{
    "abstract": "The value of ultrasound in assessing lung aeration of patients with ARDS who require venovenous extracorporeal membrane oxygenation (ECMO) has, to our knowledge, never been studied. The objective of the study was to evaluate by using ultrasound lung aeration at ECMO initiation and withdrawal in subjects with severe ARDS supported by venovenous ECMO.\nFifty subjects were included in this pilot retrospective study. The lung ultrasound aeration score (LUS) and respiratory variables were collected at ECMO initiation (T0) and ECMO withdrawal (T1). The LUS at T0 between the subjects who survived to ICU discharge and those who died in ICU was compared. The relationship between changes in LUS and changes in P\nThe ICU mortality was 34%. The LUS at T0 did not differ between survivors and non-survivors (median 22 [interquartile range] {IQR} 19-26 vs median 24 [IQR, 19-28]; \nAt the time of ECMO placement, the subjects who survived ARDS had aeration loss close to that observed in the subjects who did not survive. At the time of ECMO withdrawal, there was a significant improvement in lung aeration in the survivors, whereas a severe loss of lung aeration persisted in the non-survivors, although some were weaned off ECMO. Lung ultrasound provided a valuable tool for bedside assessment of lung aeration in subjects supported by ECMO.",
    "authors": [
        {
            "affiliation": "Multidisciplinary Intensive Care Unit, Department of Anesthesiology and Critical Care, La Piti\u00e9-Salp\u00eatri\u00e8re Hospital, Assistance Publique-H\u00f4pitaux de Paris, Sorbonne Universit\u00e9, Paris, France.\nDepartment of Emergency Medicine, Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China.",
            "firstname": "Xiao",
            "initials": "X",
            "lastname": "Lu"
        },
        {
            "affiliation": "Multidisciplinary Intensive Care Unit, Department of Anesthesiology and Critical Care, La Piti\u00e9-Salp\u00eatri\u00e8re Hospital, Assistance Publique-H\u00f4pitaux de Paris, Sorbonne Universit\u00e9, Paris, France.",
            "firstname": "Charlotte",
            "initials": "C",
            "lastname": "Arbelot"
        },
        {
            "affiliation": "Multidisciplinary Intensive Care Unit, Department of Anesthesiology and Critical Care, La Piti\u00e9-Salp\u00eatri\u00e8re Hospital, Assistance Publique-H\u00f4pitaux de Paris, Sorbonne Universit\u00e9, Paris, France.\nDivision of Respirology, Department of Medicine, University Health Network, Toronto, Ontario, Canada.",
            "firstname": "Annia",
            "initials": "A",
            "lastname": "Schreiber"
        },
        {
            "affiliation": "Multidisciplinary Intensive Care Unit, Department of Anesthesiology and Critical Care, La Piti\u00e9-Salp\u00eatri\u00e8re Hospital, Assistance Publique-H\u00f4pitaux de Paris, Sorbonne Universit\u00e9, Paris, France.\nDepartment of Anesthesiology and Critical Care, Henri-Mondor Hospital, Assistance Publique-H\u00f4pitaux de Paris, Cr\u00e9teil, France.",
            "firstname": "Olivier",
            "initials": "O",
            "lastname": "Langeron"
        },
        {
            "affiliation": "Multidisciplinary Intensive Care Unit, Department of Anesthesiology and Critical Care, La Piti\u00e9-Salp\u00eatri\u00e8re Hospital, Assistance Publique-H\u00f4pitaux de Paris, Sorbonne Universit\u00e9, Paris, France.",
            "firstname": "Antoine",
            "initials": "A",
            "lastname": "Monsel"
        },
        {
            "affiliation": "Multidisciplinary Intensive Care Unit, Department of Anesthesiology and Critical Care, La Piti\u00e9-Salp\u00eatri\u00e8re Hospital, Assistance Publique-H\u00f4pitaux de Paris, Sorbonne Universit\u00e9, Paris, France. qin.lu@aphp.fr.",
            "firstname": "Qin",
            "initials": "Q",
            "lastname": "Lu"
        }
    ],
    "conclusions": null,
    "copyrights": "Copyright \u00a9 2019 by Daedalus Enterprises.",
    "doi": "10.4187/respcare.06907",
    "journal": "Respiratory care",
    "keywords": [
        "ARDS",
        "VV ECMO",
        "lung aeration",
        "non-survivors",
        "oxygenation",
        "survivors",
        "ultrasound"
    ],
    "methods": null,
    "publication_date": "2019-08-23",
    "pubmed_id": "31431563",
    "results": "The ICU mortality was 34%. The LUS at T0 did not differ between survivors and non-survivors (median 22 [interquartile range] {IQR} 19-26 vs median 24 [IQR, 19-28]; ",
    "title": "Ultrasound Assessment of Lung Aeration in Subjects Supported by Venovenous Extracorporeal Membrane Oxygenation.",
    "xml": "<Element 'PubmedArticle' at 0x788505f5d6c0>"
}