What is your approach to monitoring the neurologic status of a patient with a traumatic brain injury requiring burst suppression for status epilepticus?

As with any other patient in status epilepticus requiring burst suppression, the neurological exam becomes limited to pupillary light reactivity. Pharmacotherapy used in the management of status epilepticus does not negate pupillary response. Not being able to obtain frequent neurological exams on an otherwise brain-injured patient who is at risk for deterioration is definitely challenging. In this instance, the EEG also cannot identify the progression of the disease due to the nature of the tre...