2021
DOI: 10.1177/02676591211042563
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International survey of neuromonitoring and neurodevelopmental outcome in children and adults supported on extracorporeal membrane oxygenation in Europe

Abstract: Background: Adverse neurological events during extracorporeal membrane oxygenation (ECMO) are common and may be associated with devastating consequences. Close monitoring, early identification and prompt intervention can mitigate early and late neurological morbidity. Neuromonitoring and neurocognitive/neurodevelopmental follow-up are critically important to optimize outcomes in both adults and children. Objective: To assess current practice of neuromonitoring during ECMO and neurocognitive/neurodevelopmental … Show more

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Cited by 19 publications
(9 citation statements)
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“…Our conclusion-"protect the brain"-may be simple, but advocates for continuous neuromonitoring during V-A ECMO, which is not currently performed in clinical practices 38 . In the absence of better tools, we suggest using frontal NIRS to help clinicians guide their behaviour in case of suspected differential hypoxaemia.…”
Section: Discussionmentioning
confidence: 94%
“…Our conclusion-"protect the brain"-may be simple, but advocates for continuous neuromonitoring during V-A ECMO, which is not currently performed in clinical practices 38 . In the absence of better tools, we suggest using frontal NIRS to help clinicians guide their behaviour in case of suspected differential hypoxaemia.…”
Section: Discussionmentioning
confidence: 94%
“…The use of bedside tests that can detect brain injury or conditions that place a patient at risk for brain injury is appealing. Prior studies suggest that near-infrared spectroscopy is being widely used for this purpose; however, its use was not captured in this dataset [36][37][38]. TCD has also been described for this purpose during ECMO support [13,14,39].…”
Section: Discussionmentioning
confidence: 99%
“…However, the standard monitoring for MCS patients remains sparse. There are several neurological monitoring approaches in clinical practice, such as transcranial Doppler (TCD), near-infrared spectroscopy (NIRS), neuroimaging, serum injury biomarkers, and intracranial pressure (ICP) monitoring, somatosensory-evoked potentials (SEP), serial head ultrasounds (HUS) and EEG ( 31 , 32 ). However, the validity of the approaches in monitoring MCS patients was inadequate because the previous studies were pilot studies with relatively small sample sizes.…”
Section: Discussionmentioning
confidence: 99%