Long Term Electroencephalography in Preterm Neonates: Safety and Quality of Electrode Types

Publication date: Available online 10 March 2018
Source:Clinical Neurophysiology
Author(s): Nathalie M. El Ters, Amit M. Mathur, Siddharth Jain, Zachary A. Vesoulis, John M. Zempel
ObjectivesThe objective of this study was to compare gold cup and hydrogel electrodes for frequency of electrode replacement, longevity of the original electrodes after initial placement, recording quality, and skin safety issues in long-term EEG studies in preterm neonates.MethodsWe performed a prospective trial with newborns born at ≥23 weeks and ≤30 weeks of gestational age (GA). Two mirror image EEG electrode arrays were utilized on consecutive subjects, wheregold cup electrodes alternated with hydrogel electrodes.ResultsOur sample included 50 neonates with meanGA of 27 (±1) weeks. The mean recording time was 84 (±15) hours. No difference was present in the frequency of replacement of either type across the total recording time (p=0.8). We collected the time at which electrodes were first replaced, and found that hydrogel electrodes showed a longer uninterrupted recording time of 28(±2) hours vs. 20(±2) hours for gold cup electrodes (p=0.01). Recording quality was similar in either type (p=0.2). None of the patients experienced significant skin irritation from a discrete electrode.ConclusionLong-term EEG studies can be performed with either gold cup or hydrogel electrodes, validating the safety and quality of both electrode types.SignificanceHydrogel electrodes are a reasonable alternative for use in long-term EEG studies in preterm neonates.



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