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Aim  Long‐term electroencephalogram ( EEG ) recording is increasingly being used in the neonatal period, but application and maintenance of the  EEG  electrodes is challenging, especially in preterm infants. This study proposes a practical method of electrode application that can be used in the neonatal intensive care unit ( NICU ).    Methods   EEG  recording in preterm infants of <32 weeks of gestational age is often challenging and requires careful preparation and strict adherence to  NICU  protocols. An effective technique for  EEG  application in preterm infants is to use prepackaged, sterile, disposable, flat‐surfaced  EEG  electrodes. The use of these electrodes in combination with a continuous positive airway pressure hat provides good security for electrodes and good quality  EEG  recordings. It also limits the handling of the infant, while strictly adhering to infection control policies.    Results  Long‐term monitoring for >72 h has been achieved using this technique. Important steps to consider are efficient preparation of the recording machine and materials, careful electrode application and infection control.    Conclusion  A fast and effective method of  EEG  electrode placement is required for neonatal  EEG  monitoring. The practical techniques described in this article outline a reliable method of  EEG  electrode placement, suitable for even extremely preterm infants.

Overcoming the practical challenges of electroencephalography for very preterm infants in the neonatal intensive care unit