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Optimal neuromonitoring techniques in neonates with hypoxic ischemic encephalopathy

Neonates with hypoxic ischemic encephalopathy (HIE) are at significant risk for adverse outcomes including death and neurodevelopmental impairment. Neuromonitoring provides critical diagnostic and prognostic information for these infants. Modalities providing continuous monitoring include continuous...

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Autores principales: Chock, Valerie Y., Rao, Anoop, Van Meurs, Krisa P.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10030520/
https://www.ncbi.nlm.nih.gov/pubmed/36969281
http://dx.doi.org/10.3389/fped.2023.1138062
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author Chock, Valerie Y.
Rao, Anoop
Van Meurs, Krisa P.
author_facet Chock, Valerie Y.
Rao, Anoop
Van Meurs, Krisa P.
author_sort Chock, Valerie Y.
collection PubMed
description Neonates with hypoxic ischemic encephalopathy (HIE) are at significant risk for adverse outcomes including death and neurodevelopmental impairment. Neuromonitoring provides critical diagnostic and prognostic information for these infants. Modalities providing continuous monitoring include continuous electroencephalography (cEEG), amplitude-integrated electroencephalography (aEEG), near-infrared spectroscopy (NIRS), and heart rate variability. Serial bedside neuromonitoring techniques include cranial ultrasound and somatic and visual evoked potentials but may be limited by discrete time points of assessment. EEG, aEEG, and NIRS provide distinct and complementary information about cerebral function and oxygen utilization. Integrated use of these neuromonitoring modalities in addition to other potential techniques such as heart rate variability may best predict imaging outcomes and longer-term neurodevelopment. This review examines available bedside neuromonitoring techniques for the neonate with HIE in the context of therapeutic hypothermia.
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spelling pubmed-100305202023-03-23 Optimal neuromonitoring techniques in neonates with hypoxic ischemic encephalopathy Chock, Valerie Y. Rao, Anoop Van Meurs, Krisa P. Front Pediatr Pediatrics Neonates with hypoxic ischemic encephalopathy (HIE) are at significant risk for adverse outcomes including death and neurodevelopmental impairment. Neuromonitoring provides critical diagnostic and prognostic information for these infants. Modalities providing continuous monitoring include continuous electroencephalography (cEEG), amplitude-integrated electroencephalography (aEEG), near-infrared spectroscopy (NIRS), and heart rate variability. Serial bedside neuromonitoring techniques include cranial ultrasound and somatic and visual evoked potentials but may be limited by discrete time points of assessment. EEG, aEEG, and NIRS provide distinct and complementary information about cerebral function and oxygen utilization. Integrated use of these neuromonitoring modalities in addition to other potential techniques such as heart rate variability may best predict imaging outcomes and longer-term neurodevelopment. This review examines available bedside neuromonitoring techniques for the neonate with HIE in the context of therapeutic hypothermia. Frontiers Media S.A. 2023-03-08 /pmc/articles/PMC10030520/ /pubmed/36969281 http://dx.doi.org/10.3389/fped.2023.1138062 Text en © 2023 Chock, Rao and Van Meurs. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY) (https://creativecommons.org/licenses/by/4.0/) . The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Pediatrics
Chock, Valerie Y.
Rao, Anoop
Van Meurs, Krisa P.
Optimal neuromonitoring techniques in neonates with hypoxic ischemic encephalopathy
title Optimal neuromonitoring techniques in neonates with hypoxic ischemic encephalopathy
title_full Optimal neuromonitoring techniques in neonates with hypoxic ischemic encephalopathy
title_fullStr Optimal neuromonitoring techniques in neonates with hypoxic ischemic encephalopathy
title_full_unstemmed Optimal neuromonitoring techniques in neonates with hypoxic ischemic encephalopathy
title_short Optimal neuromonitoring techniques in neonates with hypoxic ischemic encephalopathy
title_sort optimal neuromonitoring techniques in neonates with hypoxic ischemic encephalopathy
topic Pediatrics
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10030520/
https://www.ncbi.nlm.nih.gov/pubmed/36969281
http://dx.doi.org/10.3389/fped.2023.1138062
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