Chest Ultrasound in Predication of Weaning Failure.
| Autor: | Soliman SB; Critical Care Medicine Department, Cairo University, Cairo, Egypt., Ragab F; Critical Care Medicine Department, Cairo University, Cairo, Egypt., Soliman RA; Critical Care Medicine Department, Cairo University, Cairo, Egypt., Gaber A; Critical Care Medicine Department, Cairo University, Cairo, Egypt., Kamal A; Critical Care Medicine Department, Cairo University, Cairo, Egypt. |
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| Jazyk: | angličtina |
| Zdroj: | Open access Macedonian journal of medical sciences [Open Access Maced J Med Sci] 2019 Apr 14; Vol. 7 (7), pp. 1143-1147. Date of Electronic Publication: 2019 Apr 14 (Print Publication: 2019). |
| DOI: | 10.3889/oamjms.2019.277 |
| Abstrakt: | Aim: Failure of weaning from mechanical ventilation (MV) is a common problem that faces the intensivist despite having some prediction indices. Application of chest ultrasonography (US) may help in weaning and prediction of its outcome. Methods: 100 patients on invasive MV fulfilling criteria of weaning shifted to spontaneous breathing trial (SBT) (using PSV 8 cm H Results: Mean age 57.1 ± 14.5, 62% were males. Weaning was successful in 80% of patients. LUS score was significantly higher in the failed weaning group: (10.8 ± 4.2) vs (16.5 ± 4.2 cm), (p: 0.001). (DTF) Was significantly higher in the successful weaning group: (43.0 ± 10.7) vs (28.9 ± 2.8 cm), (p: 0.001). DTF can predict successful weaning using Receiver operating characteristic (ROC) curves with the cutoff value: ≥ 29.5 with sensitivity 88.0% and specificity 80.0% with a p-value < 0.001.LUS score can predict weaning failure by using a ROC curve with cutoff value: ≥ 15.5 with sensitivity 70.0% and specificity 82.5 % with a p-value < 0.001.). Conclusion: The use of bedside chest US (to assess lung and diaphragm) of great benefit throughout the weaning process. |
| Databáze: | MEDLINE |
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