What type of monitors should be used when recording neonates?

When recording neonates, abbreviated 10-20 placement monitors are favored due to their ability to provide adequate coverage of the scalp while accommodating the smaller head size of infants. The abbreviated 10-20 system retains the principles of the full 10-20 system but uses fewer electrodes to ensure a practical, effective setup that still offers meaningful data for monitoring brain activity.

This system is particularly useful because it allows for easier application and adjustment on neonates, whose anatomy differs significantly from that of adults. The reduction in the number of electrodes helps minimize discomfort and the risks associated with electrode attachment.

In contrast, more complex placements like those using 20-30 electrodes or the standard 5-10 placements would be too cumbersome and less effective for the delicate and small heads of neonates. Single channel monitors might not provide enough information for comprehensive monitoring purposes, limiting the ability to assess brain activity appropriately in this vulnerable population.

Using the abbreviated 10-20 configuration strikes a balance, ensuring quality data collection without subjecting the newborn to unnecessary complications or invasive procedures.