Quantitative EEG in the neonatal intensive care unit: Current application and future promise

Abstract Importance Quantitative electroencephalography (qEEG) has been used in the neonatal intensive care unit (NICU) for several decades. Recent innovations have led to renewed interest in expanding its role in the NICU with the goal of improving both acute care of neonates in the NICU and longer...

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Main Authors: Jennifer C. Keene, Giulia M. Benedetti, Stuart R. Tomko, Réjean M. Guerriero
Format: Article
Language:English
Published: Wiley 2023-12-01
Series:Annals of the Child Neurology Society
Subjects:
Online Access:https://doi.org/10.1002/cns3.20042
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author Jennifer C. Keene
Giulia M. Benedetti
Stuart R. Tomko
Réjean M. Guerriero
author_facet Jennifer C. Keene
Giulia M. Benedetti
Stuart R. Tomko
Réjean M. Guerriero
author_sort Jennifer C. Keene
collection DOAJ
description Abstract Importance Quantitative electroencephalography (qEEG) has been used in the neonatal intensive care unit (NICU) for several decades. Recent innovations have led to renewed interest in expanding its role in the NICU with the goal of improving both acute care of neonates in the NICU and longer‐term outcomes. Observations EEG in the NICU is primarily used to identify neonatal seizures. Sophisticated analysis of EEG can detect other acute neurological emergencies and provide additional information about short‐ and long‐term neurodevelopmental and epileptic prognosis. Using EEG for these additional findings may be limited by access to EEG resources and a constrained supply of neonatal neurophysiologists who can consistently evaluate unique neonatal EEG patterns. Relevance Quantitative EEG analysis is a rapidly developing technology with the potential to augment and support the interpretation of neonatal EEGs. This review focuses on the status of qEEG use in the NICU for identification and prediction of seizures and use in neuroprognostication. It also examines areas of promise for bedside qEEG applications.
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spelling doaj-art-055464da8efd451bbeaa5bd25896f83f2025-08-20T02:16:56ZengWileyAnnals of the Child Neurology Society2831-32672023-12-011428929810.1002/cns3.20042Quantitative EEG in the neonatal intensive care unit: Current application and future promiseJennifer C. Keene0Giulia M. Benedetti1Stuart R. Tomko2Réjean M. Guerriero3Division of Pediatric Neurology, Department of Pediatrics University of Utah, Primary Children's Hospital Salt Lake City Utah USADivision of Pediatric Neurology, Department of Pediatrics University of Michigan, C. S. Mott Children's Hospital Ann Arbor Michigan USADivision of Pediatric and Developmental Neurology, Department of Neurology Washington University in St. Louis St. Louis Missouri USADivision of Pediatric and Developmental Neurology, Department of Neurology Washington University in St. Louis St. Louis Missouri USAAbstract Importance Quantitative electroencephalography (qEEG) has been used in the neonatal intensive care unit (NICU) for several decades. Recent innovations have led to renewed interest in expanding its role in the NICU with the goal of improving both acute care of neonates in the NICU and longer‐term outcomes. Observations EEG in the NICU is primarily used to identify neonatal seizures. Sophisticated analysis of EEG can detect other acute neurological emergencies and provide additional information about short‐ and long‐term neurodevelopmental and epileptic prognosis. Using EEG for these additional findings may be limited by access to EEG resources and a constrained supply of neonatal neurophysiologists who can consistently evaluate unique neonatal EEG patterns. Relevance Quantitative EEG analysis is a rapidly developing technology with the potential to augment and support the interpretation of neonatal EEGs. This review focuses on the status of qEEG use in the NICU for identification and prediction of seizures and use in neuroprognostication. It also examines areas of promise for bedside qEEG applications.https://doi.org/10.1002/cns3.20042electroencephalographyneonatal encephalopathyneonatal seizures
spellingShingle Jennifer C. Keene
Giulia M. Benedetti
Stuart R. Tomko
Réjean M. Guerriero
Quantitative EEG in the neonatal intensive care unit: Current application and future promise
Annals of the Child Neurology Society
electroencephalography
neonatal encephalopathy
neonatal seizures
title Quantitative EEG in the neonatal intensive care unit: Current application and future promise
title_full Quantitative EEG in the neonatal intensive care unit: Current application and future promise
title_fullStr Quantitative EEG in the neonatal intensive care unit: Current application and future promise
title_full_unstemmed Quantitative EEG in the neonatal intensive care unit: Current application and future promise
title_short Quantitative EEG in the neonatal intensive care unit: Current application and future promise
title_sort quantitative eeg in the neonatal intensive care unit current application and future promise
topic electroencephalography
neonatal encephalopathy
neonatal seizures
url https://doi.org/10.1002/cns3.20042
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AT rejeanmguerriero quantitativeeegintheneonatalintensivecareunitcurrentapplicationandfuturepromise