Implementation of amplitude-integrated electroencephalography in tertiary Canadian Neonatal Intensive Care Units—a longitudinal study

Author:

Grass Beate1ORCID,Crosdale Blondel1,Keyzers Matthew1,Deshpande Poorva23,Hahn Cecil24,Ly Linh G12,McNamara Patrick J125

Affiliation:

1. Division of Neonatology, Department of Pediatrics, The Hospital for Sick Children, Toronto, Ontario

2. Department of Pediatrics, University of Toronto, Toronto, Ontario

3. Division of Neonatology, Mount Sinai Hospital, Toronto, Ontario

4. Neonatal Neuroscience Team, The Hospital for Sick Children, Toronto, Ontario

5. Division of Neonatology, Carver College of Medicine, University of Iowa, Iowa City, Iowa, USA

Abstract

Abstract Aim To investigate the implementation of amplitude-integrated electroencephalography (aEEG) as bedside monitoring tool of cerebral function in tertiary Canadian Neonatal Intensive Care Units (NICU) over the past decade. Methods Longitudinal study consisting of online surveys of neonatologists on the use of aEEG in 2009 and 2018. Results The response rate to the survey was 72 of 149 (49%) in 2009 and 18 of 30 (60%) in 2018, respectively. aEEG has been implemented in almost all (2009: 62.5%; 2018: 94%) tertiary Canadian NICUs. Two-thirds (2009: 67%; 2018: 71%) of the respondents considered information from aEEG tracing helpful in clinical practice. The main indications for aEEG were term neonates with hypoxic ischemic encephalopathy (2009 and 2018: 76%) and seizure detection/surveillance (2009: 88%; 2018: 94%). Teaching on aEEG has been implemented for neonatologists (2018: 100%) and health care providers (2018: 50%) in tertiary Canadian NICUs but there is a lack of standardization of training. Use of aEEG in preterm neonates (2009: 37%, 2018: 33%) and application of aEEG in research (18% reported occasional use) is less common. Conclusion aEEG is well established in tertiary Canadian NICUs to monitor cerebral function and detect seizure activity. There is a need to develop formalized aEEG training programs and methods to assess competence. Further implementation of aEEG in preterm neonates and research is desirable.

Funder

National Institutes of Health

Publisher

Oxford University Press (OUP)

Subject

Pediatrics, Perinatology and Child Health

Reference25 articles.

1. EEG analysis using an analogue frequency analyser and a digital computer;Maynard;Electroencephalogr Clin Neurophysiol,1967

2. Monitoring of cerebral function after severe asphyxia in infancy;Bjerre;Arch Dis Child,1983

3. Cerebral function monitor in the neonate. I: Normal patterns;Verma;Dev Med Child Neurol,1984

4. Comparison between simultaneously recorded amplitude integrated electroencephalogram (cerebral function monitor) and standard electroencephalogram in neonates;Toet;Pediatrics,2002

5. Midazolam and amplitude-integrated EEG in asphyxiated full-term neonates;van Leuven;Acta Paediatr,2004

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