aEEG Use in Pediatric Critical Care-An Online Survey

Nora Bruns; Ursula Felderhoff-Müser; Christian Dohna-Schwake; Joachim Woelfle; Hanna Müller

doi:10.3389/fped.2020.00003

aEEG Use in Pediatric Critical Care-An Online Survey

Front Pediatr. 2020 Jan 24:8:3. doi: 10.3389/fped.2020.00003. eCollection 2020.

Authors

Nora Bruns¹, Ursula Felderhoff-Müser¹, Christian Dohna-Schwake¹, Joachim Woelfle², Hanna Müller²

Affiliations

¹ Department of Pediatrics I, Neonatology, Pediatric Intensive Care, Pediatric Neurology, University Hospital Essen, University Duisburg-Essen, Essen, Germany.
² Division of Neonatology and Pediatric Intensive Care, Department of Pediatrics, University Hospital Erlangen, University of Erlangen-Nürnberg, Erlangen, Germany.

Abstract

Background: Evidence supporting continuous EEG monitoring in pediatric intensive care is increasing, but continuous full-channel EEG is a scarce resource. Amplitude-integrated EEG (aEEG) monitors are broadly available in children's hospitals due to their use in neonatology and can easily be applied to older patients. Objective: The aim of this survey was to evaluate the use of amplitude-integrated EEG in German and Swiss pediatric intensive care units (PICUs). Design: An online survey was sent to German and Swiss PICUs that were identified via databases provided by the German Pediatric Association (DGKJ) and the Swiss Society of Intensive Care (SGI). The questionnaire contained 18 multiple choice questions including the PICU size and specialization, indications for aEEG use, perceived benefits from aEEG, and data storage. Main results: Forty-three (26%) PICUs filled out the questionnaire. Two thirds of all interviewed PICUs use aEEG in non-neonates. Main indications were neurological complications or disease and altered mental state. Features assessed were mostly seizures and side differences, less frequently height of amplitude and background pattern. Interpretation of raw EEG also played an important role. All interviewees would appreciate the establishment of reference values for toddlers and children. Conclusions: aEEG is used in a large proportion of the interviewed PICUs. The wide-spread use without validation of data generates the need for further evaluation of this technique and the establishment of reference values for non-neonates.

Keywords: aEEG; amplitude-integrated EEG; continuous EEG; neuromonitoring; pediatric critical care; survey.