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Autor
Belliato, Mirko 1 Belohlavek, Jan 1 Cvetkovic, Mirjana 1 David, Piero 1 Davidson, Mark 1 Davis, Carl 1 Delnoij, Thijs 1 Di Nardo, Matteo 1 Donker, Dirk 1 Dos Reis Miranda, Dinis 1 Hoskote, Aparna 1 Ijsselstijn, Hanneke 1 Lorusso, Roberto 1 Matta, Nashwa 1 Muellenbach, Ralf 1 Mueller, Thomas 1 Taccone, Fabio S 1 Vlasselaers, Dirk 1 Zanatta, Paolo 1
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Pracoviště
2nd Department of Medicine Cardiovasc... 1 2nd Intensive Care Unit S C Anestesia... 1 Cardiac Anesthesia and Intensive Care... 1 Cardiac Intensive Care and ECMO Insti... 1 Department of Anesthesia and Intensiv... 1 Department of Cardio Thoracic Surgery... 1 Department of Cardiology and Departme... 1 Department of Intensive Care Erasmus ... 1 Department of Intensive Care Kassel G... 1 Department of Intensive Care Medicine... 1 Department of Intensive Care Medicine... 1 Department of Intensive Care Medicine... 1 Department of Internal Medicine Unive... 1 Intensive Care Unit Royal Hospital fo... 1 Neonatal Unit Princess Royal Maternit... 1 Pediatric Intensive Care Unit Childre... 1 Pediatric Intensive Care Unit Glenfie... 1 Pediatric Surgery and Intensive Care ... 1 Surgery Unit Royal Hospital for Sick ... 1
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Autor
Belliato, Mirko 1 Belohlavek, Jan 1 Cvetkovic, Mirjana 1 David, Piero 1 Davidson, Mark 1 Davis, Carl 1 Delnoij, Thijs 1 Di Nardo, Matteo 1 Donker, Dirk 1 Dos Reis Miranda, Dinis 1 Hoskote, Aparna 1 Ijsselstijn, Hanneke 1 Lorusso, Roberto 1 Matta, Nashwa 1 Muellenbach, Ralf 1 Mueller, Thomas 1 Taccone, Fabio S 1 Vlasselaers, Dirk 1 Zanatta, Paolo 1
- Organizace
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Pracoviště
2nd Department of Medicine Cardiovasc... 1 2nd Intensive Care Unit S C Anestesia... 1 Cardiac Anesthesia and Intensive Care... 1 Cardiac Intensive Care and ECMO Insti... 1 Department of Anesthesia and Intensiv... 1 Department of Cardio Thoracic Surgery... 1 Department of Cardiology and Departme... 1 Department of Intensive Care Erasmus ... 1 Department of Intensive Care Kassel G... 1 Department of Intensive Care Medicine... 1 Department of Intensive Care Medicine... 1 Department of Intensive Care Medicine... 1 Department of Internal Medicine Unive... 1 Intensive Care Unit Royal Hospital fo... 1 Neonatal Unit Princess Royal Maternit... 1 Pediatric Intensive Care Unit Childre... 1 Pediatric Intensive Care Unit Glenfie... 1 Pediatric Surgery and Intensive Care ... 1 Surgery Unit Royal Hospital for Sick ... 1
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NLK
Free Medical Journals
od 1998 do Před 6 měsíci
PubMed
28643997
DOI
10.23736/s0375-9393.17.11911-5
Knihovny.cz E-zdroje
Monitoring brain integrity and neurocognitive function is a new and important target for the management of a patient treated with extracorporeal membrane oxygenation (ECMO), in particular because of the increasing awareness of cerebral abnormalities that may potentially occur in this setting. Continuous regular monitoring, as well as repeated assessment for cerebral complications has become an essential element of the ECMO patient management. Besides well-known complications, like bleeding, ischemic stroke, seizures, and brain hypoperfusion, other less defined yet relevant injury and clinical manifestations are increasingly reported and impacting on ECMO patient prognosis at short term. Furthermore, it is becoming more evident that neurologic complication may not occur only in the early phase. Indeed, other potential adverse events related to the long-term neurocognitive function have been also recently documented either in children or adult ECMO patients. Despite increasing awareness of these aspects, generally accepted protocols and clinical management strategies in this respect are still lacking. Current means to monitor brain perfusion or detecting ongoing cerebral tissue injury are rather limited, and most techniques provide indirect or post-insult recognition of irreversible tissue injury. Continuous monitoring of brain perfusion, serial assessment of brain-derived serum biomarkers, timely neuro-imaging, and post-discharge counselling for neurocognitive dysfunction, particularly in pediatric patients, are novel pathways focusing on neurologic assessment with important implications in daily practice to assess brain function and integrity not only during the ECMO-related hospitalization, but also at long-term to re-evaluate the neuropsychological integrity, although well designed studies will be necessary to elucidate the cost-effectiveness of these management strategies.
- MeSH
- časové faktory MeSH
- intraoperační neurofyziologická monitorace metody MeSH
- lidé MeSH
- mimotělní membránová oxygenace * MeSH
- mozek fyziologie MeSH
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- lidé MeSH
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- časopisecké články MeSH
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