Differential diagnosis of complications of pediatric extracorporeal membrane oxygenation

Approach to the differential diagnosis of complications of extracorporeal membrane oxygenation (ECMO)

  • Obtain neuroimaging pre-ECMO to exclude contraindications to ECMO such as pre-existing intracranial bleed or brain malformation
  • Check ECMO catheters closely for malposition
  • Obtain regular surveillance neuroimaging with head ultrasound to check for intracranial bleeding
  • If there is concern for bleeding in the chest, abdomen, or muscles investigate with US
  • Document the baseline cerebral atrophy present post-ECMO