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Author Spotlight: Assessing the Feasibility of Using Amplitude-Integrated EEG During Neonatal Transport
Published on: June 21, 2024
American Clinical Neurophysiology Society Guideline 5: Minimum Technical Standards for Pediatric
John Kuratani1, Phillip L Pearl, Lucy Sullivan
1*The Permanente Medical Group, Department of Pediatric Neuroscience, Kaiser Permanente, Santa Clara, CA, U.S.A.; †Department of Epilepsy and Clinical Neurophysiology, Boston Children's Hospital, Boston, MA, U.S.A.; ‡Department of Neurology, Harvard Medical School, Boston, MA, U.S.A.; §RSC Diagnostic Services, Richardson, TX, U.S.A.; ‖Departments of Neurology and Pediatrics, Ark-La-Tex Epilepsy Monitoring Unit, Louisiana State University Health Sciences Center, School of Medicine in Shreveport, Shreveport, LA, U.S.A.; ¶NeuroLinks Group, LLC in Tulsa, OK, U.S.A.; #Winthrop University Hospital, Mineola, NY, U.S.A.; **Clinical Neurophysiology Department, National Institute of Neurology and Neurosurgery, Mexico City, Mexico; ††Strong Epilepsy Center, Department of Neurology, University of Rochester, Rochester, NY, U.S.A.; ‡‡Department of Neurology, Duke University Medical Center, Durham, NC, U.S.A.; §§Neurodiagnostic Center, Veterans Affair Medical Center, Durham, NC, U.S.A.; ‖‖Department Neurology, Harvard Medical School, Boston, MA, U.S.A.; ¶¶Comprehensive Epilepsy Center, Beth Israel Deaconess Medical Center, Boston, MA, U.S.A.; Departments of ##Neurology and ***Pediatrics, George Washington University School of Medicine and Health Sciences, Washington, DC, U.S.A.; and †††Division of Neurophysiology, Epilepsy and Critical Care in Center for Neuroscience and Behavioral Health, Washington, DC, U.S.A.
Abstract:
This revision to the EEG Guidelines is an update incorporating the current electroencephalography technology and practice. It was previously published as Guideline 2. Similar to the prior guideline, it delineates the aspects of Guideline 1 that should be modified for neonates and young children. Recording conditions for photic stimulation and hyperventilation are revised to enhance the provocation of epileptiform discharges. Revisions recognize the difficulties involved in performing an EEG under sedation in young children. Recommended neonatal EEG montages are displayed for the reduced set of electrodes only since the montages in Guideline 3 should be used for a 21-electrode 10-20 system array. Neonatal documentation is updated to use current American Academy of Pediatrics term "postmenstrual age" rather than "conceptional age." Finally, because therapeutic hypothermia alters the prognostic value of neonatal EEG, the necessity of documenting the patient's temperature at the time of recording is emphasized.
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