Newborns at high risk for brain injury: the role of the amplitude-integrated electroencephalography
J. pediatr. (Rio J.)
; 98(6): 565-571, Nov.-Dec. 2022. graf
Article
in English
|
LILACS-Express
| LILACS
| ID: biblio-1421997
Responsible library:
BR1.1
ABSTRACT
Abstract Objective:
Amplitude-integrated electroencephalography (aEEG) is a simplified bedside neurophysiology tool that has been implemented in the neonatal intensive care unit and studied in an extensive range of clinical applications in the past decade. This critical review aimed to evaluate a variety of clinical applications of aEEG monitoring in diagnosis, clinical management, and prognosis assessment in critically ill neonates. Sources The databases of Pubmed, SciELO, Lilacs, and Cochrane, books, and other online resources were consulted, as well as sources of professional experiences. Summary offindings:
The clinical use of aEEG to access real-time brain function, background activity, and utility in seizures detection has been described. A critical review was realized considering the authors' professional experience. Newborns with hypoxic-ischemic encephalopathy and seizures screening represent the most common studied population. However, several studies have shown interesting applications on preterm infants, newborns with congenital heart disease, and other clinical situations of high risk of injury to the developing brain.Conclusion:
The aEEG has shown to be a useful non-invasive bedside monitor that aids in evaluating brain function, background activity, and cyclicity. aEEG findings have also demonstrated good prognostic value in a group of critically ill neonates. The aEEG seizure diagnosis capability has limitations, which have been already well established. The use of neonatal brain monitoring such as aEEG was shown to give valuable information in several high-risk clinical situations.
Full text:
Available
Collection:
International databases
Database:
LILACS
Type of study:
Etiology study
/
Prognostic study
/
Risk factors
Language:
English
Journal:
J. pediatr. (Rio J.)
Journal subject:
Pediatrics
Year:
2022
Document type:
Article
Affiliation country:
Brazil
Institution/Affiliation country:
Grupo Santa Joana/BR
/
Irmandade da Santa Casa de Misericórdia de São Paulo/BR
/
Organização Protegendo Cérebros e Salvando Futuros/BR