Publish in this journal
Journal Information
Vol. 43. Issue 2.
Pages 126 (March 2019)
Share
Share
Download PDF
More article options
Vol. 43. Issue 2.
Pages 126 (March 2019)
Images in Intensive Medicine
DOI: 10.1016/j.medin.2018.07.010
Full text access
Lung ultrasound in hypoxic patient with veno-arterial ECMO
Ecografía pulmonar en el paciente con ECMO venoarterial hipóxico
Visits
284
L. Martin-Villen
Corresponding author
, E. Jimenez-Martinez, R. Martin-Bermudez
UGC Medicina Intensiva, Hospital Universitario Virgen del Rocío, Seville, Spain
This item has received
284
Visits
Article information
Full Text
Download PDF
Statistics
Figures (1)
Additional material (2)
Full Text

A 56-year-old patient admitted due to cardiogenic shock following an acute myocardial infarction. Peripheral veno-arterial extracorporeal oxygenation membrane (VA ECMO) was implanted as a bridge to decision. Five days later, patient developed differential hypoxemia between upper (SO2 77%) and lower body (SO2 100%). An echocardiogram showed left ventricular ejection fraction improvement from 10% to 30% and pulmonary ultrasound revealed a mild pleural effusion and a bilateral image of pulmonary consolidation with dynamic air bronchogram. Inside the bronchus, vermiform mobile hyperechoic images (black arrows, figure 1A) appeared synchronized with breathing (video 1). Simultaneous bronchoscopy showed purulent secretions (white arrow, figure 1B) going in and out of the bronchial tree (video 2). In patients with VA ECMO, beyond the echocardiogram, pulmonary ultrasound is essential to see lung patterns that could explain hypoxic and even to guide therapeutic attitudes.

(0.07MB).
Conflict of Interest

The authors declare no conflicts of interest.

Copyright © 2018. Elsevier España, S.L.U. y SEMICYUC
Idiomas
Medicina Intensiva (English Edition)

Subscribe to our newsletter

Article options
Tools
Supplemental materials
es en

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?

es en
Política de cookies Cookies policy
Utilizamos cookies propias y de terceros para mejorar nuestros servicios y mostrarle publicidad relacionada con sus preferencias mediante el análisis de sus hábitos de navegación. Si continua navegando, consideramos que acepta su uso. Puede cambiar la configuración u obtener más información aquí. To improve our services and products, we use "cookies" (own or third parties authorized) to show advertising related to client preferences through the analyses of navigation customer behavior. Continuing navigation will be considered as acceptance of this use. You can change the settings or obtain more information by clicking here.