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Chapter 4 - Nursing Considerations in Neuromonitoring

from Part I - General Considerations in Neuromonitoring

Published online by Cambridge University Press:  08 September 2022

By
Kathi S. Randall  and
Diane Wilson
Edited by
Cecil D. Hahn  and
Courtney J. Wusthoff
Cecil D. Hahn
Affiliation:
The Hospital for Sick Children, University of Toronto
Courtney J. Wusthoff
Affiliation:
Lucile Packard Children’s Hospital, Stanford University
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Summary

Neuromonitoring is a shared responsibility in the ICU with several key roles for bedside nursing staff, including the identification and reporting of trends. Nursing staff should be familiar with equipment and supplies needed for neuromonitoring as well as troubleshooting common artifacts and problems. Guideline development and ongoing education are essential to the success of any neuromonitoring program. This chapter provides suggested pathways for integrating bedside neuromonitoring into clinical practice and discussion of day-to-day nursing roles and responsibilities related to bedside monitoring. Multiple modalities, including EEG, aEEG, QEEG, and NIRS, are discussed.

Keywords

neuromonitoringnursingamplitude-integrated EEG (aEEG)near-nfrared spectroscopy (NIRS)troubleshootingnursing educationtraining
Type
Chapter
Information
Neuromonitoring in Neonatal and Pediatric Critical Care , pp. 35 - 47
Publisher: Cambridge University Press
Print publication year: 2022

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References

Shellhaas, RA, Chang, T, Tsuchida, T, et al. The American Clinical Neurophysiology Society’s guideline on continuous electroencephalography monitoring in neonates. J Clin Neurophysiol. 2011;28:611–17.CrossRefGoogle ScholarPubMed
Foreman, SW, Thorngate, L. Amplitude-integrated electroencephalography: a new approach to enhancing neurologic nursing care in the neonatal intensive care unit. NAINR. 2011;11:134–140.Google Scholar
Zoet-Lavooi, J, van Rooij, LGM, Brouwer, AJ, Lemmers, P, de Vries, LS. Neuromonitoring: how to train your nursing staff. Paper presented at the 5th Congress of the European Academy of Paediatric EAPS 17–21, Barcelona, Spain, October 2014.Google Scholar
McCoy, B, Hahn, CD. Continuous EEG monitoring in the neonatal intensive care unit. J Clin Neurophysiol. 2013;30:106–14.CrossRefGoogle ScholarPubMed
Shah, NA, Wusthoff, CJ. How to use: amplitude integrated EEG (aEEG). Arch Dis Child Educ Pract Ed. 2015;100:75–81.CrossRefGoogle ScholarPubMed
Hellstrom-Westas, L. The electrocortical background, its normal maturation, classification, and effects of medication. In de Vries, LS, Rosen, I, Hellstrom-Westas, L, editors. Atlas of Amplitude-Integrated EEGs in the Newborn, 2nd ed. London: Informa Healthcare; 2008, pp. 17–42.Google Scholar
Pensirikul, AD, Beslow, LA, Kessler, SK, et al. Density spectral array for seizure identification in critically ill children. J Clin Neurophysiol. 2013;30:371–5.Google Scholar
Marin, T, Moore, J. Understanding near-infrared spectroscopy. Adv Neo Care. 2011;11:382–88.Google ScholarPubMed
Bernal, NP, Hoffman, GM, Ghanayem, NS, Arca, MJ. Cerebral and somatic near-infrared spectroscopy in normal newborns. J Pediatr Surg. 2010;45:1306–10.CrossRefGoogle ScholarPubMed
McNeill, S, Gatenby, JC, McElroy, S, Engelhardt, B. Normal cerebral, renal and abdominal regional oxygen saturations using near-infrared spectroscopy in preterm infants. J Perinatol. 2011;31:51–7.CrossRefGoogle ScholarPubMed
Toet, MC, Lemmers, PM. Brain monitoring in neonates. Early Hum Dev. 2009;85:77–84.CrossRefGoogle ScholarPubMed
Whitelaw, A, White, RD. Training neonatal staff in recording and reporting continuous electroencephalography. Clin Perinatol. 2006;33:667–77.CrossRefGoogle ScholarPubMed
Chock, VY, Davis, AS. Bedside cerebral monitoring to predict neurodevelopmental outcomes. NeoReviews. 2009;10, e121–e129.Google Scholar
McNeill, S, Gatenby, JC, McElroy, S, Engelhardt, B. Normal cerebral, renal and abdominal regional oxygen saturations using near-infrared spectroscopy in preterm infants. J Perinatol. 2011;31:51–7.CrossRefGoogle ScholarPubMed
Glass, HC, Wusthoff, CJ, Shellhaas, RA. Amplitude-integrated electro-encephalography: the child neurologist’s perspective. J Child Neurol. 2013;28:1342–50.CrossRefGoogle ScholarPubMed
Glass, HC, Bonifacio, SL, Peloquin, S, et al. Neurocritical care for neonates. Neurocrit Care. 2010;12:421–9.CrossRefGoogle ScholarPubMed
Duke University, QI Department, School of Medicine. Patient Safety Education. 2016. http://patientsafetyed.duhs.duke.edu/module_a/introduction/contrasting_qi_qa.htmlGoogle Scholar

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