The Spectrum of Quantitative EEG Utilization Across North America: A Cross-Sectional Survey

Benedetti, Giulia M.; Morgan, Lindsey A.; Sansevere, Arnold J.; Harrar, Dana; Guerriero, Réjean M.; Wainwright, Mark S.; LaRovere, Kerri L.; Kielian, Agnieszka; Ganesan, Saptharishi Lalgudi; Press, Craig A.

doi:10.1016/j.pediatrneurol.2022.12.016

Cited by 8 publications

(10 citation statements)

References 47 publications

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“…Eighty-five percent of institutions report using Persyst (Persyst Development Corporation) with a minority using Moberg (Moberg Solutions Inc.). 7 Figures 1A, 1B demonstrates examples of qEEG trends displayed in a customized neonatal Persyst panel. aEEG is typically included as the most familiar to NICU providers, often integrating a trend demonstrating right, left, and overlapping aEEG.…”

Section: Currently Available Bedside Qeeg Toolsmentioning

confidence: 99%

“…To allow this promise to come to fruition, there is a pressing need for standardization of qEEG evaluation techniques to allow the scientific study of the evolving qEEG applications to clinical care. 7 These efforts have begun with the development of open-source neonatal-specific quantitative platforms such as NEURAL 51 and BABAcloud, 60,61 but further investigation needs to be applied more broadly. Furthermore, qEEG analysis offers the opportunity to use machine learning to integrate multiple electrographic and clinical features, which may individually contribute little to the care of the neonate but are informative when combined.…”

Section: Conclusion: Areas Of Future Promise and Need For Further Dev...mentioning

confidence: 99%

“…Quantitative EEG utilization at the NICU bedside has classically been limited to aEEG, but there is an increasing trend of integrating and displaying multiple qEEG trends at bedside in both the pediatric ICU and NICU. Eighty‐five percent of institutions report using Persyst (Persyst Development Corporation) with a minority using Moberg (Moberg Solutions Inc.) 7 . Figures 1A, 1B demonstrates examples of qEEG trends displayed in a customized neonatal Persyst panel.…”

Section: Currently Available Bedside Qeeg Toolsmentioning

confidence: 99%

“…6 In the pediatric ICU setting, recent data demonstrate that over half of institutions with pediatric neurocritical care expertise who were surveyed (22 of 39, 56%) are using qEEG in the ICU, and nearly all individuals using qEEG endorse this tool for enhancing acute patient care. 7 Currently, the most common methods of qEEG use in the NICU are amplitude-integrated EEG (aEEG) and color spectrogram visual analysis. A survey of aEEG use in the NICU across the world found wide variance in use and availability of aEEG ranging from 20% to 100% with greater availability typically in academic and referral NICUs.…”

Section: Introduction To Quantitative Electroencephalography In the N...mentioning

confidence: 99%

“…In the adult ICU setting, multicenter studies have demonstrated that the addition of qEEG to raw EEG review decreases time and improves sensitivity in seizure detection 6 . In the pediatric ICU setting, recent data demonstrate that over half of institutions with pediatric neurocritical care expertise who were surveyed (22 of 39, 56%) are using qEEG in the ICU, and nearly all individuals using qEEG endorse this tool for enhancing acute patient care 7 . Currently, the most common methods of qEEG use in the NICU are amplitude‐integrated EEG (aEEG) and color spectrogram visual analysis.…”

Section: Introduction To Quantitative Electroencephalography In the N...mentioning

confidence: 99%

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

Keene,

Benedetti,

Tomko

et al. 2023

Annals of the Child Neurology Society

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ImportanceQuantitative 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.ObservationsEEG 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.RelevanceQuantitative 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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Section: Currently Available Bedside Qeeg Toolsmentioning

confidence: 99%