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Neuromonitoring in neonatal critical care part I : neonatal encephalopathy and neonates with possible seizures

El-Dib, Mohamed (författare)
Harvard Med Sch, Brigham & Womens Hosp, Dept Pediat Newborn Med, Boston, MA 02115 USA.;Stanford Univ, Neonatol, Pediat, Sch Med, Palo Alto, CA USA.
Abend, Nicholas S. J. (författare)
Univ Penn, Childrens Hosp Philadelphia, Dept Neurol & Pediat, Philadelphia, PA USA.
Austin, Topun (författare)
Univ Cambridge, Dept Paediat, Cambridge, England.
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Boylan, Geraldine (författare)
Univ Coll Cork, INFANT Res Ctr & Dept Paediat & Child Hlth, Cork, Ireland.
Chock, Valerie (författare)
Stanford Univ, Div Neonatal & Dev Med, Sch Med, Palo Alto, CA USA.
Cilio, M. Roberta (författare)
Department of Pediatrics, Division of Pediatric Neurology, Cliniques universitaires Saint-Luc, Université Catholique de Louvain, Brussels, Belgium
Greisen, Gorm (författare)
Department of Neonatology, Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark;Department of Clinical Medicine, University of Copenhagen, Copenhagen, Denmark
Hellström-Westas, Lena, 1954- (författare)
Uppsala universitet,Perinatal, neonatal och barnkardiologisk forskning,Uppsala Univ Hosp, Div Neonatol, Uppsala, Sweden.
Lemmers, Petra (författare)
Univ Med Ctr Utrecht, Wilhelmina Childrens Hosp, Dept Neonatol, Utrecht, Netherlands.
Pellicer, Adelina (författare)
Department of Neonatology, La Paz University Hospital, Madrid, Spain;Neonatology Group, IdiPAZ, Madrid, Spain
Pressler, Ronit (författare)
Department of Clinical Neurophysiology, Great Ormond Street Hospital for Children NHS Trust,London, UK;Clinical Neuroscience, UCL- Great Ormond Street Institute of Child Health, London, UK
Sansevere, Arnold (författare)
Department of Neurology and Pediatrics, George Washington University School of Medicine and Health Sciences, Washinton DC, USA;Children’s National Hospital Division of Neurophysiology, Epilepsy and Critical Care, Washington, DC, USA
Tsuchida, Tammy (författare)
Department of Neurology and Pediatrics, George Washington University School of Medicine and Health Sciences, Washington, DC, USA;Children’s National Hospital Division of Neurophysiology, Epilepsy and Critical Care, Washington, DC, USA
Vanhatalo, Sampsa (författare)
Department of Clinical Neurophysiology, Children’s Hospital, BABA Center, Neuroscience Center/HILIFE, Helsinki University Hospital, Helsinki, Finland;University of Helsinki, Helsinki, Finland
Wusthoff, Courtney J. (författare)
Stanford Univ, Div Child Neurol, Palo Alto, CA USA.
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Harvard Med Sch, Brigham & Womens Hosp, Dept Pediat Newborn Med, Boston, MA 02115 USA;Stanford Univ, Neonatol, Pediat, Sch Med, Palo Alto, CA USA. Univ Penn, Childrens Hosp Philadelphia, Dept Neurol & Pediat, Philadelphia, PA USA. (creator_code:org_t)
2022-12-07
2023
Engelska.
Ingår i: Pediatric Research. - : Springer Nature. - 0031-3998 .- 1530-0447. ; 94:1, s. 64-73
Relaterad länk:
https://urn.kb.se/re...
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https://doi.org/10.1...
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  • Forskningsöversikt (refereegranskat)
Abstract Ämnesord
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  • The blooming of neonatal neurocritical care over the last decade reflects substantial advances in neuromonitoring and neuroprotection. The most commonly used brain monitoring tools in the neonatal intensive care unit (NICU) are amplitude integrated EEG (aEEG), full multichannel continuous EEG (cEEG), and near-infrared spectroscopy (NIRS). While some published guidelines address individual tools, there is no consensus on consistent, efficient, and beneficial use of these modalities in common NICU scenarios. This work reviews current evidence to assist decision making for best utilization of neuromonitoring modalities in neonates with encephalopathy or with possible seizures. Neuromonitoring approaches in extremely premature and critically ill neonates are discussed separately in the companion paper. Impact:center dot Neuromonitoring techniques hold promise for improving neonatal care. center dot For neonatal encephalopathy, aEEG can assist in screening for eligibility for therapeutic hypothermia, though should not be used to exclude otherwise eligible neonates. Continuous cEEG, aEEG and NIRS through rewarming can assist in prognostication. center dot For neonates with possible seizures, cEEG is the gold standard for detection and diagnosis. If not available, aEEG as a screening tool is superior to clinical assessment alone. The use of seizure detection algorithms can help with timely seizures detection at the bedside.

Ämnesord

MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Pediatrik (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Pediatrics (hsv//eng)

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