Intraoperative pediatric electroencephalography monitoring: an updated review.

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  • Author(s): Yuan I;Yuan I; Bong CL; Bong CL; Chao JY; Chao JY
  • Source:
    Korean journal of anesthesiology [Korean J Anesthesiol] 2024 Jun; Vol. 77 (3), pp. 289-305. Date of Electronic Publication: 2024 Jan 17.
  • Publication Type:
    Journal Article; Review; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't
  • Language:
    English
  • Additional Information
    • Source:
      Publisher: Korean Society of Anesthesiologists Country of Publication: Korea (South) NLM ID: 101502451 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2005-7563 (Electronic) Linking ISSN: 20056419 NLM ISO Abbreviation: Korean J Anesthesiol Subsets: MEDLINE
    • Publication Information:
      Original Publication: Seoul : Korean Society of Anesthesiologists
    • Subject Terms:
      Electroencephalography*/methods ; Electroencephalography*/drug effects; Humans ; Child ; Monitoring, Intraoperative/methods ; Infant ; Intraoperative Neurophysiological Monitoring/methods ; Anesthesia/methods ; Anesthetics/administration & dosage ; Anesthetics/adverse effects ; Child, Preschool
    • Abstract:
      Intraoperative electroencephalography (EEG) monitoring under pediatric anesthesia has begun to attract increasing interest, driven by the availability of pediatric-specific EEG monitors and the realization that traditional dosing methods based on patient movement or changes in hemodynamic response often lead to imprecise dosing, especially in younger infants who may experience adverse events (e.g., hypotension) due to excess anesthesia. EEG directly measures the effects of anesthetics on the brain, which is the target end-organ responsible for inducing loss of consciousness. Over the past ten years, research on anesthesia and computational neuroscience has improved our understanding of intraoperative pediatric EEG monitoring and expanded the utility of EEG in clinical practice. We now have better insights into neurodevelopmental changes in the developing pediatric brain, functional connectivity, the use of non-proprietary EEG parameters to guide anesthetic dosing, epileptiform EEG changes during induction, EEG changes from spinal/regional anesthesia, EEG discontinuity, and the use of EEG to improve clinical outcomes. This review article summarizes the recent literature on EEG monitoring in perioperative pediatric anesthesia, highlighting several of the topics mentioned above.
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    • Grant Information:
      Masimo Corp; L70 DA057081 United States DA NIDA NIH HHS; KL2 TR002558 United States TR NCATS NIH HHS; KL2TR002558 Einstein-Montefiore CTSA; UL1TR002556 Einstein-Montefiore CTSA; K23 DA057499 United States DA NIDA NIH HHS; United States NH NIH HHS; UL1 TR002556 United States TR NCATS NIH HHS; K23DA057499 Einstein-Montefiore CTSA
    • Contributed Indexing:
      Keywords: Anesthesia; EEG; Electroencephalogram; Electroencephalography; Pediatric anesthesia; Pediatric.
    • Accession Number:
      0 (Anesthetics)
    • Publication Date:
      Date Created: 20240116 Date Completed: 20240605 Latest Revision: 20240611
    • Publication Date:
      20240611
    • Accession Number:
      PMC11150110
    • Accession Number:
      10.4097/kja.23843
    • Accession Number:
      38228393