[Continuous two channel electroencephalography: description, applications, benefits and pitfalls].
Children, term and preterm newborn care require electrophysiologic investigations for seizure detection and therapeutic management or prognosis purposes. Amplitude-integrated electroencephalography (aEEG) offers an accessible by non expert, bedside continuous cerebral monitoring. A 2 year utilization of aEEG in a neonatal and paediatric intensive care unit is described as advantages and as pitfalls. Technical description and aEEG classifications for interpretation only available for term newborn are described. To obtain a performing utilization (technical and interpretation) it was necessary to have about 1 year of training including medical and paramedical formations. Our experience shows that this easy-to-use technique requires a careful management, a trained and vigilant staff notably electrophysiologist to avoid inappropriate conclusions. Finally, aEEG is very efficient but in complement of standard EEG.
Bednarek
N
N
Service de médecine néonatale et de réanimation pédiatrique, hôpital Alix-de-Champagne, 49 rue Cognacq-Jay, Reims cedex, France. nbednarek@chu-reims.fr
Delebarre
G
G
Saad
S
S
Loron
G
G
Mezguiche
F
F
Morville
P
P
D000367:Age Factors; D002648:Child; D004569:Electroencephalography / Q000379:methods*; D005602:France; D005865:Gestational Age; D006801:Humans; D007231:Infant, Newborn; D007234:Infant, Premature; D007363:Intensive Care Units, Neonatal; D015278:Intensive Care Units, Pediatric; D008991:Monitoring, Physiologic; D011379:Prognosis; D012640:Seizures / Q000175:diagnosis*