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 baby is the definitive scientific atlas-textbook on reading Cerebral functionality display 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 strategy. Clinicians can be guided without difficulty via illustrations of aEEG tracings, whereas the atlas discusses the adaptation among aEEG tracings within the fit and in danger neonate. Chapters illustrate:
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Additional info for An Atlas of Amplitude-Integrated EEGs in the Newborn (2nd Edition) (Encyclopedia of Visual Medicine Series)
The first four examples are from NicoletOne recordings, but these artifacts appear very similar also in the other EEG monitors. 1 opposite and above (c) baseline shift on the right side due to muscle activity; (d) at the end of this trace there is bilateral upward deflection of the aEEG which could be mistaken for seizures but is caused by muscle activity; (e) loose electrode on the right side (Fp2–T4) and automated detection of electrode failure. 5 for full story) had a slightly discontinuous background pattern.
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. 5 In this full-term infant with a metabolic disorder a needle electrode on the right side was loose and reinserted (red block on the right side at time 11:30).
There is no obvious change in the EEG, instead the trend measures aEEG/IBI can better display the deterioration in the background activity. 4 (a) This aEEG tracing is from a full-term infant with severe HIE. The infant was continuously gasping on the ventilator. The initial aEEG can easily be misinterpreted as a BS pattern. However, following a loading dose of vecuronium, a muscle relaxant, the aEEG became flat and revealed the true state of cerebral function in this infant. After about 2 h, the effect of the muscle-paralyzing agent was wearing off.
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