Neuromonitoring in the neonatal ECMO patient

Neuromonitoring in the neonatal ECMO patient Utilization of extraocorporeal membrane oxygenation (ECMO) has become increasingly widespread as a bridging therapy for neonates with severe, reversible respiratory or cardiac diseases. While significant risks remain, due to advances in medical and surgical management, overall mortality has decreased. However, short and long-term neurological morbidity has remained high. Therefore, increasing attention has been focused on multimodal neuromonitoring to track and optimally, minimize or prevent intracranial injury. This review will explore the the indications, advantages, disadvantages, timing, frequency, duration, and any known correlation with neurodevelopmental outcomes of common types of neuromonitoring in the neonatal ECMO population. Investigational monitoring techniques such as NIRS will be briefly reviewed. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Seminars In Perinatology Elsevier

Neuromonitoring in the neonatal ECMO patient

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Publisher
Elsevier
Copyright
Copyright © 2018 Elsevier Inc.
ISSN
0146-0005
eISSN
1558-075X
D.O.I.
10.1053/j.semperi.2017.12.007
Publisher site
See Article on Publisher Site

Abstract

Utilization of extraocorporeal membrane oxygenation (ECMO) has become increasingly widespread as a bridging therapy for neonates with severe, reversible respiratory or cardiac diseases. While significant risks remain, due to advances in medical and surgical management, overall mortality has decreased. However, short and long-term neurological morbidity has remained high. Therefore, increasing attention has been focused on multimodal neuromonitoring to track and optimally, minimize or prevent intracranial injury. This review will explore the the indications, advantages, disadvantages, timing, frequency, duration, and any known correlation with neurodevelopmental outcomes of common types of neuromonitoring in the neonatal ECMO population. Investigational monitoring techniques such as NIRS will be briefly reviewed.

Journal

Seminars In PerinatologyElsevier

Published: Mar 1, 2018

References

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