Insights and recommendations for brain injury and extracorporeal membrane oxygenation: published in the Chinese Expert consensus on the assessment of brain injury and determination of brain death during extracorporeal membrane oxygenation support ( 2025 edition)
10.3760/cma.j.cn421203-20250512-00093
- VernacularTitle:体外膜氧合支持与脑损伤的思考与建议
- Author:
Yingying SU
1
Author Information
1. 首都医科大学宣武医院神经内科，北京 100053
- Publication Type:Journal Article
- Keywords:
Extracorporeal membrane oxygenation;
Brain injury;
Brain death;
Organ donation;
Multi-disciplinary team
- From:
Chinese Journal of Organ Transplantation
2025;46(10):699-703
- CountryChina
- Language:Chinese
-
Abstract:
In the early 2000s, with the widespread clinical application of extracorporeal membrane oxygenation (ECMO) support, an increasing number of patients with severe respiratory and/or circulatory failure have been successfully rescued. However, this has been accompanied by a rise in the incidence of brain injury and adverse neurological outcomes, including brain death, which has drawn significant attention from neurointensivists and other related specialists. During ECMO support, several major challenges have emerged for multidisciplinary teams: how to reduce the incidence of brain injury and improve the early prediction of neurological function; how to refine brain death determination techniques and enhance their reliability; and how to promote organ donation to minimize the waste of medical resources. These issues have become pressing dilemmas in the current clinical practice of ECMO management.
