Quantitative electroencephalography values of neonates during and after venoarterial extracorporeal membrane oxygenation and permanent ligation of right common carotid artery.
Venoarterial extracorporeal membrane oxygenation (ECMO) in neonates commonly needs neck vessel cannulation leading to ligation of right common carotid artery (RCCA) in some cases. Quantitative electroencephalography (EEG) measurements provide reproducible data of cerebral function. The aim of this case-control study was to test whether ligation of the RCCA results in EEG changes after ECMO weaning. Ten mechanically ventilated neonates not treated with ECMO were eligible as control patients. Seven ECMO patients receiving similar sedoanalgesia were investigated during and after ECMO and RCCA ligation. Dominant frequency, absolute alpha, theta, delta, and total powers of right and left frontocentral and temporooccipital derivations were calculated. Dominant frequency did not differ among groups. Power was found to be significantly decreased in all frequency bands during ECMO. After weaning from ECMO, EEG differences between the ECMO and control groups disappeared in spite of permanent RCCA ligation. It is concluded that ligation of the RCCA per se does not result in quantitative EEG changes.
Trittenwein
Gerhard
G
Pediatric Intensive Care Unit, University Children's Hospital, Vienna, Austria. gerhard.trittenwein@meduniwien.ac.at
Plenk
Sandra
S
Mach
Elisabeth
E
Mostafa
Gehan
G
Boigner
Harald
H
Burda
Gudrun
G
Hermon
Michael
M
Golej
Johann
J
Pollak
Arnold
A
D017536:Carotid Artery, Common / Q000601:surgery*; D016022:Case-Control Studies; D004569:Electroencephalography; D015199:Extracorporeal Membrane Oxygenation; D006801:Humans; D007231:Infant, Newborn; D007232:Infant, Newborn, Diseases / Q000628:therapy; D008026:Ligation; D012189:Retrospective Studies