsia Open, 7(1), 131-143. 5. Herman ST, Abend NS, Bleck TP, et al. Consensus statement on continuous EEG in critically ill adults and children, part I: Indications. J Clin Neurophysiol. 2015:32(2):87-95.