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 child is the definitive scientific atlas-textbook on analyzing Cerebral functionality display screen (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 procedure. Clinicians may be guided easily through 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)
After about 2 h, the effect of the muscle-paralyzing agent was wearing off. The gasping started again, and in the aEEG again a BS-like background was seen. The impedance was low all the time. (b) The lower tracing from another severely asphyxiated infant is very similar except that a continuous infusion of vecuronium was given. There was no return of gasping and the aEEG remained flat. 57 Artifacts due to gasping are rare, but should be excluded when severely brain-injured infants on mechanical ventilation are gasping and the aEEG shows a BS-like pattern.
Four-hour aEEG recordings with 25 s of representative EEG activity from the first 2 days of life in eight infants with GAs: (a) 22 + 6 weeks; (b) 23 + 4 weeks; (c) 23 + 6 weeks; (d) 24 + 2 weeks; (e) 25 + 3 weeks; (f) 26 + 3 weeks; (g) 27 + 3 weeks; (h) 28 + 4 weeks; and (i) 30 + 1 weeks. None of the infants had IVH (although the infant in (a) later developed an IVH grade 3). The aEEG pattern is mainly discontinuous in traces (a)–(f), but traces (g) and (h) contain significant amounts of continuous activity.
Due to the filter properties of the aEEG recording this does not always produce a discernible shift in the aEEG trace. This is presumably one reason why the presence or absence of arousal responses has not been associated with prognosis in several aEEG studies. Handling of the infant, as well as administration of drugs, should always be marked on the recording. 56 Repeated gasping or other repeated motor activity may be misinterpreted as a discontinuous EEG pattern in infants with very poor and depressed EEG background, and inspection of the original EEG does not always solve this interpretational problem.
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