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

doi:10.37015/AUDT.2020.200033

Abstract

Abstract:

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

Shunji Gao, MD, Liuqiong Ren, MD, Wenhong Gao, MD, Qun’an Huang, MD, Shengzheng Wu, MD, Jianqiu Hu, MD, Yuejuan Gao, MD, Faqin Lv, MD, Huijuan Xiang, MD. Role of Ultrasound for Management of Critical Severe COVID-19 Patients with ECMO. Advanced Ultrasound in Diagnosis and Therapy, 2020, 4(2): 134-137.

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