| Autor: |
Zeenia C, Billimoria, Natalie E, Rintoul, Kevin M, Sullivan, Shannon E, Hamrick, Rachel, Chapman, Ulrike, Mietzsch, Sarah, Keene, Rakesh, Rao, An N, Massaro, Ruth B, Seabrook, Robert J, DiGeronimo |
| Rok vydání: |
2020 |
| Předmět: |
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| Zdroj: |
Journal of perinatology : official journal of the California Perinatal Association. 41(4) |
| ISSN: |
1476-5543 |
| Popis: |
To determine practice variation in the utilization of neuromonitoring modalities in neonatal extracorporeal membrane oxygenation (ECMO) patients across Level IV neonatal intensive care units (NICUs).Cross-sectional survey design using electronic surveys sent to site sponsors of a multicenter collaborative of 34 Level IV NICUs of the Children's Hospitals Neonatal Consortium (CHNC) from June to August 2018.We had 22 survey respondents from CHNC ECMO centers. Twenty-seven percent of respondents routinely monitored for seizures using electroencephalogram. Cerebral near infrared spectroscopy was used by 50%. Head ultrasound was performed by 95% but the frequency, duration, and type of views varied. Post ECMO screening brain MRI prior to hospital discharge was routinely performed by 77% of respondents. A majority of centers (95%) performed neurodevelopmental follow-up after hospital discharge.There is variation in neuromonitoring practices in Level IV NICUs performing ECMO. Lack of evidence and clear outcome benefits has contributed to practice variation across institutions. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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