Neoreviews
HOME HELP CONTACT US SUBSCRIPTIONS CME ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Take the CME quiz:
 Vol. 10 No. 3, March 2009
Right arrow E-Letters: Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when E-Letters are posted
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow E-mail this article to a friend
Right arrow Similar articles in this journal
Right arrow Alert me to new issues of the journal
Right arrow Add to My File Cabinet
Right arrow Download to citation manager
Right arrowRequest Permissions
Citing Articles
Right arrow Citing Articles via CrossRef
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Chock, V. Y.
Right arrow Articles by Davis, A. S.
Right arrow Search for Related Content
PubMed
Right arrow Articles by Chock, V. Y.
Right arrow Articles by Davis, A. S.
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us   Add to Digg   Add to Facebook   Add to Reddit   Add to Technorati   Add to Twitter  
What's this?

NeoReviews Vol.10 No.3 2009 e121
© 2009 American Academy of Pediatrics

Bedside Cerebral Monitoring to Predict Neurodevelopmental Outcomes

Valerie Y. Chock, MD*
Alexis S. Davis, MD*

* Division of Neonatal-Developmental Medicine, Stanford University, Palo Alto, Calif

Emerging neurodiagnostic technologies for bedside application allow earlier detection of neonatal cerebral injury, especially in critically ill infants for whom advanced neuroimaging may not be feasible. To date, no single bedside cerebral monitoring technique has been shown to provide early, accurate prediction of neurodevelopmental outcome in neonates. Multimodal cerebral monitoring may improve predictive capabilities by combining measurements of cerebral function such as electrical activation, oxygenation, and autoregulation of blood flow. This review focuses on two specific cerebral monitoring techniques that are easy to apply in a neonatal intensive care unit (NICU) and amenable to interpretation by a neonatologist who has limited training: aEEG and NIRS. Their role in the prediction of neurodevelopmental outcomes is discussed.

Abbreviations: aEEG: amplitude-integrated encephalography • CNS: central nervous system • ECMO: extracorporeal membrane oxygenation • ELBW: extremely low birthweight • FTOE: fractional tissue oxygen extraction • HbD: hemoglobin difference signal • HIE: hypoxic-ischemic encephalopathy • IVH: intraventricular hemorrhage • MAP: mean arterial blood pressure • MRI: magnetic resonance imaging • NICU: neonatal intensive care unit • NIRS: near-infrared spectroscopy • PHH: posthemorrhagic hydrocephalus • PPI: pressure passive index • PPV: positive predictive value • PVL: periventricular leukomalacia • rSO2: regional cerebral oxygen saturation • SWC: sleep-wake cycle


Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Digg Digg   Add to Facebook Facebook   Add to Reddit Reddit   Add to Technorati Technorati   Add to Twitter Twitter    What's this?




HOME HELP CONTACT US SUBSCRIPTIONS CME ARCHIVE SEARCH TABLE OF CONTENTS
Copyright © 2009 by the American Academy of Pediatrics.