Newborns at high risk for brain injury: the role of the amplitude-integrated electroencephalography
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Jornal de Pediatria (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0021-75572022000600565 |
Resumo: | Abstract Objective: Amplitude-integrated electroencephalography (aEEG) is a simplified bedside neurophysiology tool that has been implemented in the neonatal intensive care unit and studied in an extensive range of clinical applications in the past decade. This critical review aimed to evaluate a variety of clinical applications of aEEG monitoring in diagnosis, clinical management, and prognosis assessment in critically ill neonates. Sources: The databases of Pubmed, SciELO, Lilacs, and Cochrane, books, and other online resources were consulted, as well as sources of professional experiences. Summary of findings: The clinical use of aEEG to access real-time brain function, background activity, and utility in seizures detection has been described. A critical review was realized considering the authors’ professional experience. Newborns with hypoxic-ischemic encephalopathy and seizures screening represent the most common studied population. However, several studies have shown interesting applications on preterm infants, newborns with congenital heart disease, and other clinical situations of high risk of injury to the developing brain. Conclusion: The aEEG has shown to be a useful non-invasive bedside monitor that aids in evaluating brain function, background activity, and cyclicity. aEEG findings have also demonstrated good prognostic value in a group of critically ill neonates. The aEEG seizure diagnosis capability has limitations, which have been already well established. The use of neonatal brain monitoring such as aEEG was shown to give valuable information in several high-risk clinical situations. |
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Newborns at high risk for brain injury: the role of the amplitude-integrated electroencephalographyNewbornsBrain injuriesNeonatal intensive care unitsBrain monitoringAmplitude-integrated electroencephalographyaEEGAbstract Objective: Amplitude-integrated electroencephalography (aEEG) is a simplified bedside neurophysiology tool that has been implemented in the neonatal intensive care unit and studied in an extensive range of clinical applications in the past decade. This critical review aimed to evaluate a variety of clinical applications of aEEG monitoring in diagnosis, clinical management, and prognosis assessment in critically ill neonates. Sources: The databases of Pubmed, SciELO, Lilacs, and Cochrane, books, and other online resources were consulted, as well as sources of professional experiences. Summary of findings: The clinical use of aEEG to access real-time brain function, background activity, and utility in seizures detection has been described. A critical review was realized considering the authors’ professional experience. Newborns with hypoxic-ischemic encephalopathy and seizures screening represent the most common studied population. However, several studies have shown interesting applications on preterm infants, newborns with congenital heart disease, and other clinical situations of high risk of injury to the developing brain. Conclusion: The aEEG has shown to be a useful non-invasive bedside monitor that aids in evaluating brain function, background activity, and cyclicity. aEEG findings have also demonstrated good prognostic value in a group of critically ill neonates. The aEEG seizure diagnosis capability has limitations, which have been already well established. The use of neonatal brain monitoring such as aEEG was shown to give valuable information in several high-risk clinical situations.Sociedade Brasileira de Pediatria2022-12-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0021-75572022000600565Jornal de Pediatria v.98 n.6 2022reponame:Jornal de Pediatria (Online)instname:Sociedade Brasileira de Pediatria (SBP)instacron:SBPE10.1016/j.jped.2021.10.008info:eu-repo/semantics/openAccessVariane,Gabriel Fernando TodeschiRodrigues,Daniela PereiraPietrobom,Rafaela Fabri RodriguesFrança,Carolina NunesNetto,AlexandreMagalhães,Maurícioeng2022-12-01T00:00:00Zoai:scielo:S0021-75572022000600565Revistahttp://www.jped.com.br/https://old.scielo.br/oai/scielo-oai.php||jped@jped.com.br1678-47820021-7557opendoar:2022-12-01T00:00Jornal de Pediatria (Online) - Sociedade Brasileira de Pediatria (SBP)false |
dc.title.none.fl_str_mv |
Newborns at high risk for brain injury: the role of the amplitude-integrated electroencephalography |
title |
Newborns at high risk for brain injury: the role of the amplitude-integrated electroencephalography |
spellingShingle |
Newborns at high risk for brain injury: the role of the amplitude-integrated electroencephalography Variane,Gabriel Fernando Todeschi Newborns Brain injuries Neonatal intensive care units Brain monitoring Amplitude-integrated electroencephalography aEEG |
title_short |
Newborns at high risk for brain injury: the role of the amplitude-integrated electroencephalography |
title_full |
Newborns at high risk for brain injury: the role of the amplitude-integrated electroencephalography |
title_fullStr |
Newborns at high risk for brain injury: the role of the amplitude-integrated electroencephalography |
title_full_unstemmed |
Newborns at high risk for brain injury: the role of the amplitude-integrated electroencephalography |
title_sort |
Newborns at high risk for brain injury: the role of the amplitude-integrated electroencephalography |
author |
Variane,Gabriel Fernando Todeschi |
author_facet |
Variane,Gabriel Fernando Todeschi Rodrigues,Daniela Pereira Pietrobom,Rafaela Fabri Rodrigues França,Carolina Nunes Netto,Alexandre Magalhães,Maurício |
author_role |
author |
author2 |
Rodrigues,Daniela Pereira Pietrobom,Rafaela Fabri Rodrigues França,Carolina Nunes Netto,Alexandre Magalhães,Maurício |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Variane,Gabriel Fernando Todeschi Rodrigues,Daniela Pereira Pietrobom,Rafaela Fabri Rodrigues França,Carolina Nunes Netto,Alexandre Magalhães,Maurício |
dc.subject.por.fl_str_mv |
Newborns Brain injuries Neonatal intensive care units Brain monitoring Amplitude-integrated electroencephalography aEEG |
topic |
Newborns Brain injuries Neonatal intensive care units Brain monitoring Amplitude-integrated electroencephalography aEEG |
description |
Abstract Objective: Amplitude-integrated electroencephalography (aEEG) is a simplified bedside neurophysiology tool that has been implemented in the neonatal intensive care unit and studied in an extensive range of clinical applications in the past decade. This critical review aimed to evaluate a variety of clinical applications of aEEG monitoring in diagnosis, clinical management, and prognosis assessment in critically ill neonates. Sources: The databases of Pubmed, SciELO, Lilacs, and Cochrane, books, and other online resources were consulted, as well as sources of professional experiences. Summary of findings: The clinical use of aEEG to access real-time brain function, background activity, and utility in seizures detection has been described. A critical review was realized considering the authors’ professional experience. Newborns with hypoxic-ischemic encephalopathy and seizures screening represent the most common studied population. However, several studies have shown interesting applications on preterm infants, newborns with congenital heart disease, and other clinical situations of high risk of injury to the developing brain. Conclusion: The aEEG has shown to be a useful non-invasive bedside monitor that aids in evaluating brain function, background activity, and cyclicity. aEEG findings have also demonstrated good prognostic value in a group of critically ill neonates. The aEEG seizure diagnosis capability has limitations, which have been already well established. The use of neonatal brain monitoring such as aEEG was shown to give valuable information in several high-risk clinical situations. |
publishDate |
2022 |
dc.date.none.fl_str_mv |
2022-12-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0021-75572022000600565 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0021-75572022000600565 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1016/j.jped.2021.10.008 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Sociedade Brasileira de Pediatria |
publisher.none.fl_str_mv |
Sociedade Brasileira de Pediatria |
dc.source.none.fl_str_mv |
Jornal de Pediatria v.98 n.6 2022 reponame:Jornal de Pediatria (Online) instname:Sociedade Brasileira de Pediatria (SBP) instacron:SBPE |
instname_str |
Sociedade Brasileira de Pediatria (SBP) |
instacron_str |
SBPE |
institution |
SBPE |
reponame_str |
Jornal de Pediatria (Online) |
collection |
Jornal de Pediatria (Online) |
repository.name.fl_str_mv |
Jornal de Pediatria (Online) - Sociedade Brasileira de Pediatria (SBP) |
repository.mail.fl_str_mv |
||jped@jped.com.br |
_version_ |
1752122323367886848 |