Neurologic Complications of Extracorporeal Membrane Oxygenation
Journal Title: Biomedical Journal of Scientific & Technical Research (BJSTR) - Year 2019, Vol 18, Issue 5
Abstract
Extracorporeal membrane oxygenation is a vital rescue technique for life support in patients with cardio-respiratory failure, which is associated with multiple neurologic complication in almost all patients; these syndromes had been classified as type 1 and 2 taking into account their clinical signs. The physician must have a high degree of intuition to diagnose them as soon as possible because there is a lot of confusion and the best resources for diagnosis are not always available. The treatment depends of each etiology to intervene, but the most important factor is the prevention of each neurologic event; the prognosis is variable, and many patients will have a mild sequela. This document summarizes the topic briefly and approaches it from multiple aspects. Extracorporeal membrane oxygenation (ECMO) is a vital rescue technique in patients with cardio-respiratory failure, which as an invasive procedure is not exempt from complications such as embolism, ischemia, coagulopathy, bleeding, hemolysis and infections, some of which can affect the central nervous system up to 50% of cases [1,2]; even interventions associated with therapy could affect the system, such as prolonged use of sedatives and analgesics that would lead to a withdrawal syndrome during or after ECMO withdrawal. These types of neurological complications described in this group of patients will then be reviewed, ranging from pathophysiology through diagnostic recommendations to exploring available prognostic information.
Authors and Affiliations
Cristian Eduardo Navarro, Aranza Helena Tafur Borrero, José Rosales Manjarrez
Keywords
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- EP ID EP622327
- DOI 10.26717/BJSTR.2019.18.003225
- Views 160
- Downloads 0
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