Use of ultrasonography in effectively decreasing ventilator support in ICU in tertiary hospital.

Not yet recruiting

• Conditions: Abscess of liver, (2) ICD-10 Condition: K859||Acute pancreatitis, unspecified, (3) ICD-10 Condition: J952||Acute pulmonary insufficiency following nonthoracic surgery, (4) ICD-10 Condition: D126||Benign neoplasm of colon, unspecified, (5) ICD-10 Condition: G936||Cerebral edema, (6) ICD-10 Condition: N996||Intraoperative hemorrhage and hematoma of a genitourinary system organ or structure complicating a procedure, (7) ICD-10 Condition: K566||Other and unspecified intestinal obstruction,

• Registration Number: CTRI/2024/01/061111
• Lead Sponsor: Uttar Pradesh University Of Medical Sciences, Saifai, Etawah. Uttar Pradesh

Brief Summary

Ultrasonography provides simplenon invasive method of quantifying diaphragmatic movements. Imaging diaphragmwith ultrasound can be done by measuring diaphragm thickening fraction (DTF). Diaphragmatic parameters determined by bedside ultrasonography can predictweaning outcome with better performance than conventional parameters. The primary objective is to determine the diagnostic accuracyof diaphragm thickening fraction (DTF) in predicting weaning success. After spontaneous breathing trial, rapid shallowbreathing index (RSBI) will be calculated. The thickness of the diaphragm at maximuminspiration (TDmax) and maximum expiration (TDmin) willmeasured as the Diaphragm Thickening Fraction (DTF).

Detailed Description

Not available

Study Timeline

• Last Update Posted: 2023-12-24
• Study Start: 2024-10-01

Recruitment & Eligibility

• Status: Not Yet Recruiting
• Sex: All
• Target Recruitment: 100

Inclusion Criteria

Patients who are healthy before the disease onset who are mechanically ventilated for more than 72 hours and with satisfactory clinical weaning parameters and have readiness for weaning from mechanical ventilation.

Exclusion Criteria

• Patients with neuromuscular disorders.
• Patients with pre existing diaphragmatic palsy.
• Tracheostomised patients.
• Patients with pneumothorax.
• Poor image quality of ultrasound.

Study & Design

• Study Type: Observational
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Diaphragmatic thickness fraction.	From 72 hours after intubation till extubation from mechanical ventilation.

Secondary Outcome Measures

Name	Time	Method
Rapid shallow breathing index.	After spontaneous breathing trial till extubation from mechanical ventilation.

Trial Locations

Locations (1)

Uttar Pradesh University Of Medical Sciences, Saifai, Etawah, Uttar Pradesh.; 🇮🇳 Etawah, UTTAR PRADESH, India

Uttar Pradesh University Of Medical Sciences, Saifai, Etawah, Uttar Pradesh.

🇮🇳Etawah, UTTAR PRADESH, India

Ayush Kumar Pandey

Principal investigator

8191044971

ayushpandey2611@gmail.com