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Neuromonitoring in neonatal critical care part II : extremely premature infants and critically ill neonates

El-Dib, Mohamed (författare)
Harvard Med Sch, Dept Pediat Newborn Med, Brigham & Womens Hosp, Boston, MA 02115 USA.
Abend, Nicholas S. (författare)
Childrens Hosp Philadelphia, Dept Neurol, Philadelphia, PA 19104 USA.;Childrens Hosp Philadelphia, Dept Pediat, Philadelphia, PA 19104 USA.;Univ Penn, Philadelphia, PA 19104 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, Sch Med, Div Neonatal & Dev Med, Palo Alto, CA 94304 USA.
Cilio, M. Roberta (författare)
Catholic Univ Louvain, Dept Pediat, Div Pediat Neurol, Clin Univ St Luc, Brussels, Belgium.
Greisen, Gorm (författare)
Univ Copenhagen, Copenhagen Univ Hosp, Rigshosp, Dept Neonatol, Copenhagen, Denmark.;Univ Copenhagen, Dept Clin Med, 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)
La Paz Univ Hosp, Dept Neonatol, Madrid, Spain.;IdiPAZ, Neonatol Grp, Madrid, Spain.
Pressler, Ronit M. (författare)
Great Ormond St Hosp Sick Children, Dept Clin Neurophysiol, London, England.;UCL Great Ormond St Inst Child Hlth, Clin Neurosci, London, England.
Sansevere, Arnold (författare)
George Washington Univ, Dept Neurol & Pediat, Sch Med & Hlth Sci, Washington, DC USA.;Childrens Natl Hosp, Div Neurophysiol Epilepsy & Crit Care, Washington, DC USA.
Szakmar, Eniko (författare)
Semmelweis Univ, Dept Pediat 1, Div Neonatol, Budapest, Hungary.
Tsuchida, Tammy (författare)
George Washington Univ, Dept Neurol & Pediat, Sch Med & Hlth Sci, Washington, DC USA.;Childrens Natl Hosp, Div Neurophysiol Epilepsy & Crit Care, Washington, DC USA.
Vanhatalo, Sampsa (författare)
Helsinki Univ Hosp, Childrens Hosp, Dept Clin Neurophysiol, BABA Ctr,Neurosci Ctr HILIFE, Helsinki, Finland.;Univ Helsinki, Helsinki, Finland.
Wusthoff, Courtney J. (författare)
Stanford Univ, Div Child Neurol, Palo Alto, CA 94304 USA.
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Harvard Med Sch, Dept Pediat Newborn Med, Brigham & Womens Hosp, Boston, MA 02115 USA Childrens Hosp Philadelphia, Dept Neurol, Philadelphia, PA 19104 USA.;Childrens Hosp Philadelphia, Dept Pediat, Philadelphia, PA 19104 USA.;Univ Penn, Philadelphia, PA 19104 USA. (creator_code:org_t)
2022-11-25
2023
Engelska.
Ingår i: Pediatric Research. - : Springer Nature. - 0031-3998 .- 1530-0447. ; 94:1, s. 55-63
Relaterad länk:
https://urn.kb.se/re...
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https://doi.org/10.1...
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  • Forskningsöversikt (refereegranskat)
Abstract Ämnesord
Stäng  
  • Neonatal intensive care has expanded from cardiorespiratory care to a holistic approach emphasizing brain health. To best understand and monitor brain function and physiology in the neonatal intensive care unit (NICU), the most commonly used tools are amplitude-integrated EEG, full multichannel continuous EEG, and near-infrared spectroscopy. Each of these modalities has unique characteristics and functions. While some of these tools have been the subject of expert consensus statements or guidelines, there is no overarching agreement on the optimal approach to neuromonitoring in the NICU. This work reviews current evidence to assist decision making for the best utilization of these neuromonitoring tools to promote neuroprotective care in extremely premature infants and in critically ill neonates. Neuromonitoring approaches in neonatal encephalopathy and neonates with possible seizures are discussed separately in the companion paper. Impact For extremely premature infants, NIRS monitoring has a potential role in individualized brain-oriented care, and selective use of aEEG and cEEG can assist in seizure detection and prognostication. For critically ill neonates, NIRS can monitor cerebral perfusion, oxygen delivery, and extraction associated with disease processes as well as respiratory and hypodynamic management. Selective use of aEEG and cEEG is important in those with a high risk of seizures and brain injury. Continuous multimodal monitoring as well as monitoring of sleep, sleep-wake cycling, and autonomic nervous system have a promising role in neonatal neurocritical care.

Ämnesord

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

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