Competency: 5

Details

Record a paediatric EEG, to include activation procedures identifying and rectifying the non-pathological features of paediatric EEG recordings

Considerations

• Local Standard Operating Procedure for paediatric EEG
• The importance of a range of control settings and the importance of reviewing throughout the recording
• The principle and importance of marking electrode sites of placing electrodes and confirming the contact impedances are appropriate to the paediatric patient in clinical context
• Principles of derivation of montages (referential and bipolar) and electrode placement used for paediatric EEG
• The importance of electrode impedance and its effects
• Correct recording parameters
• The importance of patient positioning and compliance
• Requirements and principles of recording paediatric EEG, including identifying and eliminating biological and non-biological artefacts
• The importance of continued information and reassurance for the patient
• The protocol for hyperventilation and its effects on the paediatric EEG, normal and abnormal, and when the procedure should be discontinued
• Intermittent photic stimulation and its effect on the paediatric EEG, normal and abnormal, and when the procedure should be discontinued
• Sleep activation and its importance in the clinical context of the referral question
• Annotation of ongoing recording
• Recognition of and correct response to clinical events

Relevant learning outcomes