Brain monitoring in children.
Applying scalp sensors in the operating theater, intensive care, or resuscitation scenarios to detect and monitor brain function is achievable, practical, and affordable. The modalities are complex and the output of the monitor needs careful interpretation. The monitor may have technical problems, and a single reading must be considered with caution. These monitors may have a use for monitoring trends in specific situations, but evidence does not support their widespread use. Nevertheless, research should continue to investigate their role. Future techniques and treatments may show that these monitors can monitor brain function and prevent harm.
Department of Anaesthesia, Great Ormond Street Hospital, Great Ormond Street, London WC1N 3JH, UK. Electronic address: mike.sury@gosh.nhs.uk.
Michael
M
Sury
D000293:Adolescent; D000758:Anesthesia / Q000379:methods*; D001921:Brain / Q000502:physiology*; D002648:Child; D002675:Child, Preschool; D056805:Consciousness Monitors; D004569:Electroencephalography; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D015931:Intensive Care, Neonatal; D016343:Monitoring, Intraoperative / Q000379:methods*; D010100:Oxygen / Q000097:blood; D019265:Spectroscopy, Near-Infrared
D010100:Oxygen
Amplitude-integrated electroencephalography; Bispectral Index; Cardiopulmonary bypass; Cerebral function; Electroencephalography; Near infrared spectroscopy; Oxygen