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260305

Ultrasound Evaluation of Lung and Diaphragm as Predictors of Liberation Success from Mechanical Ventilation

Article

Last updated: 23 Jan 2023

Subjects

-

Tags

Healthcare research

Abstract

Background: . Mechanical ventilation (MV) is one of the most common interventions in critical care. Weaning from MV is one of the most frequently encountered challenges in modern intensive care units (ICU).  Weaning failure from MV occurred in 10-20% of  patients .our study is to predict liberation success from mechanical ventilation using noninvasive method as lung and diaphragm ultrasound. The aim is to evaluate and assess the value of lung and diaphragm ultrasound for predicting liberation success, using diaphragmatic thickening index “TI", modified lung ultrasound score (LUSm) and diaphragmatic rapid shallow breathing index (DRSBI). Methods: This a prospective observational study. The study involved 60 patients who were mechanically ventilated and planned for weaning trial on SBT using PSV mode. Ultra-sonographic assessment of lung and diaphragm was performed 30 min after SBT using the following indices; TI, DRSBI, and  LUSm a . Results: The patients with (TI) below 24, DRSBI more than 1.3 breath/min/mm and LUSm higher than 6 were experienced high risk of failed weaning. Conclusion:  DRSBI,TI and LUSm are sensitive non- invasive bed side sonographic indices that can predict liberation success  in mechanically ventilated patients. DRSBI is the best diagnostic predictor than TI and LUSmm, sensitivity 100% and 98.33% accuracy.
 
 

DOI

10.21608/mjmr.2022.260305

Keywords

lung, Diaphragm, mechanical ventilation and ultrasound

Authors

First Name

Esraa

Last Name

Thabit

MiddleName

H.

Affiliation

Department of Anaesthesia and intensive care, Minia University, Minia, Egypt

Email

dr.esohamdy@gmail.com

City

-

Orcid

-

First Name

Nagy

Last Name

Ali

MiddleName

S.

Affiliation

Department of Anaesthesia and intensive care, Minia University, Minia, Egypt

Email

-

City

-

Orcid

-

First Name

Mohamed

Last Name

Ahmed

MiddleName

A.

Affiliation

Department of Anaesthesia and intensive care, Minia University, Minia, Egypt

Email

mohamed.ahmed2@mu.edu.eg

City

-

Orcid

-

First Name

Ahmed

Last Name

Kassim

MiddleName

H.

Affiliation

Department of Chest, Minia University, Minia, Egypt

Email

drahmedhussein@gmail.com

City

-

Orcid

-

Volume

33

Article Issue

2

Related Issue

35492

Issue Date

2022-04-01

Receive Date

2022-02-17

Publish Date

2022-04-01

Page Start

213

Page End

219

Online ISSN

2682-4558

Link

https://mjmr.journals.ekb.eg/article_260305.html

Detail API

https://mjmr.journals.ekb.eg/service?article_code=260305

Order

260,305

Type

Original Article

Type Code

2,212

Publication Type

Journal

Publication Title

Minia Journal of Medical Research

Publication Link

https://mjmr.journals.ekb.eg/

MainTitle

-

Details

Type

Article

Created At

23 Jan 2023