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Case Report | Open Access

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

Shunji Gaoa,1, Liuqiong Renb,1, Wenhong Gaoa, Qun’an Huanga, Shengzheng Wub, Jianqiu Hub, Yuejuan Gaoc, Faqin Lvb( ), Huijuan Xianga( )
Department of Ultrasound, General Hospital of Central Military Command Theater, Wuhan, China
Department of Ultrasound, Hainan Hospital of Chinese People’s Liberation Army General Hospital, Sanya, China
Department of Ultrasound, The Fifth Medical Center of Chinese People’s Liberation Army General Hospital, Beijing, China

1 Co-first authors

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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.

Keywords

UltrasoundExtra Corporeal Membrane OxygenationAcute respiratory distress syndromeThrombosisCOVID-19

References

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Advanced Ultrasound in Diagnosis and Therapy
Volume 4 Issue 2,
April 2020
Pages 134-137
DOI: 10.37015/AUDT.2020.200033

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Cite this article:
Gao S, Ren L, Gao W, et al. Role of Ultrasound for Management of Critical Severe COVID-19 Patients with ECMO. Advanced Ultrasound in Diagnosis and Therapy, 2020, 4(2): 134-137. https://doi.org/10.37015/AUDT.2020.200033

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Received: 30 March 2020
Revised: 14 April 2020
Accepted: 15 April 2020
Published: 30 April 2020
© AUDT 2020

This is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 International license, which permits unrestricted use, distribution and reproduction in any medium provided that the original work is properly attributed.