Anesthetic drugs & techniques

Alternative sensor montage for Index based EEG monitoring. A systematic review

J Clin Monit ComputPublished Systematic review of prospective observational studies

Authors' conclusion

Bearing in mind, the heterogeneity and small sample size of the included studies, current evidence suggests that the alternative infraorbital sensor position is the most comparable for clinical use when the standard sensor position in the forehead is not possible.

Study context

Population
Patients undergoing processed EEG depth of anaesthesia monitoring
Participants
438 patients · 13 prospective observational studies
Comparison
Alternative vs standard forehead positions of processed EEG sensors
Outcome
Reliability of alternative processed EEG sensor positions for depth of anaesthesia monitoring and applicability in clinical practice
Methodological detailsnarrative synthesis, PRISMA, Search of PubMed, Embase, Cochrane Library, Clinical trial.gov, Google and Google Scholar; last search August 2023; English-language prospective studies
  • Narrative synthesis
  • PRISMA
  • Search of PubMed, Embase, Cochrane Library, Clinical trial.gov, Google and Google Scholar; last search August 2023; English-language prospective studies

Pooled result

As reported in the abstract

  • Alternative infraorbital sensor position most comparable for clinical use when standard forehead position not possible
  • Synthesized narratively owing to heterogeneity
  • Small sample size

Further pooled results

Most studies low risk of bias; overall judgement No Information (missing data domain); no clear indication of serious or critical risk

Original publication

Alternative sensor montage for Index based EEG monitoring. A systematic review. J Clin Monit Comput. Published 27 April 2024. doi:10.1007/s10877-024-01162-1

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