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284608

Sonographic Assessment of the Diaphrgam in COVID 19 and non-COVID ICU Patients.

Article

Last updated: 28 Dec 2024

Subjects

-

Tags

Medical and Health Science.

Abstract

Sonographic assessment of the diaphragm has grown increasingly prevalent in the critical care unit since monitoring diaphragmatic function is essential in many therapeutic situations (ICU). Sonography was used to measure diaphragmatic thickness and excursion in connection to various methods of mechanical ventilation (MV) and patient outcomes in order to assess diaphragmatic dynamics in critically sick patients in the intensive care unit. This prospective study was conducted on fifty patients inside the MV respiratory critical care unit. Patients with respiratory symptoms compatible with COVID-19 and those with a diagnosis unrelated to SARS-COV-2 were separated into two equal groups. In addition to normal laboratory and radiological investigations, ICU patients had ultrasound examination of the diaphragm thickness fraction and excursion upon admission and throughout weaning. Significant predictors of weaning success and mortality were the thickness of the inspiration at the end of the MV at weaning, the thickness of the inspiration at the end of the NIV at weaning, and the thickness of the expiration at the end of the MV at weaning. Consequently, the thickness at the end of inspiration and the thickness at the end of expiration were identified as major indications of effective weaning off MV. Significant predictors of effective weaning from NIV were the thickness at the end of inspiration, the thickness at the end of expiration, and the excursion during weaning. Excursion, and thickening at end inspiration and thickening at end expiration in NIV at weaning.

DOI

10.21608/bjas.2023.186239.1028

Keywords

Diaphragm, sonogram, COVID 19 intensive care unit

Authors

First Name

Amira

Last Name

Allam

MiddleName

Hussein

Affiliation

Assistant professor of Chest diseases Faculty of Medicine - Benha University

Email

amrhoc@yahoo.com

City

-

Orcid

-

First Name

Merna

Last Name

Hamed

MiddleName

Magdi

Affiliation

Department of chest diseases Kafr Elsheikh University

Email

mernamagdi68@gmail.com

City

-

Orcid

-

First Name

Magdi

Last Name

Omar

MiddleName

Mohamed

Affiliation

Professor of Chest Diseases Faculty of Medicine-Benha University

Email

magdyomar100@hotmail.com

City

-

Orcid

-

First Name

Haitham

Last Name

Foda

MiddleName

Mesbah

Affiliation

Lecturer of Intervential and Diagnostic Radiology faculty of Medicine - kafr El-Sheikh university

Email

haythamfoda@gmail.com

City

-

Orcid

-

First Name

Hany

Last Name

Mousa

MiddleName

Hussein

Affiliation

Lecturer of Chest diseases Faculty of Medicine - kafr el-sheikh University

Email

hany_ahmed@med.kfs.edu.eg

City

-

Orcid

-

Volume

8

Article Issue

1

Related Issue

41548

Issue Date

2023-01-01

Receive Date

2023-01-09

Publish Date

2023-01-30

Page Start

107

Page End

112

Print ISSN

2356-9751

Online ISSN

2356-976X

Link

https://bjas.journals.ekb.eg/article_284608.html

Detail API

https://bjas.journals.ekb.eg/service?article_code=284608

Order

16

Type

Original Research Papers

Type Code

1,647

Publication Type

Journal

Publication Title

Benha Journal of Applied Sciences

Publication Link

https://bjas.journals.ekb.eg/

MainTitle

Sonographic Assessment of the Diaphrgam in COVID 19 and non-COVID ICU Patients.

Details

Type

Article

Created At

28 Dec 2024