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277031

Chest Ultrasonographic Assessment of Diaphragmatic Excursion and Thickness as a New Weaning Parameter in Mechanically Ventilated Chronic Obstructive Pulmonary Disease Patients

Article

Last updated: 01 Jan 2025

Subjects

-

Tags

Chest

Abstract

Background: Diaphragmatic muscle dysfunction is common among the mechanically ventilated COPD patients which leads to weaning failure. Bedsides Diaphragmatic US can be used to predict the extubation outcome. Aim: To study the value of chest Ultrasonography in assessment of both diaphragmatic excursion and thickness as a weaning parameter in mechanically ventilated COPD patients. Patients and methods: The study was conducted on 48 mechanically ventilated COPD patients at time of weaning in the respiratory ICU, Zagazig University Hospitals. The following were done: ABG, chest X ray. Ultrasonographic assessment of the right diaphragm (thickness and excursion) during SBT. The results: Patients were classified according to weaning outcome into two groups: Successful Weaning group (35 patients) and Failed Weaning group (13 patients). Diaphragmatic excursion, tdi at end inspiration , tdi at end expiration , tdi % , tdi % /f , tdi % x Vt are significantly higher in the successful group (p < 0.001).Diaphragmatic excursion and tdi at end inspiration are considered an excellent significant discriminator for success of weaning (P

DOI

10.21608/zumj.2022.178996.2696

Keywords

Ultrasound, Diaphragm, COPD, Weaning

Authors

First Name

Hanan

Last Name

El-Shahat

MiddleName

M.

Affiliation

Professor and head of Chest department, zagazig university,Egypt

Email

hananmsh@yahoo.com

City

Sharqia

Orcid

-

First Name

Tarek

Last Name

Mahfouz

MiddleName

-

Affiliation

Professor of chest diseases,chest department,Zagazig university,Egypt

Email

tarekmahfouz61@yahoo.com

City

-

Orcid

-

First Name

Mohammad

Last Name

Elfeqy

MiddleName

-

Affiliation

Assistant lecturer of chest diseases,chest department,zagazig university,Egypt

Email

mohelfeky92@yahoo.com

City

-

Orcid

-

First Name

Samah

Last Name

Shehata

MiddleName

-

Affiliation

Assistant professor of chest diseases,Chest department, zagazig university,Egypt

Email

sama7she7ata78@gmail.com

City

Sharqia

Orcid

0000-0002-2961-4204

Volume

29

Article Issue

5

Related Issue

43252

Issue Date

2023-09-01

Receive Date

2022-12-06

Publish Date

2023-09-01

Page Start

1,282

Page End

1,293

Print ISSN

1110-1431

Online ISSN

2357-0717

Link

https://zumj.journals.ekb.eg/article_277031.html

Detail API

https://zumj.journals.ekb.eg/service?article_code=277031

Order

9

Type

Original Article

Type Code

273

Publication Type

Journal

Publication Title

Zagazig University Medical Journal

Publication Link

https://zumj.journals.ekb.eg/

MainTitle

Chest Ultrasonographic Assessment of Diaphragmatic Excursion and Thickness as a New Weaning Parameter in Mechanically Ventilated Chronic Obstructive Pulmonary Disease Patients

Details

Type

Article

Created At

30 Dec 2024