Long term electroencephalography in preterm neonates: Safety and quality of electrode types

Ters, Nathalie M. El; Mathur, Amit M.; Jain, Siddharth; Vesoulis, Zachary A.; Zempel, John

doi:10.1016/j.clinph.2018.02.129

Cited by 12 publications

(7 citation statements)

References 19 publications

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“…Although these hydrogel electrodes were previously identified in the literature, this study was the first to evaluate them as tools for neonatal EERPIP. 13,28,29 An additional consideration was the cost of the EEG electrodes used during the study (Table 1). The cost dif-ference between gold-cup disposable electrodes and hydrogel electrodes was not significant in comparison with the cost avoidance demonstrated in this project and did not play a factor in the study implementations.…”

Section: Discussionmentioning

confidence: 99%

“…In epoch 2, the researchers introduced a more novel type of EEG electrode made of a breathable polyethylene cloth tape, formulated gel cushion, and adhesive encapsulating the silver-silver chloride electrode and wire housing connection. Although these hydrogel electrodes were previously identified in the literature, this study was the first to evaluate them as tools for neonatal EERPIP 13,28,29 …”

Section: Discussionmentioning

confidence: 99%

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Neonatal Electroencephalogram Electrode-Related Pressure Injury Prevention Quality Improvement Study

Blazier

Boyle

Cooper

et al. 2023

Adv Skin Wound Care

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OBJECTIVETo lengthen the days between electroencephalogram electrode-related pressure injury (EERPI) to 100 EERPI-free days in 6 months of study implementation with a goal to maintain 200 EERPI-free days thereafter (≤1 EERPI event/year).METHODSThis quality improvement study took place in a level IV neonatal ICU over three epochs spanning 2 years: epoch 1 or baseline (January-June 2019), epoch 2 or implementation of intervention (July-December 2019), and epoch 3 or sustainment (January-December 2020). A daily electroencephalogram (EEG) skin assessment tool, introduction in practice of a flexible hydrogel EEG electrode, and successive rapid-cycle staff-education sessions were key interventions of the study.RESULTSSeventy-six infants were monitored for 214 continuous EEG (cEEG) days, of which six (13.2%) developed EERPI in epoch 1. Eighty infants were monitored for 193 cEEG days, of which two (2.5%) developed EERPI in epoch 2. One hundred thirty-nine infants were monitored for 338 cEEG days, and none developed EERPI in epoch 3. There was no statistical difference with respect to the median cEEG days among study epochs. A G-chart of EERPI-free days showed an increase in EERPI-free days from an average of 34 days in epoch 1 to 182 days in epoch 2 and 365 days (or zero harm) in epoch 3. Skin erythema from EEG electrodes was noted during the study.CONCLUSIONSThe structured study interventions eliminated EERPI events in infants monitored with cEEG. Preventive intervention at the cEEG-electrode level coupled with skin assessment successfully reduced EERPIs in neonates.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Neonatal Electroencephalogram Electrode-Related Pressure Injury Prevention Quality Improvement Study

Blazier

Boyle

Cooper

et al. 2023

Adv Skin Wound Care

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“…53 EEG carried out at approximately 35 weeks postmenstrual age has been identified as a strong predictor of outcome at 2 years for infants less than 32 weeks' birth GA. 18 However, infants undergoing therapeutic hypothermia over a prolonged period and the very preterm infant with fewer skin layers have higher skin protection needs. 54,55 Checking and recording electrode-skin contact site and frequent regular repositioning of the infant head will ensure skin integrity is not compromised at electrode placement sites. 56 Finally, irrespective of its clinical purpose, all technology surrounding an infant in the NICU may potentially limit a parent's physical proximity to their infant and parent-infant interaction.…”

Section: Discussionmentioning

confidence: 99%

An Introduction to Neonatal EEG

Ryan

Mathieson

Dempsey

et al. 2021

Journal of Perinatal &Amp; Neonatal Nursing

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Newborn care has witnessed significant improvements in survival, but ongoing concerns persist about neurodevelopmental outcome. Protecting the newborn brain is the focus of neurocritical care in the intensive care unit. Brain-focused care places emphasis on clinical practices supporting neurodevelopment in conjunction with early detection, diagnosis, and treatment of brain injury. Technology now facilitates continuous cot-side monitoring of brain function. Neuromonitoring techniques in neonatal intensive care units include the use of electroencephalography (EEG) or amplitude-integrated EEG (aEEG) and near-infrared spectroscopy. This article aims to provide an introduction to EEG, which is appropriate for neonatal healthcare professionals.

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“…Their high water content and conductive fillers allow for superior conduction. [107][108][109] Pedrosa et al fabricated a novel alginatebased hydrogel via injecting the viscous precursor into the electrode cap cavities and this hydrogel electrode shows no considerable differences between signals acquired with the commercial electrolytic gel during the same in vivo EEG acquisition (Fig. 4(k)).…”

Section: Categories Of Eeg Electrodesmentioning

confidence: 99%

Design of hydrogel-based wearable EEG electrodes for medical applications

Hsieh

Wang

et al. 2022

J. Mater. Chem. B

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Long term electroencephalography in preterm neonates: Safety and quality of electrode types

Abstract: Hydrogel electrodes are a reasonable alternative for use in long-term EEG studies in preterm neonates.

Cited by 12 publications

References 19 publications

Neonatal Electroencephalogram Electrode-Related Pressure Injury Prevention Quality Improvement Study

Neonatal Electroencephalogram Electrode-Related Pressure Injury Prevention Quality Improvement Study

An Introduction to Neonatal EEG

Design of hydrogel-based wearable EEG electrodes for medical applications

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