Diagnosisy: EEG characteristics of brain damage during in vitro membrane oxygenation in children
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Last Update: 2020-07-14
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Source: Internet
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Author: User
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Recently, a study published in the journal Neurology, which aims to assess the eemap characteristics of the main pathophysiological functions ofchildrenin vitro membrane oxygenation (ECMO)researchers conducted a single-center, retrospective study of 201 pediatric ECMO patients, with subjects subjecttowith 24-hour continuous EEG (cEEG) monitoring, controlled imaging tests, ECMO type and outcome assessments12% (25/201) of children with severe abnormal cEEG backgrounds and death-related (sensitivity 0.23, specificity 0.97)In the 3.2 (0.6-20.3) hours starting at cEEG (median (quartile spacing), 16% (33/201) of children had ES, and the increase in ES burden was associated with deathES is always associated with side injury (p.006), but accounts for only one third of cases of imaging abnormalitiesIn 28 patients with hemispheric lesions, the type of arterial ECMO intubation was related to the injury side: the right cervical artery intubation was related to the right hemisphere lesions, the ascending aortic intubation was related to the left hemisphere lesions (the ratio ratio was 0.29 (95% confidence interval is 0.08-0.98), p-0.03)it can be seen that the background activity of cEEG may affect the patient's prognosis after the start of ECMOThe type of arterial (orthonosis and aorta) ECMO is associated with brain injury - about 33% is es-related
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