Evidence map›Paper›PMID 39440348›Full record

ArticleCritical care explorations2024

Neurosurgical Procedures in Patients Requiring Extracorporeal Membrane Oxygenation.

Ryan Lee, Samantha Helmy, Jeronimo Cardona, David Zhao, Raymond Rector, Joseph Rabin, Michael Mazzeffi, Sung-Min Cho, Gunjan Parikh, Nicholas A Morris and 1 more

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Article in Critical care explorations, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Ryan LeeDivision of Pulmonary and Critical Care, University of Maryland School of Medicine, Baltimore, MD.ORCID 0000-0001-6366-3299
Samantha HelmyUniversity of Rochester School of Medicine and Dentistry, Rochester, NY.
Jeronimo CardonaUniversity of Rochester School of Medicine and Dentistry, Rochester, NY.
David ZhaoJohns Hopkins University School of Medicine, Baltimore, MD.
Raymond RectorDepartment of Surgery, Division of Cardiac Surgery, University of Maryland School of Medicine, Sewell, NJ.
Joseph RabinDepartment of Surgery, R Adams Cowley Shock Trauma Center, University of Maryland School of Medicine, Baltimore, MD.
Michael MazzeffiDepartment of Anesthesiology, University of Virginia Health System, Charlottesville, VA.
Sung-Min ChoNeuroscience Critical Care and Cardiac Surgery Division, Departments of Neurology, Surgery, and Anesthesiology and Critical Care Medicine, Johns Hopkins University School of Medicine, Baltimore, MD.
Gunjan ParikhDepartment of Neurology, Program in Trauma, University of Maryland Medical Center, University of Maryland School of Medicine, Baltimore, MD.
Nicholas A MorrisDepartment of Neurology, Program in Trauma, University of Maryland Medical Center, University of Maryland School of Medicine, Baltimore, MD.
Imad KhanDepartments of Neurology and Neurosurgery, University of Rochester Medical Center, Rochester, NY.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesExtracorporeal membrane oxygenation (ECMO) is often withheld in patients with significant neurologic injury or recent neurosurgical intervention due to perceived futility. Studies of neurosurgical interventions before or during ECMO are limited to case reports or single-center series, limiting generalizability, and outcomes in this population are unknown. We therefore sought to report the outcomes of ECMO patients with acute neurosurgical interventions at four high-volume ECMO and comprehensive stroke centers.

designRetrospective case series.

settingFour academic tertiary referral hospitals in the United States. PATIENTS: Adults (

interventionsNone. MEASUREMENTS AND MAIN

resultsWe retrospectively reviewed adults at four institutions who had undergone neurosurgical procedures immediately before or during ECMO from 2015 to 2023. The primary outcome was survival to hospital discharge. Secondary outcomes included favorable neurologic outcome (Cerebral Performance Category 1 or 2) and neurosurgical complications. Twenty-four of 2957 ECMO patients (0.8%) were included. Primary indications for neurosurgical intervention included traumatic brain (

conclusionsPatients with acute neurologic injury can feasibly undergo neurosurgery during ECMO or can undergo ECMO after recent neurosurgery. Larger studies are needed to fully understand risks for bleeding and other procedure-related complications.

Indexed as

Extracorporeal Membrane OxygenationNeurosurgical ProceduresAdultAgedFemaleHumansMaleMiddle AgedRetrospective StudiesTreatment OutcomeUnited Statesacute brain injuryextracorporeal membrane oxygenationmechanical circulatory supportneurologyneurosurgery

Identifiers

PMID39440348
PMCPMC11495759

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