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Media type:
E-Article
Title:
aEEG as a useful tool for neuromonitoring in critically ill children – Current evidence and knowledge gaps
Contributor:
Bruns, Nora;
Felderhoff‐Müser, Ursula;
Dohna‐Schwake, Christian
Published:
Wiley, 2021
Published in:
Acta Paediatrica, 110 (2021) 4, Seite 1132-1140
Language:
English
DOI:
10.1111/apa.15676
ISSN:
0803-5253;
1651-2227
Origination:
Footnote:
Description:
AbstractAimAmplitude‐integrated electroencephalography (aEEG) is used in children beyond neonatal age, but systematic investigations have been lacking. This mini‐review summarised aEEG studies on children aged one month to 18 years, evaluated the usefulness of aEEG and identified knowledge gaps or limitations.MethodsWe searched the PubMed database for articles published in English up to September 2020, and 23 papers were identified.ResultsaEEG was frequently used to compensate for the absence of continuous full‐channel EEG monitoring, particularly for detecting seizures. Interpreting background patterns was based on neonatal classifications, as reference values for older infants and children are lacking. It is possible that aEEG could predict outcomes after paediatric cardiac arrests and other conditions. Gaps in our knowledge exist with regard to normal values in healthy children and the effects of sedation on aEEG background patterns in children.ConclusionThe main application of aEEG was detecting and treating paediatric seizures. Further research should determine reference values and investigate the potential to predict outcome after critical events or in acute neurological disease. It is likely that aEEG will play a role in paediatric critical care in the future.