SCCM Resource Library-ECMO and the Brain: What Can, Does, or Might Happen to Your Patient's Brain

Video Transcription

Video Summary

The video explores the neurologic complications of ECMO (Extracorporeal Membrane Oxygenation) in both adult and pediatric patients. It covers topics such as strokes, intracerebral hemorrhages, seizures, and cognitive impairments. The speakers discuss various monitoring techniques, including continuous EEG monitoring, transcranial Doppler, and near-infrared spectroscopy to assess cerebral blood flow and autoregulation. Long-term outcomes and functional consequences of neurologic injury in ECMO patients are also emphasized. The importance of post-ICU clinics and multidisciplinary follow-up care for ECMO survivors is highlighted to address cognitive impairments and health-related quality of life. The need for further research on long-term outcomes and interventions for ECMO patients is acknowledged. The video also touches on the challenges and considerations involved in determining brain death in patients on ECMO. Overall, the session provides a comprehensive overview of the neurologic complications of ECMO and the monitoring techniques and long-term management strategies used in these patients.

Asset Subtitle

Neuroscience, Procedures, 2020

Asset Caption

The Society of Critical Care Medicine's Critical Care Congress features internationally renowned faculty and content sessions highlighting the most up-to-date, evidence-based developments in critical care medicine. This is a presentation from the 2020 Critical Care Congress held February 16-19, 2020, in Orlando, Florida, USA.

Learning Objectives

Summarize the potential neurologic complications associated with extracorporeal membrane oxygenation (ECMO)
Distinguish how ECMO affects the pediatric brain differently than the adult brain
Appraise the role of neuromonitoring in patients undergoing ECMO treatment
Determine how to declare brain death in a patient on ECMO
Organize a clinic-based approach to assess long-term neurologic outcomes in ECMO survivors

Neurologic Complications of ECMO

Thomas P. Bleck

Pediatric Neurologic Complications of ECMO

Mark Wainwright

Neuromonitoring Is Available but Is It Helpful?

Christos Lazaridis

How to Declare Brain Death in a Patient on ECMO

Melania Bembea

Long Term Outcomes After ECMO: Managing Causes and Effects

Carla M. Sevin

Meta Tag

Content Type Presentation

Knowledge Area Neuroscience

Knowledge Area Procedures

Knowledge Level Intermediate

Membership Level Select

Membership Level Professional

Membership Level Associate

Tag Extracorporeal Membrane Oxygenation ECMO

Tag Brain Death

Tag Cardiothoracic Critical Care

Year 2020

Keywords

ECMO

Extracorporeal Membrane Oxygenation

neurologic complications

adult patients

pediatric patients

strokes

intracerebral hemorrhages

seizures

cognitive impairments

monitoring techniques

continuous EEG monitoring

transcranial Doppler

near-infrared spectroscopy

cerebral blood flow

autoregulation

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