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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


CLINICAL INVESTIGATIONS

The auditory evoked potential and paediatric anaesthesia

S. W. O'Kelly, D. C. Smith and S. N. Pilkington
Shackleton Department of Anaesthesia, Southampton General Hospital, Tremona Road, Southampton SO16 6YD

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.
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M. Daunderer, M. S. Feuerecker, B. Scheller, N. B. Pape, D. Schwender, and G. E. Kuhnle
Midlatency auditory evoked potentials in children: effect of age and general anaesthesia
Br. J. Anaesth., December 1, 2007; 99(6): 837 - 844.
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