LEARNING OBJECTIVES:

  • Discuss the challenges in managing systemic hemodynamics to ensure cerebral oxygen supply –demand balance postoperatively in ECMO patients
  • Discuss NIRS technology – what the value means, and how to interpret it
  • Highlight clinical applications and best practices of NIRS monitoring in ECMO patients

DESCRIPTION:
With the rapidly growing ageing population, patients admitted for cardiac surgery are typically older with more co-morbidities and higher peri-operative and post-operative complication risks1-6. In recent years, there has been a wider use of Extracorporeal Membrane Oxygenation (ECMO) in critical care situations7. In this webinar, Dr. Khanna will be discussing the challenges clinicians face to ensure that there is cerebral oxygen supply-demand balance in ECMO patients to reduce complications. Clinical applications as well as best practices of Near Infrared Spectroscopy (NIRS) monitoring will also be discussed. 
This webinar is designed for all clinicians wishing to update their scientific knowledge on this topic.
A live question and answer session with Dr. Khanna will follow the webinar.  

WHO SHOULD ATTEND:
Cardiologists, Thoraco-cardiovascular surgeons, Intensivists, Anesthesiologists, Cardiology residents, Thoraco-Cardiovascular Surgery residents,  Fellows in training, Anesthesiology residents, Nurses, Medical officers, Perfusionists

Please complete this form to register for the webinar

Ashish K. Khanna, MD, FCCP, FCCM

Wake Forest School of Medicine. Wake Forest Baptist Medical Center. Winston-Salem, NC


Ashish K.Khanna is a staff intensivist & anesthesiologist, associate professor of anesthesiology and associate chief for research with the department of anesthesiology, section on critical care medicine at the Wake Forest University School of Medicine, Winston-Salem, NC. Dr. Khanna serves on several editorial boards including the Journal of Critical Care and the Annals of Intensive Care. He has published extensively in peer-reviewed journals on several perioperative topics including opioid-related respiratory complications, and the prediction of and monitoring for cardiorespiratory complications within and outside the ICU.

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© GE, 2022 – All rights reserved.
GE and the GE Monogram are trademarks of GE. The opinions, beliefs and viewpoints expressed in this webinar are solely those of the presenter and do not necessarily reflect the opinions, beliefs and viewpoints of GE Healthcare. The author is a paid consultant for GE Healthcare and was compensated for creation of this webinar.
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  1. Stannard B, et al. Regional cerebral oximetry is consistent across self-reported racial groups and predicts 30-day mortality in cardiac surgery: a retrospective analysis. Journal of Clinical Monitoring and Computing. 21 February 2020.
  2. Nepogodiev D, et al. Global burden of postoperative death. Correspondence. Lancet, February 2019.
  3. Baker RA, Hallsworth LJ, Knight JL. Stroke after coronary artery bypass grafting. Ann Thorac Surg. 2005;80:1746–50.
  4. Floyd TF, Shah PN, Price CC, et al. Clinically silent cerebral ischemic events after cardiac surgery: their incidence, regional vascular occurrence, and procedural dependence. Ann Thorac Surg. 2006;81:2160–6.
  5. Almassi GH, Sommers T, Moritz TE, et al. Stroke in cardiac surgical patients:determinants and outcome. Ann Thorac Surg. 1999;68:391–7.
  6. Raffa GM, Agnello F, Occhipinti G, et al. Neurological complications after cardiac surgery: a retrospective case-control study of risk factors and outcome. J Cardiothorac Surg. 2019;14(1):23. Published 2019 Jan 25. doi:10.1186/s13019-019-0844-8
  7. Ling RR, Ramanathan K, Sim JJL, Wong SN, Chen Y, Amin F, Fernando SM, Rochwerg B, Fan E, Barbaro RP, MacLaren G, Shekar K, Brodie D. Evolving outcomes of extracorporeal membrane oxygenation during the first 2 years of the COVID-19 pandemic: a systematic review and meta-analysis. Crit Care. 2022 May 23;26(1):147. doi: 10.1186/s13054-022-04011-2. PMID: 35606884; PMCID: PMC9125014.



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