Abstract
The word “flat EEG” should not be used in diagnosing brain death. In its place, the American EEG Society and the International Federation of Societies for EEG and Clinical Neurophysiology recommended elecrocerebral inactivity (ECI) or elecrocerebral silence (ECS). ECI is defined as no EEG activity over 2μV in recording from scalp electrode pairs 10 or more cm apart with inter-electrode impedance below 10, 000 ohms but over 100 ohms. Intensive care units present an extremely hostile environment for recording ECI. We developed a shielding system for EEG recording and the Artifact Banish Control Manual for ECI Recording (ABC Manual). We present the key points of Artifact Banish Control in diagnosing brain death.
