Advanced Ultrasound in Diagnosis and Therapy ›› 2020, Vol. 4 ›› Issue (2): 134-137.doi: 10.37015/AUDT.2020.200033

• Case Report • Previous Articles     Next Articles

Role of Ultrasound for Management of Critical Severe COVID-19 Patients with ECMO

Shunji Gao, MDa, Liuqiong Ren, MDb, Wenhong Gao, MDa, Qun’an Huang, MDa, Shengzheng Wu, MDb, Jianqiu Hu, MDb, Yuejuan Gao, MDc, Faqin Lv, MDb,*(), Huijuan Xiang, MDa,*()   

  1. a Department of Ultrasound, General Hospital of Central Military Command Theater, Wuhan, China
    b Department of Ultrasound, Hainan Hospital of Chinese People’s Liberation Army General Hospital, Sanya, China
    c Department of Ultrasound, The Fifth Medical Center of Chinese People’s Liberation Army General Hospital, Beijing, China
  • Received:2020-03-30 Accepted:2020-04-15 Online:2020-06-30 Published:2020-04-23
  • Contact: Faqin Lv, MD,Huijuan Xiang, MD,;


Objective: To evaluate the role of ultrasound in the use and maintenance of ECMO for COVID-19 cases.
Methods: During the outbreak of COVID-19 in China, three critically ill patients were treated with ECMO in our hospital. Bedside ultrasound was used throughout all procedures, including in the delivery and daily monitoring of ECMO.
Results: Structural and functional changes of heart, pleural effusion, as well as thrombus formation in one patient’s right atrium were noted with ultrasonography. Using bedside ultrasound as a troubleshooting tool throughout ECMO therapy provided a lot of useful and reliable real-time information to assist clinical decision making.
Conclusion: Ultrasound shall play an important role in the use and maintenance of ECMO for COVID-19 cases.

Key words: Ultrasound; Extra Corporeal Membrane Oxygenation; Acute respiratory distress syndrome; Thrombosis; COVID-19