Errata: Hemodynamic response to burst-suppressed and discontinuous electroencephalography activity in infants with hypoxic ischemic encephalopathy

Chalia, Maria; Lee, Chuen Wai; Dempsey, Laurie A; Edwards, Andrea; Singh, Harsimrat; Michell, Andrew W.; Everdell, Nick; Hill, Reuben W.; Hebden, Jeremy C.; Austin, Topun; Cooper, Robert J.

doi:10.1117/1.nph.3.3.039802

Cited by 2 publications

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“…In addition, it can increase the risk of self-injury, dehiscence of the surgical wound, occurrence of postoperative adverse behaviours such as intravenous catheter displacement, and can eventually be a threat to patients, parents, and primary caregivers [14] . Burst suppression is the alternation of electrical activity between isoelectric and brief bursts, often secondary to various factors, such as infantile encephalopathy, deep anaesthesia, hypoxic-ischaemic trauma, coma, and hypothermia [15] . To explore the factors associated with wake-up delirium and perioperative EEG, in a previous study, it was reported [16] that epileptiform discharges during the induction of anaesthesia are associated with wake-up delirium, which suggests that we can reduce the occurrence of epileptiform discharges by EEG monitoring during induction and further reduce the incidence of wake-up delirium.…”

Section: Discussionmentioning

confidence: 99%

Analysis of the relationship between EEG burst suppression and poor prognosis in children under general anaesthesia: study protocol for a prospective, randomized, pragmatic clinical trial

Jian-min

Gao

et al. 2023

Preprint

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Background: Emergence delirium (ED) in children refers to the immediate postoperative period when children experience decreased perception of their surroundings, accompanied by disorientation and altered perception. Burst suppression (BS) is an electroencephalographic state associated with profound inactivation of the brain. Our primary objective was to determine the association between BS on electroencephalogram (EEG) under general anaesthesia with postoperative wake-up delirium and multiple adverse outcomes, such as prolonged awakening and extubation. Methods: In this prospective, observational cohort study at Beijing Children's Hospital, Capital Medical University, Beijing, China, children aged 6 months to 9 years who underwent surgery under general anaesthesia and underwent EEG monitoring between January 2022 and January 2023 were included. Patients' prefrontal EEGs were recorded intraoperatively as well as analysed for the occurrence and duration of BS and scored postoperatively for delirium by the PAED scale, with a score of no less than 10 considered as having developed wake-up delirium. Discussion: This study identified a relationship between EEG BS and postoperative awakening delirium under general anaesthesia in children and provides a novel preventive strategy for postoperative awakening delirium and multiple adverse outcomes in paediatric patients. Trial registration:Chinese Clinical Trial Registry, ChiCTR2200055256. Registered on January 5, 2022

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Section: Discussionmentioning

confidence: 99%

Analysis of the relationship between EEG burst suppression and poor prognosis in children under general anaesthesia: study protocol for a prospective, randomized, pragmatic clinical trial

Jian-min

Gao

et al. 2023

Preprint

View full text Add to dashboard Cite

show abstract

Analysis of the relationship between EEG burst suppression and poor prognosis in children under general anaesthesia: study protocol for a prospective, observational, single-centre study

Jian-min

Gao

et al. 2023

Trials

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Background Emergence delirium (ED) in children refers to the immediate postoperative period when children experience decreased perception of their surroundings, accompanied by disorientation and altered perception. Burst suppression (BS) is recognised as periods longer than 0.50 s during which the EEG does not exceed approximately + 5.0 mV, which is an electroencephalographic state associated with profound inactivation of the brain. Our primary objective was to determine the association between BS on electroencephalogram (EEG) under general anaesthesia with postoperative wake-up delirium and multiple adverse outcomes, such as prolonged awakening and extubation. Methods In this prospective, observational cohort study at Beijing Children’s Hospital, Capital Medical University, Beijing, China, children aged 6 months to 9 years who underwent surgery under general anaesthesia and underwent EEG monitoring between January 2022 and January 2023 were included. Patients’ prefrontal EEGs were recorded intraoperatively as well as analysed for the occurrence and duration of BS and scored postoperatively for delirium by the PAED scale, with a score of no less than 10 considered as having developed wake-up delirium. Discussion This study identified a relationship between EEG BS and postoperative awakening delirium under general anaesthesia in children and provides a novel preventive strategy for postoperative awakening delirium and multiple adverse outcomes in paediatric patients. Trial registration Chinese Clinical Trial Registry, ChiCTR2200055256. Registered on January 5, 2022.

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Errata: Hemodynamic response to burst-suppressed and discontinuous electroencephalography activity in infants with hypoxic ischemic encephalopathy

Cited by 2 publications

References 1 publication

Analysis of the relationship between EEG burst suppression and poor prognosis in children under general anaesthesia: study protocol for a prospective, randomized, pragmatic clinical trial

Analysis of the relationship between EEG burst suppression and poor prognosis in children under general anaesthesia: study protocol for a prospective, randomized, pragmatic clinical trial

Analysis of the relationship between EEG burst suppression and poor prognosis in children under general anaesthesia: study protocol for a prospective, observational, single-centre study

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