Table 7.

Consensus recommendations on neurological prognostication for ECMO patients

Recommendations	References
4. Neurological prognostication*
4.1. Neurological prognostication for ECPR based on a multimodality, multidisciplinary approach of clinical/neurological examination, electrophysiological tests, and neuroimaging is recommended	30
4.2. It is not recommended to use any single factor/tool (e.g. brain imaging only) as the sole indicator for patient prognosis	30
4.3. Determination of brain death, based on the presence of devastating brain injury on imaging, neurological examination, and apnea test after considering official recommendations, guidelines, and laws of the specific country and excluding confounding factors is recommended. When an apnea test is challenging, cerebral angiogram or nuclear scan (radionuclide brain scan) are preferred ancillary tests	75,76,81
4.4. Frequent meetings and goals of care discussions with the patient surrogate that reflect the patient’s preferences is recommended	82–84

ECPR: extracorporeal cardiopulmonary resuscitation.

^*Results of the Delphi survey results are available in the Supplementary Material.