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...
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Frontiers Media S.A.
2023-03-01
|
| Series: | Frontiers in Pediatrics |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fped.2023.1138062/full |
| _version_ | 1811158400617152512 |
|---|---|
| author | Valerie Y. Chock Anoop Rao Krisa P. Van Meurs |
| author_facet | Valerie Y. Chock Anoop Rao Krisa P. Van Meurs |
| author_sort | Valerie Y. Chock |
| collection | DOAJ |
| 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. |
| first_indexed | 2024-04-10T05:24:01Z |
| format | Article |
| id | doaj.art-b913eefee213488f96c0d3532d26c448 |
| institution | Directory Open Access Journal |
| issn | 2296-2360 |
| language | English |
| last_indexed | 2024-04-10T05:24:01Z |
| publishDate | 2023-03-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Pediatrics |
| spelling | doaj.art-b913eefee213488f96c0d3532d26c4482023-03-08T05:08:38ZengFrontiers Media S.A.Frontiers in Pediatrics2296-23602023-03-011110.3389/fped.2023.11380621138062Optimal neuromonitoring techniques in neonates with hypoxic ischemic encephalopathyValerie Y. ChockAnoop RaoKrisa P. Van MeursNeonates 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.https://www.frontiersin.org/articles/10.3389/fped.2023.1138062/fullneuromonitoringnear-infrared spectroscopyamplitude integrated electroencephalographyheart rate variabilityvisual evoked potentialssomatosensory evoked potentials |
| spellingShingle | Valerie Y. Chock Anoop Rao Krisa P. Van Meurs Optimal neuromonitoring techniques in neonates with hypoxic ischemic encephalopathy Frontiers in Pediatrics neuromonitoring near-infrared spectroscopy amplitude integrated electroencephalography heart rate variability visual evoked potentials somatosensory evoked potentials |
| 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 | neuromonitoring near-infrared spectroscopy amplitude integrated electroencephalography heart rate variability visual evoked potentials somatosensory evoked potentials |
| url | https://www.frontiersin.org/articles/10.3389/fped.2023.1138062/full |
| work_keys_str_mv | AT valerieychock optimalneuromonitoringtechniquesinneonateswithhypoxicischemicencephalopathy AT anooprao optimalneuromonitoringtechniquesinneonateswithhypoxicischemicencephalopathy AT krisapvanmeurs optimalneuromonitoringtechniquesinneonateswithhypoxicischemicencephalopathy |