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Related Experiment Video

Updated: May 2, 2026

Application of an Amplitude-integrated EEG Monitor Cerebral Function Monitor to Neonates
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Sevoflurane-induced changes in infants' quantifiable electroencephalogram parameters.

Stephen McKeever1, Linda Johnston, Andrew J Davidson

  • 1Department of Anaesthesia and Pain Management, Royal Children's Hospital, Melbourne, Vic., Australia; Murdoch Childrens Research Institute, Melbourne, Vic., Australia; Melbourne School of Health Sciences, The University of Melbourne, Melbourne, Vic., Australia.

Paediatric Anaesthesia
|March 12, 2014
PubMed
Summary

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Amplitude-integrated electroencephalogram (aEEG) is not a reliable measure for anesthesia depth in young children. Spectral Edge Frequency 90% (SEF90) and Bispectral Index (BIS) showed better predictive properties in children over six months old.

Area of Science:

  • Pediatric Anesthesiology
  • Neurophysiology
  • Medical Device Technology

Background:

  • Electroencephalogram (EEG) based anesthesia monitoring shows reduced reliability in infants due to developmental changes in EEG frequencies.
  • Amplitude-integrated EEG (aEEG), a time-domain measure, may offer better utility in pediatric anesthesia depth assessment.

Purpose of the Study:

  • To evaluate the correlation between age-adjusted Minimal Alveolar Concentration (MAC) multiples and aEEG.
  • To assess the predictive performance of aEEG, SEF90, and BIS for anesthesia depth in children under two years old.

Main Methods:

  • A prospective study involving 51 children under two years of age.
  • Simultaneous collection of aEEG, SEF90, and BIS data during sevoflurane anesthesia at 0.75, 1, and 1.25 MAC.
Keywords:
anesthesiaconsciousnesselectroencephalographyinhalationintraoperativemonitoring

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  • Calculation of Prediction Probability (Pk) and correlation coefficients for each EEG parameter.
  • Main Results:

    • aEEG demonstrated poor predictive power (Pk <0.72) for anesthesia depth across all age groups.
    • SEF90 and BIS showed better predictive properties (Pk >0.81) in children aged 6 months to 2 years.

    Conclusions:

    • Amplitude-integrated EEG (aEEG) is not recommended for monitoring anesthesia depth in young children.
    • SEF90 and BIS are more reliable indicators of anesthesia depth in pediatric patients over six months of age.