Extracorporeal Membrane Oxygenation (ECMO) Neuromonitoring and Acute Brain Injury
Clinical Pathways promote evidence-based, safe, and high-value patient care by providing clinical recommendations and standard processes. They are developed by multidisciplinary committees of subject matter experts, informed by a methodical review of available evidence and consensus among committee members.
Clinical Pathway:
Inclusion and exclusion criteria:
- Inclusion:
- Patients on ECMO, veno-venous or veno-arterial
- Patients in the PICU, NICU, or CICU
- Exclusion:
- Known acute brain injury
Committee members involved in the development:
- Jessica Wallisch, MD | Critical Care Medicine | Committee Co-Chair
- Jenna Miller, MD | Critical Care Medicine, Pediatric ECMO Director | Committee Co-Chair
- Asdis Finnsdottir Wagner, DO | Critical Care Medicine | Committee Member
- David Garcia, MD | Neurosurgery | Committee Member
- Christian Kaufman, MD, FAANS | Neurosurgery | Committee Member
- Yong Han, MD | Critical Care Medicine | Committee Member
- John Daniel, MD, MS | Neonatology, Neonatal ECMO Director | Committee Member
- Sara McElroy, MD | Hematology/Oncology/BMT | Committee Member
- Shannon Carpenter, MD, MS | Hematology/Oncology/BMT | Committee Member
- Ara Hall, MD | Neurology | Committee Member
- Marcie Files, MD | Neurology | Committee Member
- Jake Arends, MD | Neurology | Committee Member
- Kari Davidson, MSN, RN, CCRN | Critical Care Nursing, Extracorporeal Support Director | Committee Member
- Debra Newton, RN, MSN, CCRN | Critical Care Nursing, Extracorporeal Support Director | Committee Member
- Kristin Wiegert, PharmD, BCPPS | Pharmacy | Committee Member
- Sarah Dierking, MSN, RN, CPHQ | Clinical Practice and Quality | Committee Member
EBP Committee Members:
- Todd Glenski, MD, MSHA, FASA | Anesthesiology, Evidence Based Practice
- Kelli Ott, OTD, OTR/L | Evidence Based Practice
Publication dates:
- Finalized date: 03/2025
- Next expected revision date: 03/2028
Concerns with content:
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Disclaimer
This care process model does not establish a standard of care to be followed in every case. It is recognized that each case is different, and those individuals involved in providing health care are expected to use their judgment in determining what is in the best interests of the patient based on the circumstances existing at the time. It is impossible to anticipate all possible situations that may exist and to prepare care process models for each. Accordingly, this care process model should guide care with the understanding that departures from them may be required at times.