By Lena Hellström-Westas, Ingmar Rosen, Linda S. de Vries
Completely revised from analogue examples to electronic examples utilizing simultaneous twin channel EEG, An Atlas of Amplitude-Integrated EEGs within the baby is the definitive scientific atlas-textbook on analyzing Cerebral functionality display screen (CFM) tracings. This simplified approach to non-stop amplitude-integrated EEG (EEG) tracking more and more utilized in neonatal devices is a more secure, extra trustworthy strategy. Clinicians could be guided easily by means of illustrations of aEEG tracings, whereas the atlas discusses the adaptation among aEEG tracings within the fit and in danger neonate. Chapters illustrate:
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Extra info for An Atlas of Amplitude-Integrated EEGs in the Newborn (2nd Edition) (Encyclopedia of Visual Medicine Series)
Cycling between different activity states (sleep–wake cycle) is reflected in the aEEG, and can be seen in stable infants from around 25 weeks’ PCA. • A suggested model for classification of the aEEG background pattern in well and sick neonates is presented. • The user of aEEG must be aware of the fact that a number of antiepileptic, sedative, and anesthetic agents may influence the aEEG background patterns. 1 Full-band EEG and aEEG recorded from a preterm infant with GA 32 + 4 weeks at 2 days postnatal age.
There are multiple overlapping points at intersections of mean CFM score and postconceptional age, with the number of studies at each point indicated. From reference 41 with permission. 11 aEEG background patterns. Classification of aEEG background patterns (duration of traces 4–6 hours): (a) continuous normal voltage with sleep–wake cycling (C); (b) discontinuous (DC); (c) DC gradually becoming more continuous; (d) burst suppression with high burst density (BS+); (e) burst suppression with low burst density (BS−); (f) continuous extremely low voltage (CLV); (g) inactive, flat (FT).
Lower border). Periods with broader bandwidth represent more discontinuous activity during quiet sleep (tracé alternant in full-term infants), and the narrower parts of the trace correspond to more continuous background during wakefulness or active sleep. • No SWC: no sinusoidal variations of the aEEG background. • Imminent/immature SWC: some, but not fully developed, cyclic variation of the lower border amplitude, but not developed as compared to normative maturational age-matched data. • Developed SWC: clearly identifiable sinusoidal changes between discontinuous and more continuous background in the aEEG with cycle duration ≥ 20 min.