{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,27]],"date-time":"2026-02-27T10:11:07Z","timestamp":1772187067649,"version":"3.50.1"},"reference-count":38,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"18","license":[{"start":{"date-parts":[[2024,10,28]],"date-time":"2024-10-28T00:00:00Z","timestamp":1730073600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Cosmet Laser Ther"],"published-print":{"date-parts":[[2024,10,28]]},"abstract":"<jats:sec>\n                    <jats:title>BACKGROUND<\/jats:title>\n                    <jats:p>Decompressive hemicraniectomy (DHC) can be a life-saving treatment for patients with severe traumatic brain injury (TBI) with a focal mass lesion who develop refractory elevated intracranial pressure (ICP). Nonetheless, successful completion of this procedure requires maintaining hemodynamic and respiratory stability. Extracorporeal membrane oxygenation (ECMO) use in patients with respiratory or cardiac failure is well described in the literature and has become routinely used in patients with refractory hypoxia unresponsive to traditional mechanical ventilation strategies, but few cases of its use have been reported in the neurosurgical literature.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>OBSERVATIONS<\/jats:title>\n                    <jats:p>Herein, the authors describe a unique case in which a man presented after an unwitnessed fall that caused severe TBI without a focal mass lesion. The patient subsequently developed medically refractory elevated ICP secondary to traumatic cerebral edema. He required DHC, but the procedure could only be completed safely with the utilization of intraoperative ECMO.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>LESSONS<\/jats:title>\n                    <jats:p>As more is learned about the techniques and pitfalls of ECMO, its indications are rapidly expanding. The case presented describes the safe use of ECMO during a major neurosurgical procedure, showing that the technique can be completed safely and offering a therapeutic option for effectively addressing refractory hypoxia and hypercarbia in patients with severe TBI who require urgent or emergency neurosurgical procedures.<\/jats:p>\n                    <jats:p>\n                      <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"uri\" xlink:href=\"https:\/\/thejns.org\/doi\/10.3171\/CASE24264\">https:\/\/thejns.org\/doi\/10.3171\/CASE24264<\/jats:ext-link>\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.3171\/case24264","type":"journal-article","created":{"date-parts":[[2024,10,28]],"date-time":"2024-10-28T02:44:26Z","timestamp":1730083466000},"source":"Crossref","is-referenced-by-count":1,"title":["Use of extracorporeal membrane oxygenation during a decompressive hemicraniectomy for severe traumatic brain injury: illustrative case"],"prefix":"10.3171","volume":"8","author":[{"given":"Dan Y","family":"Draytsel","sequence":"first","affiliation":[{"name":"Departments of Norton College of Medicine, SUNY Upstate Medical University, Syracuse, New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Justin","family":"Oh","sequence":"additional","affiliation":[{"name":"Departments of Neurosurgery, SUNY Upstate Medical University, Syracuse, New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christopher T","family":"Tanski","sequence":"additional","affiliation":[{"name":"Departments of Emergency Medicine, SUNY Upstate Medical University, Syracuse, New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fadar","family":"Oliver Otite","sequence":"additional","affiliation":[{"name":"Departments of Neurology, SUNY Upstate Medical University, Syracuse, New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ethan","family":"Burke","sequence":"additional","affiliation":[{"name":"Departments of Anesthesia, SUNY Upstate Medical University, Syracuse, New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Syed","family":"Ali","sequence":"additional","affiliation":[{"name":"Departments of Anesthesia, SUNY Upstate Medical University, Syracuse, New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fenghua","family":"Li","sequence":"additional","affiliation":[{"name":"Departments of Anesthesia, SUNY Upstate Medical University, Syracuse, New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Timothy","family":"Beutler","sequence":"additional","affiliation":[{"name":"Departments of Neurosurgery, SUNY Upstate Medical University, Syracuse, New York"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1754","reference":[{"issue":"1","key":"bib1","series-title":"Crit Care Nurs Clin North Am","first-page":"67","article-title":"Decompressive hemicraniectomy in the stroke patient","volume":"35","author":"Heck","year":"2023","unstructured":"Heck C. Decompressive hemicraniectomy in the stroke patient. Crit Care Nurs Clin North Am. 2023;35(1):67-81."},{"issue":"6","key":"bib2","series-title":"Anesth Analg","first-page":"1999","article-title":"Refractory intracranial hypertension: the role of decompressive craniectomy","volume":"125","author":"Smith","year":"2017","unstructured":"Smith M. Refractory intracranial hypertension: the role of decompressive craniectomy. Anesth Analg. 2017;125(6):1999-2008."},{"issue":"9","key":"bib3","series-title":"J Intensive Care Med","first-page":"587","article-title":"Decompressive hemicraniectomy in acute neurological diseases","volume":"31","author":"Crudele","year":"2016","unstructured":"Crudele AShah SOBar B. Decompressive hemicraniectomy in acute neurological diseases. J Intensive Care Med. 2016;31(9):587-596."},{"issue":"4","key":"bib4","series-title":"Neurosurgery","first-page":"E372","article-title":"Guidelines for the management of severe traumatic brain injury: 2020 update of the decompressive craniectomy recommendations","volume":"88","author":"Hawryluk","year":"2021","unstructured":"Hawryluk GWJRubiano AMGhajar J. Guidelines for the management of severe traumatic brain injury: 2020 update of the decompressive craniectomy recommendations. Neurosurgery. 2021;88(4):E372-E373."},{"issue":"10","key":"bib5","series-title":"Cureus","first-page":"e29894","article-title":"Primary decompressive craniectomy after traumatic brain injury: a literature review","volume":"14","author":"Jost","year":"2022","unstructured":"Jost JN. Primary decompressive craniectomy after traumatic brain injury: a literature review. Cureus. 2022;14(10):e29894."},{"issue":"7","key":"bib6","series-title":"Acta Neurochir (Wien)","first-page":"1815","article-title":"Decompressive hemicraniectomy after aneurysmal subarachnoid hemorrhage\u2014justifiable in light of long-term outcome?","volume":"164","author":"Veldeman","year":"2022","unstructured":"Veldeman MWeiss MDaleiden L, et al. Decompressive hemicraniectomy after aneurysmal subarachnoid hemorrhage\u2014justifiable in light of long-term outcome? Acta Neurochir (Wien). 2022;164(7):1815-1826."},{"issue":"3","key":"bib7","series-title":"Stroke","first-page":"987","article-title":"Decompressive hemicraniectomy for the treatment of intractable intracranial hypertension after aneurysmal subarachnoid hemorrhage","volume":"38","author":"Schirmer","year":"2007","unstructured":"Schirmer CMHoit DAMalek AM. Decompressive hemicraniectomy for the treatment of intractable intracranial hypertension after aneurysmal subarachnoid hemorrhage. Stroke. 2007;38(3):987-992."},{"issue":"1","key":"bib8","series-title":"Acta Neurochir (Wien)","first-page":"59","article-title":"Decompressive hemicraniectomy in patients with subarachnoid hemorrhage and intractable intracranial hypertension","volume":"149","author":"Buschmann","year":"2007","unstructured":"Buschmann UYonekawa YFortunati MCesnulis EKeller E. Decompressive hemicraniectomy in patients with subarachnoid hemorrhage and intractable intracranial hypertension. Acta Neurochir (Wien). 2007;149(1):59-65."},{"issue":"2","key":"bib9","series-title":"Semin Perinatol","first-page":"68","article-title":"An overview of medical ECMO for neonates","volume":"42","author":"Fletcher","year":"2018","unstructured":"Fletcher KChapman RKeene S. An overview of medical ECMO for neonates. Semin Perinatol. 2018;42(2):68-79."},{"issue":"6","key":"bib10","series-title":"Am J Respir Crit Care Med","first-page":"P9","article-title":"What is ECMO?","volume":"193","author":"White","year":"2016","unstructured":"White AFan E. What is ECMO? Am J Respir Crit Care Med. 2016;193(6):P9-P10."},{"issue":"11","key":"bib11","series-title":"J Thorac Dis","first-page":"6576","article-title":"Intraoperative support during lung transplantation","volume":"13","author":"dos Santos","year":"2021","unstructured":"dos Santos PRD\u2019Cunha J. Intraoperative support during lung transplantation. J Thorac Dis. 2021;13(11):6576-6586."},{"issue":"1","key":"bib12","series-title":"World J Emerg Surg","first-page":"51","article-title":"Extracorporeal membrane oxygenation in trauma patients: a systematic review","volume":"15","author":"Wang","year":"2020","unstructured":"Wang CZhang LQin T, et al. Extracorporeal membrane oxygenation in trauma patients: a systematic review. World J Emerg Surg. 2020;15(1):51."},{"issue":"6","key":"bib13","series-title":"J Korean Med Sci","first-page":"962","article-title":"Extracorporeal membrane oxygenation for acute life-threatening neurogenic pulmonary edema following rupture of an intracranial aneurysm","volume":"28","author":"Hwang","year":"2013","unstructured":"Hwang GJSheen SHKim HS, et al. Extracorporeal membrane oxygenation for acute life-threatening neurogenic pulmonary edema following rupture of an intracranial aneurysm. J Korean Med Sci. 2013;28(6):962-964."},{"issue":"1","key":"bib14","series-title":"Neurology","first-page":"102","article-title":"Neurosurgical procedures in patients requiring ECMO (NSPIRE) (P2-2.001)","volume":"102","author":"Helmy","year":"2024","unstructured":"Helmy SMLLee RCardona J, et al. Neurosurgical procedures in patients requiring ECMO (NSPIRE) (P2-2.001). Neurology. 2024;102(1):102."},{"issue":"3","key":"bib15","series-title":"Clin Neurol Neurosurg","first-page":"295","article-title":"Extracorporeal membrane oxygenation resuscitation for traumatic brain injury after decompressive craniotomy","volume":"110","author":"Yen","year":"2008","unstructured":"Yen TSLiau CCChen YSChao A. Extracorporeal membrane oxygenation resuscitation for traumatic brain injury after decompressive craniotomy. Clin Neurol Neurosurg. 2008;110(3):295-297."},{"issue":"3","key":"bib16","series-title":"ASAIO J","first-page":"290","article-title":"Thrombosis and bleeding in extracorporeal membrane oxygenation (ECMO) without anticoagulation: a systematic review","volume":"67","author":"Olson","year":"2021","unstructured":"Olson SRMurphree CRZonies D, et al. Thrombosis and bleeding in extracorporeal membrane oxygenation (ECMO) without anticoagulation: a systematic review. ASAIO J. 2021;67(3):290-296."},{"issue":"2","key":"bib17","series-title":"Acta Neurol Belg","first-page":"341","article-title":"Neurological monitoring in ECMO patients: current state of practice, challenges and lessons","volume":"123","author":"Aboul-Nour","year":"2023","unstructured":"Aboul-Nour HJumah AAbdulla H, et al. Neurological monitoring in ECMO patients: current state of practice, challenges and lessons. Acta Neurol Belg. 2023;123(2):341-350."},{"issue":"3","key":"bib18","series-title":"Perfusion","article-title":"Machado DS. After the storm: Extracorporeal membrane oxygenation after hemicraniectomy in a child","author":"Wang","year":"2024","unstructured":"Wang W, Maciel CB, Blatt J, Chang PM, Peek GJ, Machado DS. After the storm: Extracorporeal membrane oxygenation after hemicraniectomy in a child. Perfusion. 2024;39(3):624-6."},{"issue":"3","key":"bib19","series-title":"Spine deformity","first-page":"753","article-title":"Intraoperative massive pulmonary embolism during revision lumbar fusion managed with extracorporeal membrane oxygenation","volume":"11","author":"Withrow","unstructured":"WithrowJ, TrimbleD, MedinaA, QuinnJC. Intraoperative massive pulmonary embolism during revision lumbar fusion managed with extracorporeal membrane oxygenation. Spine deformity. 2023;11(3):753-757."},{"issue":"1","key":"bib1","series-title":"Crit Care Nurs Clin North Am","first-page":"67","article-title":"Decompressive hemicraniectomy in the stroke patient","volume":"35","author":"Heck","year":"2023","unstructured":"Heck C. Decompressive hemicraniectomy in the stroke patient. Crit Care Nurs Clin North Am. 2023;35(1):67-81."},{"issue":"6","key":"bib2","series-title":"Anesth Analg","first-page":"1999","article-title":"Refractory intracranial hypertension: the role of decompressive craniectomy","volume":"125","author":"Smith","year":"2017","unstructured":"Smith M. Refractory intracranial hypertension: the role of decompressive craniectomy. Anesth Analg. 2017;125(6):1999-2008."},{"issue":"9","key":"bib3","series-title":"J Intensive Care Med","first-page":"587","article-title":"Decompressive hemicraniectomy in acute neurological diseases","volume":"31","author":"Crudele","year":"2016","unstructured":"Crudele AShah SOBar B. Decompressive hemicraniectomy in acute neurological diseases. J Intensive Care Med. 2016;31(9):587-596."},{"issue":"4","key":"bib4","series-title":"Neurosurgery","first-page":"E372","article-title":"Guidelines for the management of severe traumatic brain injury: 2020 update of the decompressive craniectomy recommendations","volume":"88","author":"Hawryluk","year":"2021","unstructured":"Hawryluk GWJRubiano AMGhajar J. Guidelines for the management of severe traumatic brain injury: 2020 update of the decompressive craniectomy recommendations. Neurosurgery. 2021;88(4):E372-E373."},{"issue":"10","key":"bib5","series-title":"Cureus","first-page":"e29894","article-title":"Primary decompressive craniectomy after traumatic brain injury: a literature review","volume":"14","author":"Jost","year":"2022","unstructured":"Jost JN. Primary decompressive craniectomy after traumatic brain injury: a literature review. Cureus. 2022;14(10):e29894."},{"issue":"7","key":"bib6","series-title":"Acta Neurochir (Wien)","first-page":"1815","article-title":"Decompressive hemicraniectomy after aneurysmal subarachnoid hemorrhage\u2014justifiable in light of long-term outcome?","volume":"164","author":"Veldeman","year":"2022","unstructured":"Veldeman MWeiss MDaleiden L, et al. Decompressive hemicraniectomy after aneurysmal subarachnoid hemorrhage\u2014justifiable in light of long-term outcome? Acta Neurochir (Wien). 2022;164(7):1815-1826."},{"issue":"3","key":"bib7","series-title":"Stroke","first-page":"987","article-title":"Decompressive hemicraniectomy for the treatment of intractable intracranial hypertension after aneurysmal subarachnoid hemorrhage","volume":"38","author":"Schirmer","year":"2007","unstructured":"Schirmer CMHoit DAMalek AM. Decompressive hemicraniectomy for the treatment of intractable intracranial hypertension after aneurysmal subarachnoid hemorrhage. Stroke. 2007;38(3):987-992."},{"issue":"1","key":"bib8","series-title":"Acta Neurochir (Wien)","first-page":"59","article-title":"Decompressive hemicraniectomy in patients with subarachnoid hemorrhage and intractable intracranial hypertension","volume":"149","author":"Buschmann","year":"2007","unstructured":"Buschmann UYonekawa YFortunati MCesnulis EKeller E. Decompressive hemicraniectomy in patients with subarachnoid hemorrhage and intractable intracranial hypertension. Acta Neurochir (Wien). 2007;149(1):59-65."},{"issue":"2","key":"bib9","series-title":"Semin Perinatol","first-page":"68","article-title":"An overview of medical ECMO for neonates","volume":"42","author":"Fletcher","year":"2018","unstructured":"Fletcher KChapman RKeene S. An overview of medical ECMO for neonates. Semin Perinatol. 2018;42(2):68-79."},{"issue":"6","key":"bib10","series-title":"Am J Respir Crit Care Med","first-page":"P9","article-title":"What is ECMO?","volume":"193","author":"White","year":"2016","unstructured":"White AFan E. What is ECMO? Am J Respir Crit Care Med. 2016;193(6):P9-P10."},{"issue":"11","key":"bib11","series-title":"J Thorac Dis","first-page":"6576","article-title":"Intraoperative support during lung transplantation","volume":"13","author":"dos Santos","year":"2021","unstructured":"dos Santos PRD\u2019Cunha J. Intraoperative support during lung transplantation. J Thorac Dis. 2021;13(11):6576-6586."},{"issue":"1","key":"bib12","series-title":"World J Emerg Surg","first-page":"51","article-title":"Extracorporeal membrane oxygenation in trauma patients: a systematic review","volume":"15","author":"Wang","year":"2020","unstructured":"Wang CZhang LQin T, et al. Extracorporeal membrane oxygenation in trauma patients: a systematic review. World J Emerg Surg. 2020;15(1):51."},{"issue":"6","key":"bib13","series-title":"J Korean Med Sci","first-page":"962","article-title":"Extracorporeal membrane oxygenation for acute life-threatening neurogenic pulmonary edema following rupture of an intracranial aneurysm","volume":"28","author":"Hwang","year":"2013","unstructured":"Hwang GJSheen SHKim HS, et al. Extracorporeal membrane oxygenation for acute life-threatening neurogenic pulmonary edema following rupture of an intracranial aneurysm. J Korean Med Sci. 2013;28(6):962-964."},{"issue":"1","key":"bib14","series-title":"Neurology","first-page":"102","article-title":"Neurosurgical procedures in patients requiring ECMO (NSPIRE) (P2-2.001)","volume":"102","author":"Helmy","year":"2024","unstructured":"Helmy SMLLee RCardona J, et al. Neurosurgical procedures in patients requiring ECMO (NSPIRE) (P2-2.001). Neurology. 2024;102(1):102."},{"issue":"3","key":"bib15","series-title":"Clin Neurol Neurosurg","first-page":"295","article-title":"Extracorporeal membrane oxygenation resuscitation for traumatic brain injury after decompressive craniotomy","volume":"110","author":"Yen","year":"2008","unstructured":"Yen TSLiau CCChen YSChao A. Extracorporeal membrane oxygenation resuscitation for traumatic brain injury after decompressive craniotomy. Clin Neurol Neurosurg. 2008;110(3):295-297."},{"issue":"3","key":"bib16","series-title":"ASAIO J","first-page":"290","article-title":"Thrombosis and bleeding in extracorporeal membrane oxygenation (ECMO) without anticoagulation: a systematic review","volume":"67","author":"Olson","year":"2021","unstructured":"Olson SRMurphree CRZonies D, et al. Thrombosis and bleeding in extracorporeal membrane oxygenation (ECMO) without anticoagulation: a systematic review. ASAIO J. 2021;67(3):290-296."},{"issue":"2","key":"bib17","series-title":"Acta Neurol Belg","first-page":"341","article-title":"Neurological monitoring in ECMO patients: current state of practice, challenges and lessons","volume":"123","author":"Aboul-Nour","year":"2023","unstructured":"Aboul-Nour HJumah AAbdulla H, et al. Neurological monitoring in ECMO patients: current state of practice, challenges and lessons. Acta Neurol Belg. 2023;123(2):341-350."},{"issue":"3","key":"bib18","series-title":"Perfusion","article-title":"Machado DS. After the storm: Extracorporeal membrane oxygenation after hemicraniectomy in a child","author":"Wang","year":"2024","unstructured":"Wang W, Maciel CB, Blatt J, Chang PM, Peek GJ, Machado DS. After the storm: Extracorporeal membrane oxygenation after hemicraniectomy in a child. 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