Neuromonitoring Practices for patients on Extracorporeal Membrane Oxygenation (ECMO) - A Survey of Current Practices
Voluntary Consent : You are being asked to participate in a research study. Participation is voluntary. There will be no penalty or loss of benefits if you choose not to participate or discontinue participation.
Introduction : Thank you for agreeing to participate in this survey regarding neuromonitoring for ECMO patients. The survey will allow us to explore and better understand current practice.
Purpose: There is a paucity of literature available on the current practices of neuromonitoring for ECMO patients across the nation. Our survey aims at exploring and understanding current practices surrounding neuromonitoring in adult patients receiving ECMO support.
Instructions : The survey is divided into 8 sections. You will have the option to select the best applicable answer for your practice and to offer additional comments.
Estimated time to complete : 10-15 minutes.
Risks : There are no risks associated with participating in this survey. No personal or identifying data will be gathered.
Benefits : There are no direct benefits to participating in this study.
Alternatives : As an alternative to participation, you could choose to not participate in this study.
Confidentiality : No personal information will be collected upon completion of this survey. Your
involvement will be kept anonymous.
Questions : If you have any additional questions about the study procedures or to report an injury you may contact study PI Dr. Namita Jayaprakash at njayapr1@hfhs.org or co-investigator Dr. Hassan Aboul Nour at aboulnourh@gmail.com If you would like to discuss your rights as a research participant, discuss problems, concerns, and questions; obtain information; or offer input with an informed individual who is unaffiliated with the specific research, you may contact the Henry Ford Health System IRB Administration Office by phone at (313) 874-4464 or by email at research_admin@hfhs.org. The IRB is a group of people who review the research to protect your rights.
Statement of Consent : By completing this survey, you are acknowledging that you have given consent to participate in this study.
A. Do you manage adult ECMO patients at your institution?
* must provide value
Yes
No
A1. If yes, how many cases per year?
* must provide value
< 5 cases/year
5-10 cases/year
11-20 cases/year
> 20 cases/year
I do not know
A. Is there a dedicated neurological ICU at your institution?
* must provide value
Yes
No
I do not know
A1. If no, where do you admit critically ill patients with neurological conditions? (check all that apply)?
A2. If yes, who rounds in your NICU? (check all that apply)?
B. Are all ECMO patients regularly followed by a Neurologist/Neuro-intensivist at your institution?
Yes
No
I do not know
C. How frequently would a Neurologist/Neuro-intensivist follow ECMO patients?
Daily
Weekly
Twice weekly
Three times weekly
As needed
Other
I do not know
D. If ECMO patients are not followed regularly by a neuro-intensivist, is the neurology team consulted on all ECMO patients?
Yes
No
I do not know
D1. If yes , which conditions prompt a neurology team consultation? (check all that apply)
A. At your institution is a neurological exam performed routinely on each of your ECMO patients?
* must provide value
Yes
No
I do not know
A1. If yes, which of the following are included?
A2. If yes, how frequently do you perform this neurological exam?
Hourly
Per Shift
Daily
Other
I do not know
A. Do you have EEG capabilities at your institution? If "No" move to section V "Neuroimaging"
* must provide value
Yes
No
I do not know
A1. Which type(s) of EEG monitoring modality is utilized at your institution (check all that apply)?
A2. If continuous EEG is selected,
At your institution, how long is EEG monitoring performed when there is concern for seizure/subclinical seizure?
24 hours
25-48 hours
> 48 hours
Other
I do not know
If intermittent EEG is selected,
At your institution, how long is intermittent EEG monitoring performed when there is concern for seizure/subclinical seizure?
20 minutes
21- 40 minutes
41 - 60 minutes
Other
I do not know
A3. Does your institution have a practice of monitoring for seizures in any of the following diagnostic groups? (check all that apply)
A. Do you obtain a non-contrast head/brain computed tomography (CT) as part of the neurological evaluation/assessment for your ECMO eligible patients?
* must provide value
Yes
No
I do not know
A1. If yes, when do you obtain the head CT?
A2. If yes, how is the head CT acquired at your institution (check all that apply)?
A3. For which indications do you perform a CT (check all that apply)?
B. At your institution are other modalities of CT head/brain imaging modalities available?
Yes
No
I do not know
B1. If yes, which other CT imaging modalities are utilized for ECMO patients? (Check all that apply)
C. At your institution is an MRI head/brain obtained for patients post de-canulation from ECMO and prior to discharge?
If No or Unknown, move to section VI Transcranial Doppler.
Yes
No
Unknown
C1. If yes, for which indications, do you perform a MRI head/brain for patients after ECMO decannulation (check all
that apply)?
At your institution, are TCDs available?
* must provide value
Yes
No
Unknown
A1. Have you ever ordered TCD's for a patient on ECMO?
Yes
No
A2. When have you chosen to perform TCDs on patients receiving ECMO?
A3. Who performs TCDs at your institution?
A4. Who interprets TCDs at your institution?
A5. Is an echocardiogram obtained at the same time or on the same day as the TCDs?
Yes
No
I do not know
Unknown
A6. Do you perform serial TCDs at your institution?
Yes
No
I do not know
Unknown
A6.1 If yes, when would serial TCDs be performed on your ECMO patients?
A7. Which studies are included in TCD exam?
A. At your institution are SSEP evaluations performed on ECMO patients?
* must provide value
Yes
No
I do not know
A1. When do you perform SSEP?
A2. What types of SSEP are available at your institution?
A. Please select your role within your institution's ECMO team
* must provide value
Coordinator
NP/PA/APP
Physician
Other
A1. If physician selected, please identify your Primary Board Certification - Choose all that apply
B. Years since completion of fellowship training
* must provide value
< 5 years
5-10 years
>10 years
C. Select the US State territory in which your clinical practice is primarily located
* must provide value
Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
D. What type of hospital setting best describes your clinical practice location?
* must provide value
University/Teaching Hospital
Community Hospital
State Hospital
VA Hospital
Others
E. Did you collaborate with others at your institution to answer the questions on this survey?
Yes
No
Do not wish to disclose
Submit
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