Expert consensus on grading management of electroencephalogram monitoring in neonates

doi:10.7499/j.issn.1008-8830.2112129

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Chinese Journal of Contemporary Pediatrics ›› 2022, Vol. 24 ›› Issue (2) : 115-123. DOI: 10.7499/j.issn.1008-8830.2112129

STANDARD·PROTOCOL·GUIDELINE

Expert consensus on grading management of electroencephalogram monitoring in neonates

Subspecialty Group of Neonatology, Society of Pediatrics, Chinese Medical Association; Chinese Journal of Contemporary Pediatrics; National Health Commission Key Laboratory of Neonatal Diseases

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Abstract

Neonatal electroencephalogram (EEG) monitoring guidelines have been published by American Clinical Neurophysiology Society, and the expert consensus on neonatal amplitude-integrated EEG (aEEG) has also been published in China. It is difficult to strictly follow the guidelines or consensus for EEG monitoring in different levels of neonatal units due to a lack of EEG monitoring equipment and professional interpreters. The Subspecialty Group of Neonatology, Society of Pediatrics, Chinese Medical Association, established an expert group composed of professionals in neonatology, pediatric neurology, and brain electrophysiology to review published guidelines and consensuses and the articles in related fields and propose grading management recommendations for EEG monitoring in different levels of neonatal units. Based on the characteristics of video EEG and aEEG, local medical resources, and disease features, the expert group recommends that video EEG and aEEG can complement each other and can be used in different levels of neonatal units. The consensus also gives recommendations for promoting collaboration between professionals in neonatology, pediatric neurology, and brain electrophysiology and implementing remote EEG monitoring.

Key words

Electroencephalogram / Amplitude-integrated electroencephalogram / Seizure / Encephalopathy / Expert consensus / High-risk infant / Neonate

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Subspecialty Group of Neonatology, Society of Pediatrics, Chinese Medical Association; Chinese Journal of Contemporary Pediatrics; National Health Commission Key Laboratory of Neonatal Diseases. Expert consensus on grading management of electroencephalogram monitoring in neonates[J]. Chinese Journal of Contemporary Pediatrics. 2022, 24(2): 115-123 https://doi.org/10.7499/j.issn.1008-8830.2112129

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