Predictors of Neurologic Complications and Neurodevelopmental Outcome in Pediatric Cardiac Surgery With Extracorporeal Membrane Oxygenation.
Peter PastuszkoMichael G KatzShana RavvinTain-Yen HsiaG Praveen RajuVishal NigamRichard D MainwaringPublished in: World journal for pediatric & congenital heart surgery (2024)
Extracorporeal membrane oxygenation (ECMO) has emerged as an important intervention for children both preceding and following cardiac surgery. There is a notable lack of comprehensive information regarding neurodevelopmental outcomes. The Norwood procedure and complex biventricular repairs exhibit the highest prevalence of ECMO usage. Examination of the data demonstrates that only 50% of ECMO survivors achieved normative cognitive outcomes, with 40% of those experiencing long-term neurological deficits. It is imperative to conduct robustly designed studies with extended follow-up periods to establish guidelines for neuromonitoring and neuroprotection during ECMO in the field of congenital cardiac surgery.
Keyphrases
- extracorporeal membrane oxygenation
- cardiac surgery
- acute respiratory distress syndrome
- acute kidney injury
- respiratory failure
- young adults
- randomized controlled trial
- risk factors
- traumatic brain injury
- mechanical ventilation
- type diabetes
- brain injury
- big data
- electronic health record
- cerebral ischemia
- clinical practice
- health information
- social media
- case control
- congenital heart disease
- weight loss
- skeletal muscle
- subarachnoid hemorrhage
- cardiac resynchronization therapy