Bruns Nora, Felderhoff-Müser Ursula, Dohna-Schwake Christian, Woelfle Joachim, Müller Hanna
Department of Pediatrics I, Neonatology, Pediatric Intensive Care, Pediatric Neurology, University Hospital Essen, University Duisburg-Essen, Essen, Germany.
Division of Neonatology and Pediatric Intensive Care, Department of Pediatrics, University Hospital Erlangen, University of Erlangen-Nürnberg, Erlangen, Germany.
Front Pediatr. 2020 Jan 24;8:3. doi: 10.3389/fped.2020.00003. eCollection 2020.
Evidence supporting continuous EEG monitoring in pediatric intensive care is increasing, but continuous full-channel EEG is a scarce resource. Amplitude-integrated EEG (aEEG) monitors are broadly available in children's hospitals due to their use in neonatology and can easily be applied to older patients. The aim of this survey was to evaluate the use of amplitude-integrated EEG in German and Swiss pediatric intensive care units (PICUs). An online survey was sent to German and Swiss PICUs that were identified via databases provided by the German Pediatric Association (DGKJ) and the Swiss Society of Intensive Care (SGI). The questionnaire contained 18 multiple choice questions including the PICU size and specialization, indications for aEEG use, perceived benefits from aEEG, and data storage. Forty-three (26%) PICUs filled out the questionnaire. Two thirds of all interviewed PICUs use aEEG in non-neonates. Main indications were neurological complications or disease and altered mental state. Features assessed were mostly seizures and side differences, less frequently height of amplitude and background pattern. Interpretation of raw EEG also played an important role. All interviewees would appreciate the establishment of reference values for toddlers and children. aEEG is used in a large proportion of the interviewed PICUs. The wide-spread use without validation of data generates the need for further evaluation of this technique and the establishment of reference values for non-neonates.
支持在儿科重症监护中进行连续脑电图监测的证据越来越多，但连续全通道脑电图是一种稀缺资源。由于振幅整合脑电图（aEEG）监测仪在新生儿科的应用，其在儿童医院广泛可用，并且可以轻松应用于年龄较大的患者。本次调查的目的是评估德国和瑞士儿科重症监护病房（PICU）中振幅整合脑电图的使用情况。通过德国儿科学会（DGKJ）和瑞士重症监护学会（SGI）提供的数据库，向德国和瑞士的PICU发送了在线调查问卷。问卷包含18个多项选择题，包括PICU的规模和专业、aEEG的使用指征、aEEG的感知益处以及数据存储。43个（26%）PICU填写了问卷。所有接受访谈的PICU中有三分之二在非新生儿中使用aEEG。主要指征是神经系统并发症或疾病以及精神状态改变。评估的特征大多是癫痫发作和双侧差异，较少是振幅高度和背景模式。原始脑电图的解读也发挥了重要作用。所有受访者都希望能为幼儿和儿童建立参考值。在接受访谈的PICU中，很大一部分使用aEEG。在没有数据验证的情况下广泛使用该技术，需要对这项技术进行进一步评估，并为非新生儿建立参考值。
