The Ultrasonographic Changes of Intercostal Muscles and Diaphragm in Mechanically Ventilated Preterm Neonates
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Mechanical Ventilation Complication
- Sponsor
- Noha Saied Ibrahim
- Enrollment
- 30
- Locations
- 1
- Primary Endpoint
- The impact of mechanical ventilation on diaphragm and intercostal muscles using ultrasound
- Last Updated
- 3 years ago
Overview
Brief Summary
Invasive mechanical ventilation induces ventilator induced diaphragmatic dysfunction particularly when used for long time and Intercostal muscles as well contribute to the important work of respiratory movement by expanding the thorax , and determining the thickness of them would be a useful parameter in evaluating respiratory muscle activity.
This study will add the impact of mechanical ventilation on the diaphragm and intercostal muscles in preterm infants using ultrasound.
Investigators
Noha Saied Ibrahim
Resident at Pediatrics hospital ainshams university
Ain Shams University
Eligibility Criteria
Inclusion Criteria
- •Preterm infants from 28-36 weeks gestation
- •In need for invasive mechanical ventilation according to work of breathing, oxygen saturation and blood gases .
Exclusion Criteria
- •Significant congenital anomalies including cardiac, abdominal or respiratory.
- •Congenital anomalies involving the diaphragm. 3) Phrenic nerve paralysis. 4) Congenital muscular dystrophies. 5) Major upper or lower airway anomalies. 6) Storage diseases.
Outcomes
Primary Outcomes
The impact of mechanical ventilation on diaphragm and intercostal muscles using ultrasound
Time Frame: 6 months
Using Ultrasound to measure Intercostal Muscles thickness and diaphragmatic thickness and excursion for assessing the impact of the mechanical ventilation on muscle power predicting weaning from ventilation.