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Neuroscience
One-Hour Concurrent Session

Understanding Brain Injury During Pediatric ECMO

Monday, February 24, 2025
11:00am – 12:00pm Eastern Time
Location: W311E
CE: 1

In 2023, the Extracorporeal Life Support Organization (ELSO) reported extracorporeal membrane oxygenation (ECMO) support in more than 200,000 children and adults worldwide. Recent advances in bedside neuromonitoring and brain imaging have improved our understanding of the incidence and mechanisms of neurologic injury in ECMO, which remains a significant cause of morbidity and mortality. This session will shed light on the epidemiology of brain injury as well as the role of neuromonitoring modalities in understanding mechanisms of brain injury and improving outcomes. The latest recommendations from ELSO on follow-up for children will also be discussed.

Learning Objectives:

  • Interpret epidemiology of neurologic Injury in pediatric extracorporeal membrane oxygenation (ECMO)
  • Review the current state of neuromonitoring in pediatric ECMO
  • Explore potential mechanisms underlying neurologic injury in pediatric ECMO
  • Identify gaps in knowledge and how research efforts should be prioritized
  • Review long-term consequences of neurologic injury during ECMO, including neurodevelopment and quality of life in ECMO survivors

Presentations:

  • 11:05am – 11:20am Eastern Time
    Prioritizing Neurologic Injury Research in Pediatric ECMO: Where Are the Gaps? What Are We Doing?

    Melania M. Bembea, MD, MPH, PhD – Johns Hopkins University

    Sue Hong, MD

  • 11:20am – 11:35am Eastern Time
    What Has Neuromonitoring Taught Us About Mechanisms of Brain injury in Pediatric ECMO?

    Lakshmi Raman, MD

  • 11:35am – 11:50am Eastern Time
    Long-Term Consequences of Neurologic Injury in Pediatric ECMO

    Ryan Barbaro, MD, MS – University of Michigan Health System