When combined, early bedside head ultrasound and electroencephalography predict abnormal computerized tomography or magnetic resonance brain images obtained after extracorporeal membrane oxygenation treatment.
When combined, early bedside head ultrasound and electroencephalography predict abnormal computerized tomography or magnetic resonance brain images obtained after extracorporeal membrane oxygenation treatment.
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DOI：
10.1038/sj.jp.7210593
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发表时间：
2001-10-01
期刊：
影响因子：
--
通讯作者：
Spitzer, A R
中科院分区：
文献类型：
--
作者：
Gannon, C M;Kornhauser, M S;Spitzer, A R
在体外膜肺氧合（ECMO）治疗的婴儿中，使用计算机断层扫描（CT）或磁共振成像（MRI）进行的连续性脑神经成像必须延迟至该治疗完成后。ECMO期间的床旁头部超声（HUS）和脑电图（EEG）检查，如果与后来的确定性神经影像学检查高度相关，可能会影响严重心肺衰竭婴儿的急性临床护理和早期父母咨询。160例ECMO治疗的患者在ECMO期间进行了床边EEG和HUS研究，以及出院前的CT或MRI研究。有一个显着的差异，在CT或MRI结果中的患者有正常的研究在HUS和EEG，相比那些有异常的HUS或EEG，相比，那些有异常的两项研究。在ECMO治疗的婴儿中，床旁HUS正常和EEG无明显异常的组合高度预测ECMO后CT和MRI神经影像学检查正常。
Definitive neuroimaging of the brain using computerized tomography (CT) or magnetic resonance imaging (MRI) in extracorporeal membrane oxygenation (ECMO)-treated infants must be delayed until after this therapy is completed. Bedside head ultrasound (HUS) and electroencephalography (EEG) studies during ECMO, if highly correlated with later definitive neuroimaging, might be used to affect the acute clinical care and early parental counseling of infants with severe cardiorespiratory failure. One hundred and sixty ECMO-treated patients had both bedside EEG and HUS studies performed during ECMO, as well as a later CT or MRI study prior to hospital discharge. There was a significant difference in CT or MRI findings among patients having normal studies on both the HUS and EEG, compared to those having an abnormality on either the HUS or the EEG, and compared to those having abnormalities on both studies. In ECMO-treated infants, the combination of a normal bedside HUS and an EEG without marked abnormalities is highly predictive of normal post-ECMO CT and MRI neuroimaging studies.