Amplitude-integrated EEG Assists in Detecting Cerebral Dysfunction in the Newborn


Book Description

Background: Amplitude-integrated encephalography (aEEG) in term-born encephalopathic infants has been shown to be predictive of later neurodevelopmental outcomes, but little is known about the mediating cerebral pathology. In addition, the aEEG is commonly used to monitor electrographic seizures in the newborn, an important manifestation of cerebral pathology, but there is limited data on it's efficacy for this purpose. It's clinical application in the preterm infant remains to be explored. Aim: The central aim of this thesis is to prove the hypothesis that the aEEG assists in detecting cerebral dysfunction in the newborn. Methods: 1) In a cohort of term-born infants with encephalopathy and/or seizures digital aEEG background measures of the lower and upper aEEG margins were related to a numeric MRI abnormality score. 2) In at-risk term newborns, the accuracy of two-channel digital aEEG monitoring was compared with continuous concurrent conventional EEG for seizure detection. 3) In preterm infants (gestation at birth




Brain Disorders in Critical Illness


Book Description

Brain dysfunction is a major clinical problem in intensive care, with potentially debilitating long-term consequences for post-ICU patients of any age. The resulting extended length of stay in the ICU and post-discharge cognitive dysfunction are now recognized as major healthcare burdens. This comprehensive clinical text provides intensivists and neurologists with a practical review of the pathophysiology of brain dysfunction and a thorough account of the diagnostic and therapeutic options available. Initial sections review the epidemiology, outcomes, relevant behavioral neurology and biological mechanisms of brain dysfunction. Subsequent sections evaluate the available diagnostic options and preventative and therapeutic interventions, with a final section on clinical encephalopathy syndromes encountered in the ICU. Each chapter is rich in illustrations, with an executive summary and a helpful glossary of terms. Brain Disorders in Critical Illness is a seminal reference for all physicians and neuroscientists interested in the care and outcome of severely ill patients.




Niedermeyer's Electroencephalography


Book Description

The leading reference on electroencephalography since 1982, Niedermeyer's Electroencephalography is now in its thoroughly updated Sixth Edition. An international group of experts provides comprehensive coverage of the neurophysiologic and technical aspects of EEG, evoked potentials, and magnetoencephalography, as well as the clinical applications of these studies in neonates, infants, children, adults, and older adults. This edition's new lead editor, Donald Schomer, MD, has updated the technical information and added a major new chapter on artifacts. Other highlights include complete coverage of EEG in the intensive care unit and new chapters on integrating other recording devices with EEG; transcranial electrical and magnetic stimulation; EEG/TMS in evaluation of cognitive and mood disorders; and sleep in premature infants, children and adolescents, and the elderly. A companion website includes fully searchable text and image bank.




Neuromonitoring in Neonatal and Pediatric Critical Care


Book Description

Demand for neuromonitoring in neonatal, pediatric and cardiac intensive care units continues to grow, motivated by increased awareness of the high prevalence of seizures among critically ill neonates and children, and emerging evidence that these seizures can contribute to brain injury. This book provides physicians, nurses and trainees caring for critically ill newborns and children with a practical overview of how to use and interpret continuous neuromonitoring to enhance patient care. Authored by international experts from diverse institutions and professional backgrounds, this is a practical guide that is accessible to intensive care specialists, but also comprehensive enough to serve as a reference book for neurologists and neurophysiologists. Concise enough to be read cover-to-cover and illustrated with over thirty case-based examples, this authoritative reference will guide readers in accurate neuromonitoring interpretation and optimal use of conventional EEG, amplitude-integrated EEG and other quantitative EEG techniques.




An Atlas of Amplitude-Integrated EEGs in the Newborn


Book Description

Thoroughly revised from analogue examples to digital examples using simultaneous dual channel EEG, An Atlas of Amplitude-Integrated EEGsin the Newborn is the definitive clinical atlas-textbook on interpreting Cerebral Function Monitor (CFM) tracings. This simplified method of continuous amplitude-integrated EEG (EEG) mo




Klaus and Fanaroff's Care of the High-Risk Neonate


Book Description

Stay up to date with recent advances in the NICU with Klaus and Fanaroff's Care of the High-Risk Neonate, 6th Edition. This trusted neonatology reference thoroughly covers the new guidelines, equipment, drugs, and treatments that have greatly increased the chance of survival for high-risk infants. Expert contributors deliver the information you need to stay on top of the technological and medical advances in this challenging field. Benefit from the expert advice offered in concise, easy-to-read editorial comments throughout the book. Assess your knowledge with comprehensive question-and-answer sections at the end of each chapter. Understand the clinical relevance of what you've learned with case studies that highlight real-world application. Own the reference trusted for nearly 40 years by those who care for at-risk neonates in the dynamic and challenging NICU. Get fast access to need-to-know information on drugs used in the NICU, normal values, and much more in the fully updated appendices. Keep your knowledge up to date with expanded coverage of evidence-based medicine and the role of networks in generating evidence. Stay current with all aspects of neonatal care, including resuscitation, transport, nutrition, respiratory problems and assisted ventilation, and organ-specific care. Access the fully searchable text online, download images, and more at www.expertconsult.com.




Guidelines on Neonatal Seizures


Book Description

Neonatal seizures represent one of the most frequent neurological events in newborn infants, often reflecting a variety of different pre-, peri-, or postnatal disorders of the central nervous system (CNS). They are also a common manifestation of metabolic abnormality in newborn period and often represent the first sign of neurological dysfunction in neonates. They may be symptomatic or cryptogenic, herald subsequent epilepsy, can be associated with potential morbidity and mortality, and may be used as a factor in considering long-term prognosis. Despite the enormous clinical significance of these events, many aspects of their management are not well supported with evidence- based recommendations. These guidelines are intended to be of use for neonatologists, paediatric neurologists, paediatricians, general practitioners, nurse practitioners, nurses and other health professionals who may be in contact with infants experiencing seizures within the first 28 days of life (age up to 44 weeks postconception). The guidelines are framed so as to be applied by health care providers practicing in a wide range of health care facilities, from those with limited resources to tertiary care centers.




Klaus and Fanaroff's Care of the High-Risk Neonate E-Book


Book Description

Stay up to date with recent advances in the NICU with Klaus and Fanaroff's Care of the High-Risk Neonate, 6th Edition. This trusted neonatology reference thoroughly covers the new guidelines, equipment, drugs, and treatments that have greatly increased the chance of survival for high-risk infants. Expert contributors deliver the information you need to stay on top of the technological and medical advances in this challenging field. Consult this title on your favorite e-reader with intuitive search tools and adjustable font sizes. Elsevier eBooks provide instant portable access to your entire library, no matter what device you’re using or where you’re located. Benefit from the expert advice offered in concise, easy-to-read editorial comments throughout the book. Assess your knowledge with comprehensive question-and-answer sections at the end of each chapter. Understand the clinical relevance of what you’ve learned with case studies that highlight real-world application. Own the reference trusted for nearly 40 years by those who care for at-risk neonates in the dynamic and challenging NICU. Get fast access to need-to-know information on drugs used in the NICU, normal values, and much more in the fully updated appendices. Keep your knowledge up to date with expanded coverage of evidence-based medicine and the role of networks in generating evidence. Stay current with all aspects of neonatal care, including resuscitation, transport, nutrition, respiratory problems and assisted ventilation, and organ-specific care.




Questions from NeoReviews


Book Description

Enhance your knowledge of neonatal-perinatal medicine and/or study for Neonatal-Perinatal Medicine board certification or recertification with this new study guide from the editors of NeoReviews. This new guide includes more than 1,200 questions previously published in NeoReviews from January 2007 to December 2017. Each question is followed by a short explanation of the correct answer with references, including the original article. Chapters include Cardiology Dermatology Endocrinology ENT and Ophthalmology Fluids, Electrolytes, Nutrition Gastrointestinal Genetics and Inborn Errors of Metabolism Hematology/Oncology Immunology Infectious Diseases Maternal-Fetal Medicine Neonatal Resuscitation Neurology Renal Respiratory Statistics, Research, Health Services, and Ethics