By Lena Hellström-Westas, Ingmar Rosen, Linda S. de Vries
Completely revised from analogue examples to electronic examples utilizing simultaneous twin channel EEG, An Atlas of Amplitude-Integrated EEGs within the infant is the definitive scientific atlas-textbook on analyzing Cerebral functionality video display (CFM) tracings. This simplified approach to non-stop amplitude-integrated EEG (EEG) tracking more and more utilized in neonatal devices is a more secure, extra trustworthy technique. Clinicians might be guided without difficulty by way of illustrations of aEEG tracings, whereas the atlas discusses the variation among aEEG tracings within the fit and in danger neonate. Chapters illustrate:
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Extra info for An Atlas of Amplitude-Integrated EEGs in the Newborn (2nd Edition) (Encyclopedia of Visual Medicine Series)
10 (b) Correlation between mean total score and increasing maturation between 24 and 39 weeks’ PCA. The total number of studies was 146. There are multiple overlapping points at intersections of mean CFM score and postconceptional age, with the number of studies at each point indicated. From reference 41 with permission. 11 aEEG background patterns. Classification of aEEG background patterns (duration of traces 4–6 hours): (a) continuous normal voltage with sleep–wake cycling (C); (b) discontinuous (DC); (c) DC gradually becoming more continuous; (d) burst suppression with high burst density (BS+); (e) burst suppression with low burst density (BS−); (f) continuous extremely low voltage (CLV); (g) inactive, flat (FT).
42 3 Pitfalls and caveats In this chapter we will discuss and illustrate some pitfalls and caveats encountered during aEEG monitoring in the NICU. 7). As for all EEG recording, careful control of electrode impedance is important in order to avoid pick-up of artifacts. Most aEEG recording equipment provides tools for continuous surveillance of signal quality and impedance. 1). 2). In premature infants and sick term infants with discontinuous EEG activity such procedures may cause an arousal, and a transient period of continuous EEG with a sudden increase in the minimum level of the aEEG trace, which is sometimes mistaken for a solitary period of seizure activity.
5 In this full-term infant with a metabolic disorder a needle electrode on the right side was loose and reinserted (red block on the right side at time 11:30). Following the repositioning, a flattening of the recording was seen. The electrodes were found to be very near to each other; when reapplied at an increased distance the background pattern was comparable to before the disconnection of the electrode. During the recording brief ictal discharges are seen on the left side, as shown by the EEG at time 13:04, and also as indicated by the seizure detection alerts (orange markers).
An Atlas of Amplitude-Integrated EEGs in the Newborn (2nd Edition) (Encyclopedia of Visual Medicine Series) by Lena Hellström-Westas, Ingmar Rosen, Linda S. de Vries