Newswise Measuring blood flow in the brain may be an easy, noninvasive way to predict stroke or hemorrhage in children receiving cardiac or respiratory support through a machine called ECMO, according to a new study by researchers at Nationwide Childrens Hospital. Early detection would allow physicians to alter treatment and take steps to prevent these complicationsthe leading cause of death for patients on ECMO. Short for extracorporeal membrane oxygenation, ECMO is used when a patient is unable to sustain enough oxygen in the blood supply due to heart failure, septic shock, or other life-threatening condition, said Nicole OBrien, MD, a physician and scientist in critical care medicine at Nationwide Childrens and lead author of the study, which appears in a recent issue of the journal Pediatric Critical Care Medicine. The patient is connected to ECMO with tubes that carry the patients blood from a vein through the machine, where it is oxygenated and funneled back to the patient via an artery or vein that then distributes the oxygen-rich blood to vital organs and tissues. The disease processes that lead someone to need ECMO are different, OBrien noted, but it is used only after traditional therapies, such as a ventilator, fail. … Continue reading
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