Bedside video electroencephalography monitoring for neonates in NICU—the nursing perspective
10.3760/cma.j.issn.2096-2932.2019.05.005
- VernacularTitle:新生儿重症监护病房床旁视频脑电图监测护理效果分析
- Author:
Chunhua LI
1
;
Xueyan DU
;
Shan LI
;
Jingwen MENG
;
Qiao GUAN
;
Lili CHEN
;
Wei WANG
;
Huan WANG
;
Haijing LI
Author Information
1. 北京大学第一医院儿科 100034
- Keywords:
Electroencephalography;
Intensive care units;
neonatal;
Video;
Nursing care
- From:Chinese Journal of Neonatology
2019;34(5):343-346
- CountryChina
- Language:Chinese
-
Abstract:
Objective To assess the safety and feasibility of video electroencephalographic (VEEG) monitoring in preterm infants and critically ill neonates in neonatal intensive care unit (NICU). Method From December 2017 to June 2018, high risk infants were prospectively enrolled and received VEEG monitoring in our NICU. Their basic information, adverse events and disturbances of any procedure during VEEG monitoring were collected by specially-trained nurses. Result A total of 245 times of VEEG were recorded. The average gestational age (GA) was (32.1 ± 3.6) weeks, the birth weight (BW) was (1879 ± 757) g, the corrected GA (cGA) at VEEG monitoring was (33.8±3.3) weeks, and the average weight at VEEG monitoring was (2008±716) g. The earliest cGA at VEEG monitoring was 25+5 weeks, and the lowest weight at VEEG monitoring was 520 g. The average monitoring duration was (4.9±2.4) h, ranging from 3 to 20 hours. During VEEG monitoring, 80 cases (32.7％) received noninvasive ventilation, 43 cases (17.6％) mechanical ventilation. The adverse events during electrodes placement were oxygen desaturation in 8(3.3％) cases. During VEEG monitoring, local skin erythema were found in 4 cases (1.6％), and electrodes displacement in 2(0.8％) cases. The disturbances of any clinical procedures were reported in 18(7.3％) cases. No severe adverse events such as displacement of endotracheal tube nor events requiring cardiopulmonary resuscitation occurred during VEEG monitoring. Conclusion It is feasible and safe for trained NICU nurses to place electrodes for high risk neonates.
