Role of Bedside Ultrasonography in Assessment of Diaphragm Function as a Predictor of Success of Weaning in Mechanically Ventilated Patients
Autor: | Mostafa Ibrahim Elshazly, Khaled Mahmoud kamel, Reem Ibrahim Elkorashy, Mohamed Said Ismail, Jumana Hesham Ismail, Hebatallah Hany Assal |
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Jazyk: | angličtina |
Rok vydání: | 2020 |
Předmět: | |
Zdroj: | Tuberculosis and Respiratory Diseases, Vol 83, Iss 4, Pp 295-302 (2020) |
Druh dokumentu: | article |
ISSN: | 1738-3536 2005-6184 |
DOI: | 10.4046/trd.2020.0045 |
Popis: | Background Weaning failure is common in mechanically ventilated patients, and if ultrasound can predict weaning outcome remains controversial. The purpose of this study was to evaluate the diaphragmatic function (thickness and excursion) measured by ultrasound as a predictor of the extubation outcome. Methods We included 62 mechanically ventilated patients from the chest intensive care unit in this study. Sixty-two patients who successfully passed the spontaneous breathing trial (SBT) were enrolled. The transthoracic ultrasound of the diaphragm was performed during an SBT to the assess diaphragmatic function (excursion and thickness), and they were classified into the successful extubation group and the failed extubation group. Results There was a statistically significant increase in the successful extubation group in the diaphragmatic excursion and thickness fraction (p |
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