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

被引：15

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

来源：

JOURNAL OF PERINATOLOGY | 2015年 / 35卷 / 05期

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

页码：373 / 378

页数：6

共 35 条

[1]

Azzopardi Don behalf of the TOBY study group, 2013, ARCH DIS CHILD FETAL

[2] Decreased aEEG Continuity and Baseline Variability in the First 48 Hours of Life Associated With Poor Short-Term Outcome in Neonates Born Before 29 Weeks Gestation [J].

Bowen, Jennifer R. ;

Paradisis, Mary ;

Shah, Dharmesh .

PEDIATRIC RESEARCH, 2010, 67 (05) :538-544

[3] An international survey of EEG use in the neonatal intensive care unit [J].

Boylan, G. B. ;

Burgoyne, L. ;

Moore, C. ;

O'Flaherty, B. ;

Rennie, J. M. .

ACTA PAEDIATRICA, 2010, 99 (08) :1150-1155

[4] Cerebral function monitoring: A new scoring system for the evaluation of brain maturation in neonates [J].

Burdjalov, VF ;

Baumgart, S ;

Spitzer, AR .

PEDIATRICS, 2003, 112 (04) :855-861

[5] Low-Voltage aEEG as Predictor of Intracranial Hemorrhage in Preterm Infants [J].

Chalak, Lina F. ;

Sikes, Natalie C. ;

Mason, Melanie J. ;

Kaiser, Jeffrey R. .

PEDIATRIC NEUROLOGY, 2011, 44 (05) :364-369

[6] Early amplitude integrated electroencephalography and outcome of very low birth weight infants [J].

El-Dib, Mohamed ;

Massaro, An N. ;

Glass, Penny ;

Bulas, Dorothy ;

Badrawi, Nadia ;

Orabi, Azza ;

Aly, Hany .

PEDIATRICS INTERNATIONAL, 2011, 53 (03) :315-321

[7]

Fanaroff Avroy A, 2007, Am J Obstet Gynecol, V196, DOI 10.1016/j.ajog.2006.09.014

[8] Electrode Challenges in Amplitude-Integrated Electroencephalography (aEEG): Research Application of a Novel Noninvasive Measure of Brain Function in Preterm Infants [J].

Foreman, Shuyuann Wang ;

Thorngate, Lauren ;

Burr, Robert L. ;

Thomas, Karen A. .

BIOLOGICAL RESEARCH FOR NURSING, 2011, 13 (03) :251-259

[9] Neonatal Seizures: Treatment Practices Among Term and Preterm Infants [J].

Glass, Hannah C. ;

Kan, Jessica ;

Bonifacio, Sonia L. ;

Ferriero, Donna M. .

PEDIATRIC NEUROLOGY, 2012, 46 (02) :111-115

[10] Neurocritical Care for Neonates [J].

Glass, Hannah C. ;

Bonifacio, Sonia L. ;

Shimotake, Thomas ;

Ferriero, Donna M. .

CURRENT TREATMENT OPTIONS IN NEUROLOGY, 2011, 13 (06) :574-589

← 1 2 3 4 →