By Lena Hellström-Westas, Ingmar Rosen, Linda S. de Vries
Completely revised from analogue examples to electronic examples utilizing simultaneous twin channel EEG, An Atlas of Amplitude-Integrated EEGs within the child is the definitive scientific atlas-textbook on analyzing Cerebral functionality computer screen (CFM) tracings. This simplified approach to non-stop amplitude-integrated EEG (EEG) tracking more and more utilized in neonatal devices is a more secure, extra trustworthy approach. Clinicians might be guided easily by means of illustrations of aEEG tracings, whereas the atlas discusses the variation among aEEG tracings within the fit and in danger neonate. Chapters illustrate:
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Additional resources for An Atlas of Amplitude-Integrated EEGs in the Newborn (2nd Edition) (Encyclopedia of Visual Medicine Series)
The example also shows that the aEEG/EEG or standard EEG should verify the epileptic nature of clinically suspected seizures before administration of antiepileptic medications. 15 This extremely preterm infant (GA 26 weeks) with severe respiratory distress syndrome, and treated with mechanical ventilation, received diazepam and morphine which resulted in a long-lasting suppression (more than 3 h) of the aEEG background. The two EEG traces below (38 s) represent the electrocortical activity before (A) the medications, and after (B).
Figure provided by courtesy of Sampsa Vanhatalo. 22 THE ELECTROCORTICAL BACKGROUND, ITS NORMAL MATURATION, CLASSIFICATION, AND EFFECTS OF MEDICATION GA 25 weeks Fp2-T4 GA 28 weeks Fp2-C4 T4-02 C4-02 Fp1-C4 Fp2-T4 C4-02 T4-02 FpI-C3 C3-01 Fp1-C3 C1-01 Fp1-T3 Fp1-T3 T3-01 T3-01 Resp. Resp. ECG ECG GA 32 weeks GA 35 weeks Fp2-T4 Fp2-C4 T4-02 C4-02 02-T4 Fp2-C4 Fp1-C3 C4-02 C3-01 FpI-C3 01-T3 C3-01 EOG Fp1-T3 EKG T3-01 Resp. Resp. 2 The figure shows development of continuous EEG activity, representing active sleep (AS) and/or periods of wakefulness (W), at different GAs.
The gasping started again, and in the aEEG again a BS-like background was seen. The impedance was low all the time. (b) The lower tracing from another severely asphyxiated infant is very similar except that a continuous infusion of vecuronium was given. There was no return of gasping and the aEEG remained flat. 57 Artifacts due to gasping are rare, but should be excluded when severely brain-injured infants on mechanical ventilation are gasping and the aEEG shows a BS-like pattern. The original EEG is helpful, but not always conclusive.
An Atlas of Amplitude-Integrated EEGs in the Newborn (2nd Edition) (Encyclopedia of Visual Medicine Series) by Lena Hellström-Westas, Ingmar Rosen, Linda S. de Vries