Recognition and management of neurological complications during extra corporeal membrane oxygenation

doi:10.3969/j.issn.1006-7795.2021.06.009

Abstract

Abstract: Extra corporeal membrane oxygenation(ECMO) is an extracorporeal life support for life-threatening cardiopulmonary failure. Although many patients survive due to its introduction, significant neurological complications like seizures, ischemic strokes, intracranial hemorrhage, ischemic hypoxic encephalopathy, and brain death occur during ECMO and lead to serious adverse outcomes, with high frequency and associated mortality of neurological complications. Although the incidence is reported ranging from 13% to 27%, the prevalence of ECMO-related neurological complications is still unclear. Neurological complications in patients during ECMO associated with lots of risk factors, while the treatments mainly depend on internal medicine. In recent years, non-invasive monitoring is brought into focus, such as electroencephalography (EEG) monitoring and so on.The mortality of patients with ECMO-related neurological complications is much higher than those patients without.The systematic neurological monitoring and early intervention may improve the outcomes.

Key words: extra corporeal membrane oxygenation(ECMO), neurological complications, epidemiology, neurofunction monitoring

CLC Number:

R459

Miao Mingyue, Zhang Linlin, Zhou Jianxin. Recognition and management of neurological complications during extra corporeal membrane oxygenation[J]. Journal of Capital Medical University, 2021, 42(6): 956-960.

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URL: https://journal03.magtech.org.cn/Jweb_sdykdxxb/EN/10.3969/j.issn.1006-7795.2021.06.009

https://journal03.magtech.org.cn/Jweb_sdykdxxb/EN/Y2021/V42/I6/956

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