Abstract
Neurologic injuries are a feared complication of extracorporeal membrane oxygenation (ECMO) assistance, being correlated with negative outcomes such as death and long-term disability. Both ischemic and hemorrhagic complications are possible during ECMO, and their incidence and correlated conditions have been identified through retrospective analysis of large ECMO registries. There is currently no standard for neurological monitoring during ECMO and different techniques including near-infrared spectrometry, transcranial Doppler, and systematic computed tomogrophy scanning have been proposed and tested in this setting. Preventive measures are attractive, but there is limited evidence regarding their effectiveness. Finally, management of specific neurologic conditions during ECMO is presented.
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