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Need for quality control for aEEG monitoring of the preterm infant: A two-year experience.
MedLine Citation:
PMID:  21352354     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Aim:  To establish and apply a questionnaire for the evaluation of aEEG with respect to practicability and feasibility in the NICU, to reveal strategies for improvements in daily use and to investigate the level of staff know-how with regard to performance and evaluation of bedside aEEG for the purpose of quality control. Methods:  aEEG was routinely applied in preterm infants below 32 weeks gestational age for a period of two years. Practicability, feasibility and the level of know-how with regard to aEEG were assessed using a multiple-choice questionnaire. Results:  Major problems in the use of aEEG in preterm infants were identified as time needed for placement and frequent readjustment of electrodes. Quality control showed the following problems: seizure activity was correctly diagnosed in 60.0%, discontinuous (DC) background in 45.5% and burst suppression (BS) in 41.8% of patients. Overall, BS and DC were the patterns most frequently interpreted incorrectly. Conclusion:  aEEG is frequently used in neonatology. In preterm infants with several challenges, repeated theoretical and practical training as well as quality control are needed in order for aEEG to become a routinely used monitoring instrument in daily preterm care.
Authors:
Griesmaier Elke; Neubauer Vera; Ralser Elisabeth; Trawöger Rudolf; Kiechl-Kohlendorfer Ursula; Keller Matthias
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-2-25
Journal Detail:
Title:  Acta paediatrica (Oslo, Norway : 1992)     Volume:  -     ISSN:  1651-2227     ISO Abbreviation:  -     Publication Date:  2011 Feb 
Date Detail:
Created Date:  2011-2-28     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9205968     Medline TA:  Acta Paediatr     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Acta Paediatrica © 2011 Foundation Acta Paediatrica.
Affiliation:
Department of Paediatrics IV, Division of Neonatology, Neuropaediatrics and Metabolic Disorders, Innsbruck Medical University, Austria Essen University Hospital, Department of Paediatrics I, Germany.
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