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- Flisberg, Anders, 1958, et al.
(författare)
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Does indomethacin for closure of patent ductus arteriosus affect cerebral function?
- 2010
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Ingår i: Acta Paediatrica. - : Wiley. - 0803-5253 .- 1651-2227. ; 99:10, s. 1493-1497
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Tidskriftsartikel (refereegranskat)abstract
- Objective: To study whether indomethacin used in conventional dose for closure of patent ductus arteriosus affects cerebral function measured by Electroencephalograms (EEG) evaluated by quantitative measures. Study design: Seven premature neonates with haemodynamically significant persistent ductus arteriosus were recruited. EEG were recorded before, during and after an intravenous infusion of 0.2 mg/kg indomethacin over 10 min. The EEG was analysed by two methods with different degrees of complexity for the amount of low-activity periods (LAP, "suppressions") as an indicator of affection of cerebral function. Results: Neither of the two methods identified any change in the amount of LAPs in the EEG as compared to before the indomethacin infusion. Conclusion: Indomethacin in conventional dose for closure of patent ductus arteriosus does not affect cerebral function as evaluated by quantitative EEG.
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| 3. |
- Flisberg, A., et al.
(författare)
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Prognostic capacity of automated quantification of suppression time in the EEG of post-asphyctic full-term neonates
- 2011
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Ingår i: Acta Paediatrica. - : Wiley-Blackwell. - 0803-5253 .- 1651-2227. ; 100:10, s. 1338-1343
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Tidskriftsartikel (refereegranskat)abstract
- Aim: To evaluate the prognostic capacity of a new method for automatic quantification of the length of suppression time in the electroencephalogram (EEG) of a group of asphyxiated newborn infants. Methods: Twenty-one full-term newborn infants who had been resuscitated for severe birth asphyxia were studied. Eight channel continuous EEG was recorded for prolonged time periods during the first days of life. Artefact detection or rejection was not applied to the signals. The signals were fed through a pretrained classifier and then segmented into burst and suppression periods. Total suppression length per hour was calculated. All surviving patients were followed with structured neurodevelopmental assessments to at least 18 months of age. Results: The patients who developed neurodevelopmental disability or died had significant suppression periods in their EEG during the first days of life while the patients who had a normal follow-up had no or negligible amount of suppression. Conclusions: This new method for automatic quantification of suppression periods in the raw, neonatal EEG discriminates infants with good from those with poor outcome.
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- Löfgren, N., et al.
(författare)
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Remote sessions and frequency analysis for improved insight into cerebral function during pediatric and neonatal intensive care.
- 2003
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Ingår i: IEEE transactions on information technology in biomedicine. - 1089-7771 .- 1558-0032. ; 7:4, s. 283-90
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Tidskriftsartikel (refereegranskat)abstract
- A project involving recording and analysing EEG together with cardiovascular signals and temperature has been initiated. The aim of this project is to establish difficulties and possibilities involved with implementing a system for remote sessions and analysing EEG in correlation with other physiological signals. One objective is to find indicators of cerebral function during postasphyxia neonatal intensive care and pediatric cardiopulmonary bypass surgery with hypothermia. Remote sessions for joint interpretation have been carried out between pediatricians and clinical neurophysiologists, and EEG has been analyzed using frequency analyzing tools. One result is the discovery of reversible spectral changes coinciding with blood pressure falls, which may indicate loss of autoregulation function. This finding is one outcome from initial use of a system, developed during the project to facilitate communication about, and analysis of the recorded signals. Thus, already from a limited number of remote sessions and the use of basic signal processing techniques, important results have been achieved and better insight has been gained of how cerebral function is affected by cardiopulmonary bypass surgery. In this paper, we present our experiences from introducing a system for remote consultations, and evaluate the use for such a system in the current applications.
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| 6. |
- Löfhede, J., et al.
(författare)
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Classifying burst and suppression in the EEG of post asphyctic newborns using a support vector machine
- 2007
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Ingår i: Proceedings of the 3rd International IEEE EMBS Conference on Neural Engineering. - : IEEE. - 9781424407910 ; , s. 630-633
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Konferensbidrag (refereegranskat)abstract
- A Support Vector Machine (SVM) was trained to distinguish bursts from suppression in burst-suppression EEG, using Ave features inherent in the electro-encephalogram (EEG) as input. The study was based on data from six full term infants who had suffered from perinatal asphyxia, and the machine was trained with reference classifications made by an experienced electroencephalographer. The results show that the method may be useful, but that differences between patients in the data set makes optimization of the system difficult.
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| 10. |
- Thordstein, Magnus, et al.
(författare)
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Effects of inflammation on cerebral electric activity in fetal sheep
- 2008
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Ingår i: 2nd Congress of the European Academy of Paediatrics, Nice 23-28 okt 2008.
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- OBJECTIVE Intrauterine infections can by themselves induce fetal brain damage but also potentiate the effects of other harmful influences such as asphyxia and seizures. Using an EEG technique that permits the recording of extremely low frequencies, often called DC EEG, changes in the level, i.e. DC shifts can be detected. The DC level has been suggested to depend mainly on the potential over the blood brain barrier (BBB), in turn decided primarily by the arterial level of pCO2. Fetuses affected by infection/inflammation that produce detrimental effects on the brain, may have elevated levels of pCO2 and disturbance of the BBB. We aimed at investigating the possibility that the DC EEG could be used to detect the effects of inflammation on the fetal brain. METHODS Fetal sheep were instrumented at 97 days of gestation with catheters, four active EEG electrodes placed on the dura mater as well as extracranial reference and ground electrodes. After three days of recovery, the bacterial endotoxin lipopolysaccharide (LPS) was given to the fetus (200 ng i.v.). RESULTS Exposure to LPS induced a positive DC shift in parallel to the assumed affection of cerebral function and to the pCO2 elevation. This change was not always obvious in standard EEG. CONCLUSIONS These recordings of fetal DC EEG appear to be the first to be done. They indicate that the effects of inflammation on cerebral function can be monitored by DC EEG. Such monitoring might be feasible also during late stages of labour and in neonates.
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