British Journal of Anaesthesia, Vol 75, Issue 4 428-430, Copyright © 1995 by The Board of Management and Trustees of the British Journal of Anaesthesia
S. W. O'Kelly, D. C. Smith and S. N. Pilkington
We have examined the raw EEG activity and auditory evoked responses (AER)
in 35 children, aged 3 days to 13 yr (median 1.5 yr), undergoing general
anaesthesia for routine surgery. Binaural stimuli were presented at a
frequency of 6.12 Hz and the EEG was recorded and stored using the
Northwick Park auditory evoked response software. AER were generated by
averaging 512 sweeps each of 125-ms duration. In children less than 2 yr of
age, the AER was often irregular, whereas children older than 2 yr had AER
patterns similar to those in adults. In children less than 2 yr, regular
artefact activity was superimposed on the background EEG which was at the
same frequency as the instantaneous heart rate and which was often
identifiable as the ECG. We conclude that the AER may be unreliable in
children less than 2 yr of age, and modification of current methodology may
be required if this technique is to become useful in paediatric anaesthetic
practice.
CLINICAL INVESTIGATIONS
The auditory evoked potential and paediatric anaesthesia
Shackleton Department of Anaesthesia, Southampton General Hospital, Tremona Road, Southampton SO16 6YD
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