Link: https://www.ncbi.nlm.nih.gov/pubmed/29397959

Semin Perinatol. 2018 Mar;42(2):111-121. doi: 10.1053/j.semperi.2017.12.007. Epub 2018 Feb 2.
Neuromonitoring in the neonatal ECMO patient.
Lin N1, Flibotte J2, Licht DJ3.
Author information
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.

Copyright © 2018 Elsevier Inc. All rights reserved.

KEYWORDS:
Cerebral blood flow; ElectroEncephalography; Magnetic Resonance Imaging; Optical Technologies; head CT; head ultrasound; intracranial hemorrhage; stroke

PMID: 29397959 PMCID: PMC5875727 DOI: 10.1053/j.semperi.2017.12.007
[Indexed for MEDLINE] Free PMC Article