Transcranial Doppler is an effective method in assessing cerebral blood flow patterns during peripheral venoarterial extracorporeal membrane oxygenation.
Michael SalnaHirohisa IkegamiJoshua Z WilleyArthur R GaranMarisa CevascoChristine ChanHiroo TakayamaPaolo C ColomboYoshifumi NakaKoji TakedaPublished in: Journal of cardiac surgery (2019)
TCD appears to be an effective tool for indirect monitoring of CBF in patients with ECMO with limited pulsatility. Axillary artery cannulation seems to provide higher cerebral flow rates without any difference in neurologic outcomes. Future studies may incorporate TCD into regulating ECMO flows to achieve physiologic CBF.
Keyphrases
- extracorporeal membrane oxygenation
- cerebral blood flow
- acute respiratory distress syndrome
- respiratory failure
- lymph node
- neoadjuvant chemotherapy
- mechanical ventilation
- current status
- ultrasound guided
- type diabetes
- blood flow
- subarachnoid hemorrhage
- radiation therapy
- intensive care unit
- early stage
- insulin resistance
- brain injury
- skeletal muscle
- cerebral ischemia