Value of pulmonary ultrasound in extracorporeal membrane oxygenation in children with severe acute respiratory distress syndrome
10.3760/cma.j.issn.1004‐4477.2019.10.005
- VernacularTitle:肺超声在体外膜肺氧合治疗儿童重症急性呼吸窘迫综合征中的应用价值
- Author:
Yuan HU
1
;
Mengjie ZHOU
;
Huixian MENG
;
Wenjuan CHEN
Author Information
1. 湖南省儿童医院超声科
- Keywords:
Ultrasonography;
Pulmonary;
Extracorporeal membrane oxygenation;
Acute respiratory distress syndrome;
Children
- From:
Chinese Journal of Ultrasonography
2019;28(10):854-858
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the application value of pulmonary ultrasound for the treatment of severe acute respiratory distress syndrome in children with extracorporeal membrane oxygenation( ECM O ) . Methods Seven children with severe acute respiratory distress syndrome ( ARDS ) w ho were treated with ECM O in the PICU ward of Hunan Children Hospital from August 2018 to M arch 2019 underwent pulmonary ultrasound before treated with ECM O , after each bronchoscopy and lavage , before ECM O withdrawal ,and within 24 hours after ECM O withdrawal . Performance of pulmonary ultrasound and clinical data were retrospectively reviewed . Results Seven patients treated with ECM O for 11 .5( 3－27) days ,and 1 patient underwent ECM O transport . Six ( 86 .7% ) patients were successfully weaned from ECM O ,and 1 ( 14 .2% ) patient failed to exit ECM O successfully . Four( 57 .1% ) patients were discharged from hospital , and 3( 42 .8% ) patients eventually died . In various diagnostic signs of pulmonary ultrasound were detected in 7 patients ,including pulmonary edema ( 7 cases ) ,lung consolidation ( 5 cases ) ,followed by pleural effusion ( 4 cases) ,atelectasis ( 3 cases) and pneumothorax ( 3 cases ) . Pulmonary ultrasound showed that the lungs were re‐expanded and suggested that the child could attempt to evacuate the ECM O . Conclusions Pulmonary ultrasound can comprehensively evaluate the various lung lesions in children with ECM O treatment ,and can dynamically monitor the process of lung recruitment in real time ,providing a reference for guiding the evacuation of ECM O .
