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Continuous brain-function monitoring: State of the art in clinical practice.

Hellström-Westas, Lena LU and Rosén, Ingmar LU (2006) In Seminars in Fetal & Neonatal Medicine 11. p.503-511
Abstract
Continuous electroencephalographic (EEG) monitoring gives direct information on brain function in newborn infants needing intensive care. To improve the possibilities of long-term monitoring, the EEG is time-compressed and recorded with a reduced number of electrodes. A trend measure of the EEG, the amptitude-integrated EEG (aEEG), has proved capable of giving relevant information in newborn infants of differing levels of maturity. The electrocortical background activity gives information on the level of brain activity, which is associated with outcome in both term asphyxiated infants and in preterm infants. However, the background activity is also affected by several medications, and this must be considered when interpreting the aEEG... (More)
Continuous electroencephalographic (EEG) monitoring gives direct information on brain function in newborn infants needing intensive care. To improve the possibilities of long-term monitoring, the EEG is time-compressed and recorded with a reduced number of electrodes. A trend measure of the EEG, the amptitude-integrated EEG (aEEG), has proved capable of giving relevant information in newborn infants of differing levels of maturity. The electrocortical background activity gives information on the level of brain activity, which is associated with outcome in both term asphyxiated infants and in preterm infants. However, the background activity is also affected by several medications, and this must be considered when interpreting the aEEG trace. The aEEG also reveals subclinical epileptic seizure activity, and can be used for evaluation of anti-epileptic treatment. The aEEG should be used as a complement to the standard EEG, and close collaboration between neonatologists and clinical neurophysiologists is necessary for optimal performance of EEG monitoring. (Less)
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author
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organization
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type
Contribution to journal
publication status
published
subject
keywords
monitoring, newborn, outcome, amplitude-integrated EEG, EEG
in
Seminars in Fetal & Neonatal Medicine
volume
11
pages
503 - 511
publisher
Elsevier
external identifiers
  • wos:000242726200017
  • scopus:33750524428
ISSN
1878-0946
DOI
10.1016/j.siny.2006.07.011
language
English
LU publication?
yes
id
28478a40-1aee-4a9a-be15-f5cd6c10b3a1 (old id 162106)
alternative location
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=17067863&dopt=Abstract
date added to LUP
2016-04-01 11:48:57
date last changed
2022-04-05 05:28:24
@article{28478a40-1aee-4a9a-be15-f5cd6c10b3a1,
  abstract     = {{Continuous electroencephalographic (EEG) monitoring gives direct information on brain function in newborn infants needing intensive care. To improve the possibilities of long-term monitoring, the EEG is time-compressed and recorded with a reduced number of electrodes. A trend measure of the EEG, the amptitude-integrated EEG (aEEG), has proved capable of giving relevant information in newborn infants of differing levels of maturity. The electrocortical background activity gives information on the level of brain activity, which is associated with outcome in both term asphyxiated infants and in preterm infants. However, the background activity is also affected by several medications, and this must be considered when interpreting the aEEG trace. The aEEG also reveals subclinical epileptic seizure activity, and can be used for evaluation of anti-epileptic treatment. The aEEG should be used as a complement to the standard EEG, and close collaboration between neonatologists and clinical neurophysiologists is necessary for optimal performance of EEG monitoring.}},
  author       = {{Hellström-Westas, Lena and Rosén, Ingmar}},
  issn         = {{1878-0946}},
  keywords     = {{monitoring; newborn; outcome; amplitude-integrated EEG; EEG}},
  language     = {{eng}},
  pages        = {{503--511}},
  publisher    = {{Elsevier}},
  series       = {{Seminars in Fetal & Neonatal Medicine}},
  title        = {{Continuous brain-function monitoring: State of the art in clinical practice.}},
  url          = {{http://dx.doi.org/10.1016/j.siny.2006.07.011}},
  doi          = {{10.1016/j.siny.2006.07.011}},
  volume       = {{11}},
  year         = {{2006}},
}