Technical Tips: Preventing Electrode-Induced Skin Injuries During Prolonged Ambulatory Electroencephalography
Sumika Ouchida1, Armin Nikpour1,2, Greg Fairbrother2,3
1Comprehensive Epilepsy Service, Royal Prince Alfred Hospital, Sydney, Australia.
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Ambulatory electroencephalography allows for continuous recording of electroencephalograms (EEGs) in patients' natural environments, providing insights into neurological conditions. One of the key concerns with prolonged monitoring is the risk of skin irritation or injury from electrodes. To reduce these injuries, EEG technologists should consider several factors, including age, skin tone, hair volume, electrode choice, monitoring duration, and types of adhesives. Selecting suitable electrodes and specialized adhesives is essential, along with adhering to best practices for application and removal. Maintaining EEG data integrity is essential, as skin injuries can compromise diagnostic accuracy. Regular assessment of electrode placement and skin condition is important. Technologists must balance cost-effectiveness concerns with the need for high-quality recording. Innovative methods are expected to drive practice improvements and reduce the risk of skin injuries over time.
