Evaluating electrical cortical activity using amplitude-integrated electroencephalography in term neonates during phototheraphy
Authors:
Z. Zimová; K. Maťašová; M. Zibolen
Authors‘ workplace:
Neonatologická klinika, Jesseniova lekárska fakulta v Martine, Univerzita Komenského v Bratislave, Univerzitná nemocnica Martin
Published in:
Čes-slov Pediat 2018; 73 (1): 16-22.
Category:
Overview
Amplitude-integrated encephalography (aEEG) is a non-invasive method of continuous monitoring of neonatal brain activity. Thanks to being fairly easy to evaluate, requiring little preparation time, and its small size, aEEG is currently a common part of standard neonatal care in NICUs. The incidence of significant hyperbilirubinaemia in term newborns is approximately 10%. Phototherapy has remained the first choice therapeutic intervention for more than 50 years, and it is undergone by a large portion of children. Several adverse effects of phototherapy have been described.
In our study, we analyzed the effect of hyperbilirubinaemia and phototherapy on the electrical cortical activity of the neonatal brain with the use of aEEG. After comparing the control group (n=20) and the group of patients with hyperbilirubinaemia (n=20), no significant changes in any of the monitored aEEG indicators was detected. Equally, phototherapy as a treatment for hyperbilirubinaemia in the examined patient group did not cause significant differences in these parameters. The results indicate that hyperbilirubinaemia and phototherapy have no influence on the electrical cortical activity of the neonatal brain.
Key words:
amplitude-integrated electroencephalography, newborn, hyperbilirubinaemia, phototherapy
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Neonatology Paediatrics General practitioner for children and adolescentsArticle was published in
Czech-Slovak Pediatrics
2018 Issue 1
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