Journal article
Implementation of amplitude-integrated electroencephalography in tertiary Canadian Neonatal Intensive Care Units—a longitudinal study
Paediatrics & child health, Vol.25(8), pp.511-517
12/16/2020
DOI: 10.1093/pch/pxz091
PMCID: PMC7739544
PMID: 33354260
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.
Details
- Title: Subtitle
- Implementation of amplitude-integrated electroencephalography in tertiary Canadian Neonatal Intensive Care Units—a longitudinal study
- Creators
- Beate Grass - Hospital for Sick ChildrenBlondel Crosdale - Hospital for Sick ChildrenMatthew Keyzers - Hospital for Sick ChildrenPoorva Deshpande - Mount Sinai HospitalCecil Hahn - University of TorontoLinh G Ly - University of TorontoPatrick J McNamara - University of Toronto
- Resource Type
- Journal article
- Publication Details
- Paediatrics & child health, Vol.25(8), pp.511-517
- DOI
- 10.1093/pch/pxz091
- PMID
- 33354260
- PMCID
- PMC7739544
- ISSN
- 1205-7088
- eISSN
- 1918-1485
- Grant note
- DOI: 10.13039/100000002, name: National Institutes of Health
- Language
- English
- Date published
- 12/16/2020
- Academic Unit
- Stead Family Department of Pediatrics; Neonatology; Internal Medicine
- Record Identifier
- 9984354118202771
Metrics
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