Point-of-Care Ultrasound Detects Rapid Muscle Loss in Pediatric ECMO Patients-A Secondary Analysis Paper.

IF 1.9 Q3 PEDIATRICS

Pediatric Reports Pub Date : 2026-05-01 DOI:10.3390/pediatric18030063

Mohammad Sabobeh, Elizabeth Seewer, William Hunt Stafford, Nicolas Chiriboga, Thomas Spentzas, Shyam Popat, Alyssa Clark, David B Kantor, Hitesh S Sandhu, Saad Ghafoor

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引用次数: 0

Abstract

Background: Critically ill children requiring extracorporeal membrane oxygenation (ECMO) support are at high risk of immobility, deconditioning, and muscle loss. There is a lack of screening and diagnostic tools to quantify muscle loss in this population.

Objective: This study aims to evaluate the use of bedside ultrasound as a practical and effective method for detecting muscle loss in this high-risk group.

Materials and methods: This is a secondary analysis of a prospective observational clinical study conducted between January 2024 and January 2025 that used ultrasound to describe muscle loss in critically ill children aged 2 to 18 years.

Results: The primary study enrolled 35 patients, five of whom required ECMO support. All patients who required ECMO showed significant muscle loss (>10%) in the quadriceps femoris, as measured by muscle thickness and cross-sectional area, compared with baseline measurements obtained before ECMO cannulation.

Conclusions: Point-of-care muscle ultrasound could be a reliable, cost-effective tool for assessing muscle loss in pediatric patients on ECMO.

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即时超声检测儿科ECMO患者的快速肌肉损失-一篇二级分析论文。

背景：需要体外膜氧合（ECMO）支持的危重儿童处于活动不动、失能和肌肉损失的高风险中。缺乏筛查和诊断工具来量化这一人群的肌肉损失。目的：本研究旨在评价床边超声作为一种实用有效的方法检测这一高危人群的肌肉损失。材料和方法：这是对2024年1月至2025年1月期间进行的一项前瞻性观察性临床研究的二次分析，该研究使用超声波描述2至18岁危重儿童的肌肉损失。结果：最初的研究纳入了35例患者，其中5例需要ECMO支持。与ECMO插管前的基线测量值相比，所有需要ECMO的患者均表现出股四头肌明显的肌肉损失（bbb10 %），通过肌肉厚度和横截面积测量。结论：即时肌超可能是评估ECMO患儿肌肉损失的可靠、经济的工具。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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