Yenidoğan Döneminde Nöromonitorizasyon
Özet
Yenidoğan yoğun bakım ünitelerinde riskli bebeklerin nörolojik sağkalımını ve gelişimsel prognozunu iyileştirmek amacıyla serebral fonksiyonların korunması ve monitorizasyonu kritik öneme sahiptir. vEEG, aEEG ve NIRS gibi modern izlem yöntemleri, mortaliteyi ve morbiditeyi azaltmada, özellikle hipoksik iskemik ensefalopati ve nöbet gibi durumlarda tanı ve tedavi kararlarını destekleyen vazgeçilmez araçlardır. Bu yöntemler, bebeklerin konsepsiyonel yaşına ve klinik durumuna göre standardize edilerek kullanılmalı, yatak başı hızlı değerlendirme ve uzun dönemli nörogelişimsel takibin temelini oluşturmalıdır.
Neuromonitoring and cerebral function protection are critical in neonatal intensive care units to improve neurological survival and developmental prognosis for high-risk infants. Advanced monitoring methods such as vEEG, aEEG, and NIRS are indispensable tools for supporting diagnosis and treatment decisions, particularly in cases of hypoxic-ischemic encephalopathy and seizures. These methods should be standardized based on the infant's gestational age and clinical condition, forming the foundation for both rapid bedside assessment and long-term neurodevelopmental follow-up.
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