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首页> 外文期刊>Acute and critical care. >Efficacy of Electroencephalographic Monitoring for the Evaluation of Intracranial Injury during Extracorporeal Membrane Oxygenation Support in Neonates and Infants
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Efficacy of Electroencephalographic Monitoring for the Evaluation of Intracranial Injury during Extracorporeal Membrane Oxygenation Support in Neonates and Infants

机译：脑电图监测评估新生儿和婴儿体外膜氧合支持期间颅内损伤的功效

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Background Neurological complications are a serious concern during extracorporeal membrane oxygenation (ECMO) support in neonates and infants. However, evaluating brain injury during ECMO has limitations. Herein, we report our experience with bedside electroencephalographic monitoring during ECMO support and compared this to post-ECMO brain imaging studies and immediate neurologic outcomes. Methods We retrospectively reviewed the data for 18 children who underwent ECMO. From these subjects, we reviewed the medical records of 10 subjects who underwent bedside EEG monitoring during ECMO support. We collected data on patient demographics, clinical details of the ECMO course, electroencephalographic monitoring, brain imaging results, and neurologic outcomes. Results The median age was 4 months (range: 7 days–22 months), the median weight was 5 (3.6–12) kg, and the median length of ECMO therapy was 86 (27–206) hours. Eight patients (80%) were weaned successfully, and seven (70%) survived to discharge. Those with normal to mildly abnormal electroencephalographic findings had non-specific to mildly abnormal brain computed tomography findings and no neurologic impairment. Those patients with a moderately to severely abnormal electroencephalograph had markedly abnormal brain computed tomography findings and remained neurologically impaired. Conclusions Normal electroencephalographic findings are closely related to normal or mild neurologic impairment. Our results indicate that electroencephalographic monitoring during ECMO support can be a feasible tool for evaluating brain injury although further prospective studies are needed.
机译：背景技术在新生儿和婴儿的体外膜氧合作用（ECMO）支持期间，神经系统并发症是一个严重的问题。但是，在ECMO期间评估脑损伤有局限性。在此，我们报告了我们在ECMO支持期间进行床旁脑电图监测的经验，并将其与ECMO后脑成像研究和即时神经系统结果进行了比较。方法我们回顾性地回顾了18例接受ECMO的儿童的数据。从这些受试者中，我们回顾了在ECMO支持期间接受床旁脑电图监测的10名受试者的病历。我们收集了有关患者人口统计学，ECMO课程的临床细节，脑电图监测，脑成像结果和神经系统结果的数据。结果中位年龄为4个月（范围：7天至22个月），中位体重为5（3.6-12）kg，ECMO治疗的中位长度为86（27-206）小时。成功断奶了8例患者（80％），并且有7例（70％）存活了下来。脑电图检查结果正常至轻度异常的患者对脑部计算机断层扫描的轻度异常没有特异性，并且没有神经系统损害。那些患有中度至重度脑电图异常的患者的脑部计算机断层扫描显着异常，并且仍然在神经系统上受损。结论正常的脑电图检查结果与正常或轻度神经系统损害密切相关。我们的结果表明，尽管需要进一步的前瞻性研究，但在ECMO支持期间进行脑电图监测可能是评估脑损伤的可行工具。

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