For any newborn that exhibits possible seizure activity or has altered mental status of unknown etiology, continuous bedside EEG recording is the standard of care to detect subclinical seizure activity. The experimental aspect of this study will be the application of test electrodes (EES or EKG) to evaluate if the electrodes can be used to produce a continuous bedside recording of brain activity in the same manner as an EEG recording, while ideally producing less irritation of newborn skin than conventional EEG electrodes.
Infants admitted to our NICU that require a standard EEG for clinical diagnosis will be approached for consent to test one of two new methods of EEG recording. Patients will be randomized to the new epidermal electronic system (EES) or the a hydrogel EKG electrode. All patients will continue to receive the standard of care EEG monitoring. EES is slim new temporary tattoo technology that can easily be applied to the skin without requiring a technician or scrubbing and preparation as with standard EEG lead. The hydrogel EKG are FDA approved leads normally used to detect cardiac rhythm. Specific Aims: 1. To compare the rate of detection of neonatal seizures between a new method of recording electrical brain rhythms (EES or EKG) and the current standard of care (EEG, or electroencephalography.) 2. To compare characterization of electrical brain activity between EES or EKG and EEG in the neonate.
Study Type
OBSERVATIONAL
Enrollment
13
Sharp Mary Birch Hospital for Women and Newborns
San Diego, California, United States
Seizure detection
Seizures detected by study electrodes will be compared to seizures detected on conventional EEG recording.
Time frame: 24 hours
EEG characterization
Compare quality of brain activity with study leads vs standard leads
Time frame: 24 hours
Skin integrity from standard EEG vs study electrodes
Photographs will be taken to compare skin integrity after each electrode use.
Time frame: 24 hours
Hair removal from standard EEG vs study electrodes
If hair removal is necessary for study electrode placement.
Time frame: 24 hours
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