초록접수 현황
| 14F-198 | 포럼 발표 |
Continuous Cerebral Monitoring with Amplitude-integrated Electroencephalography during ECMO Support
강승구, 김도완, 김순진, 이교선, 오상기, 정인석
전남대학교병원 흉부외과
Background : It is well known that the amplitude-integrated electroencephalography (aEEG) provides the useful information for neonatal encephalopathy. The aim of this study is to determine the efficacy of aEEG for identifying the brain injury during extracorporeal membrane oxygenation (ECMO).
Methods : We retrospectively reviewed data of 25 subjects who had bedside aEEG monitoring and who were survived to discharge after ECMO support from January 2012 to December 2013. We collected the data including patient demographics, clinical details of ECMO courses, and data of aEEG monitoring.
Results : A median age was 56 years (range, 2 days to 79 years), and a median length of ECMO therapy was 84 hours (range, 6 to 529 hours). Eleven patients (44%) received the extracorporeal cardiopulmonary resuscitation. The following findings of four voltage classifications were found in initial aEEG findings: continuous normal pattern (15 patients), discontinuous pattern (7 patients), burst suppression pattern (2 patients), low voltage pattern (1 patients). Seven patients (28%) had periods of seizure activity. Three (12%) patients who shown the burst suppression and low voltage pattern had severe neurologic complications at discharge period.
Conclusion : Continuous cerebral monitoring with the aEEG provides the simplified information. The aEEG is feasible for bedside neuromonitoring during ECMO support in both pediatrics and adults.
Methods : We retrospectively reviewed data of 25 subjects who had bedside aEEG monitoring and who were survived to discharge after ECMO support from January 2012 to December 2013. We collected the data including patient demographics, clinical details of ECMO courses, and data of aEEG monitoring.
Results : A median age was 56 years (range, 2 days to 79 years), and a median length of ECMO therapy was 84 hours (range, 6 to 529 hours). Eleven patients (44%) received the extracorporeal cardiopulmonary resuscitation. The following findings of four voltage classifications were found in initial aEEG findings: continuous normal pattern (15 patients), discontinuous pattern (7 patients), burst suppression pattern (2 patients), low voltage pattern (1 patients). Seven patients (28%) had periods of seizure activity. Three (12%) patients who shown the burst suppression and low voltage pattern had severe neurologic complications at discharge period.
Conclusion : Continuous cerebral monitoring with the aEEG provides the simplified information. The aEEG is feasible for bedside neuromonitoring during ECMO support in both pediatrics and adults.
책임저자: 정인석
전남대학교병원 흉부외과
연락처 : 강승구, Tel: 062-220-6546 , E-mail : isjeong1201@gmail.com
