PMID- 37231331 OWN - NLM STAT- MEDLINE DCOM- 20230531 LR - 20230531 IS - 1471-2253 (Electronic) IS - 1471-2253 (Linking) VI - 23 IP - 1 DP - 2023 May 25 TI - Lung ultrasound to evaluate pulmonary changes in patients with cardiogenic shock undergoing extracorporeal membrane oxygenation: a retrospective study. PG - 181 LID - 10.1186/s12871-023-02134-9 [doi] LID - 181 AB - PURPOSE: The aim of the study was to evaluate the value of lung ultrasound (LUS) in patients with cardiogenic shock treated by venoarterial extracorporeal membrane oxygenation (VA-ECMO). METHODS: A retrospective study was conducted in Xuzhou Central Hospital from September 2015 to April 2022. Patients with cardiogenic shock who received VA-ECMO treatment were enrolled in this study. The LUS score was obtained at the different time points of ECMO. RESULTS: Twenty-two patients were divided into a survival group (n = 16) and a nonsurvival group (n = 6). The intensive care unit (ICU) mortality was 27.3% (6/22). The LUS scores in the nonsurvival group were significantly higher than those in the survival group after 72 h (P < 0.05). There was a significant negative correlation between LUS scores and PaO(2)/FiO(2) and LUS scores and pulmonary dynamic compliance(Cdyn) after 72 h of ECMO treatment (P < 0.001). ROC curve analysis showed that the area under the ROC curve (AUC) of T(72)-LUS was 0.964 (95% CI 0.887 ~ 1.000, P < 0.01). CONCLUSION: LUS is a promising tool for evaluating pulmonary changes in patients with cardiogenic shock undergoing VA-ECMO. TRIAL REGISTRATION: The study had been registered in the Chinese Clinical Trial Registry(NO.ChiCTR2200062130 and 24/07/2022). CI - (c) 2023. The Author(s). FAU - Wang, Rongguo AU - Wang R AD - Department of Anesthesiology, Xuzhou Central Hospital, Xuzhou, China. FAU - Zhou, Meiyan AU - Zhou M AD - Department of Anesthesiology, Xuzhou Central Hospital, Xuzhou, China. FAU - Man, Yuanyuan AU - Man Y AD - Department of Respiratory, Xuzhou Central Hospital, Xuzhou, China. FAU - Zhu, Yangzi AU - Zhu Y AD - Department of Anesthesiology, Xuzhou Central Hospital, Xuzhou, China. FAU - Ding, Wenping AU - Ding W AD - Department of Anesthesiology, Xuzhou Central Hospital, Xuzhou, China. FAU - Liu, Qian AU - Liu Q AD - Department of Anesthesiology, Xuzhou Central Hospital, Xuzhou, China. FAU - Sun, Bin AU - Sun B AD - Department of Anesthesiology, Xuzhou Central Hospital, Xuzhou, China. FAU - Yan, Li AU - Yan L AD - Department of Anesthesiology, Xuzhou Central Hospital, Xuzhou, China. FAU - Zhang, Yan AU - Zhang Y AD - Department of Anesthesiology, Xuzhou Central Hospital, Xuzhou, China. FAU - Zhou, Hai AU - Zhou H AD - Department of Anesthesiology, Xuzhou Central Hospital, Xuzhou, China. FAU - Wang, Liwei AU - Wang L AD - Department of Anesthesiology, Xuzhou Central Hospital, Xuzhou, China. liweiwang70255@163.com. LA - eng SI - ChiCTR/ChiCTR2200062130 PT - Clinical Trial PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20230525 PL - England TA - BMC Anesthesiol JT - BMC anesthesiology JID - 100968535 SB - IM MH - Humans MH - *Extracorporeal Membrane Oxygenation MH - Hospital Mortality MH - Lung/diagnostic imaging MH - Retrospective Studies MH - *Shock, Cardiogenic/diagnostic imaging/therapy PMC - PMC10209921 OTO - NOTNLM OT - Cardiogenic shock OT - Lung ultrasound score OT - Venous-arterial extracorporeal membrane oxygenation COIS- The authors declare no conflict of interest. EDAT- 2023/05/26 01:05 MHDA- 2023/05/29 06:42 PMCR- 2023/05/25 CRDT- 2023/05/25 23:35 PHST- 2022/10/20 00:00 [received] PHST- 2023/05/10 00:00 [accepted] PHST- 2023/05/29 06:42 [medline] PHST- 2023/05/26 01:05 [pubmed] PHST- 2023/05/25 23:35 [entrez] PHST- 2023/05/25 00:00 [pmc-release] AID - 10.1186/s12871-023-02134-9 [pii] AID - 2134 [pii] AID - 10.1186/s12871-023-02134-9 [doi] PST - epublish SO - BMC Anesthesiol. 2023 May 25;23(1):181. doi: 10.1186/s12871-023-02134-9.