Department of Paediatrics IV, Division of Neonatology, Neuropaediatrics and Metabolic Disorders, Innsbruck Medical University, Innsbruck, Austria.
Acta Paediatr. 2011 Aug;100(8):1079-83. doi: 10.1111/j.1651-2227.2011.02206.x. Epub 2011 Mar 22.
To establish and apply a questionnaire for the evaluation of amplitude-integrated electroencephalogram (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.
Amplitude-integrated electroencephalogram was routinely applied in preterm infants below 32 weeks of gestational age for a period of 2 years. Practicability, feasibility and the level of know-how with regard to aEEG were assessed using a multiple-choice questionnaire.
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.
Amplitude-integrated electroencephalogram is frequently used in neonatology. In preterm infants with several challenges, repeated theoretical and practical trainings as well as quality control are needed in order for aEEG to become a routinely used monitoring instrument in daily preterm care.
建立并应用振幅整合脑电图（aEEG）评估问卷，评估其在新生儿重症监护病房（NICU）中的实用性和可行性，以揭示日常使用中的改进策略，并调查工作人员在床边 aEEG 性能和评估方面的专业知识水平，以进行质量控制。
振幅整合脑电图在胎龄<32 周的早产儿中常规应用 2 年。使用多项选择问卷评估 aEEG 的实用性、可行性和专业知识水平。
在早产儿中使用 aEEG 存在的主要问题是电极放置和频繁调整所需的时间。质量控制显示以下问题：60.0%的患者正确诊断出癫痫活动，45.5%的患者出现不连续（DC）背景，41.8%的患者出现爆发抑制（BS）。总体而言，BS 和 DC 是最常被错误解释的模式。
振幅整合脑电图在新生儿科中经常使用。在面临多种挑战的早产儿中，需要反复进行理论和实践培训以及质量控制，以使 aEEG 成为日常早产儿护理中常规使用的监测仪器。
