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Can neonatal staff site EEG leads in the correct position? A pilot study
  1. Anthony Richard Hart1,2,
  2. James J P Alix3
  1. 1 Department of Paediatric Neurology, Sheffield Children’s NHS Foundation Trust, Ryegate Children’s Centre, Sheffield, UK
  2. 2 Department of Neonatal Neurology, Neonatal Intensive Care Unit, Jessop Wing, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK
  3. 3 Sheffield Institute for Translational Neuroscience, University of Sheffield, Sheffield, UK
  1. Correspondence to Dr Anthony Richard Hart, Department of Paediatric Neurology, Sheffield Children’s Hospital NHS Foundation Trust, Ryegate Children’s Centre, Sheffield S10 5DD, UK; anthony.hart{at}sch.nhs.uk

https://doi.org/10.1136/archdischild-2017-314249

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    Underdiagnosis and overdiagnosis of neonatal seizures are common, with 73% of suspected seizures not being associated with epileptiform activity on electroencephalography (EEG) and 66% of EEG-detected seizures having no clinical features.1 As a result, recent studies into treatments for neonatal seizures have used prolonged EEG for accurate outcome measurement.2 Study design and funding are hampered by logistical and financial difficulties in accessing EEG throughout the day and weekend. If neonatal staff could site EEG leads and start monitoring, then EEG could be started in a timely fashion with a view to, for example, physiologist input within office hours. Commercial templates to aid EEG lead positioning are available, using a modified neonatal EEG montage.3

    For this pilot study, 24 participants (7 Specialist Level Training doctors, level 1 to 3 …

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    Footnotes

    • Contributors ARH conceived the idea for the study, purchased the equipment, wrote the script and filmed the training video, administered the study, and interpreted the data. ARH wrote the letter. JJPA helped design the study, reviewed the script for the training video and performed the technique during recording, measured the participant’s EEG lead from gold standard, and reviewed and commented on the paper.

    • Funding The finance for this project was funded personally by ARH. ARH has no affiliation with the company that produces the BraiNet template.

    • Competing interests None declared.

    • Ethics approval Ethical approval was granted by the University of Sheffield Research Ethics Committee.

    • Provenance and peer review Not commissioned; internally peer reviewed.