Serial aEEG recordings in a cohort of extremely preterm infants: feasibility and safety

被引:14
作者
Davis, A. S. [1 ,2 ]
Gantz, M. G. [3 ]
Do, B. [3 ]
Shankaran, S. [4 ]
Hamrick, S. E. G. [5 ]
Kennedy, K. A. [6 ]
Tyson, J. E. [6 ]
Chalak, L. F. [7 ]
Laptook, A. R. [8 ]
Goldstein, R. F. [9 ]
Hintz, S. R. [1 ,2 ]
Das, A. [10 ]
Higgins, R. D. [11 ]
Ball, M. B. [1 ,2 ]
Hale, E. C. [5 ]
Van Meurs, K. P. [1 ,2 ]
机构
[1] Stanford Univ, Sch Med, Dept Pediat, Div Neonatal & Dev Med, Palo Alto, CA 94304 USA
[2] Lucile Packard Childrens Hosp, Palo Alto, CA 94304 USA
[3] RTI Int, Social Stat & Environm Sci Unit, Res Triangle Pk, NC USA
[4] Wayne State Univ, Sch Med, Dept Pediat, Detroit, MI 48201 USA
[5] Emory Univ, Sch Med, Dept Pediat, Childrens Healthcare Atlanta, Atlanta, GA USA
[6] Univ Texas Houston, Med Sch Houston, Dept Pediat, Houston, TX USA
[7] Univ Texas SW Med Ctr Dallas, Dept Pediat, Dallas, TX 75390 USA
[8] Brown Univ, Women & Infants Hosp, Dept Pediat, Providence, RI 02908 USA
[9] Duke Univ, Dept Pediat, Durham, NC 27706 USA
[10] RTI Int, Social Stat & Environm Sci Unit, Rockville, MD USA
[11] Eunice Kennedy Shriver Natl Inst Child Hlth & Hum, Natl Inst Hlth, Bethesda, MD USA
基金
美国国家卫生研究院;
关键词
AMPLITUDE-INTEGRATED ELECTROENCEPHALOGRAPHY; BACKGROUND PATTERNS; BRAIN-FUNCTION; 1ST WEEK; TERM; PREDICTS; BIRTH; LIFE; SEIZURES; CARE;
D O I
10.1038/jp.2014.217
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
OBJECTIVE: Amplitude-integrated electroencephalography (aEEG) monitoring is increasing in the neonatal population, but the safety and feasibility of performing aEEG in extremely preterm infants have not been systematically evaluated. STUDY DESIGN: Inborn infants 230/7 to 286/7 weeks gestation or birth weight 401 to 1000 g were eligible. Serial, 6-h aEEG recordings were obtained from first week of life until 36 weeks postmenstrual age. Adverse events were documented, and surveys evaluated the impact of the aEEGs on routine care. Success of performing aEEGs according to protocol and aEEG quality were assessed. RESULT: A total of 102 infants were enrolled, with 755 recordings performed. 83% of recordings were performed according to schedule, and 96% were without adverse event. Bedside nurses reported no interference with routine care for 89% of recordings. 92% of recordings had acceptable signal quality. CONCLUSION: Serial aEEG monitoring is safe in preterm infants, with few adverse events and general acceptance by nursing staff.
引用
收藏
页码:373 / 378
页数:6
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