The Role of Lung and Diaphragm Ultrasonography in Predicting Clinical Progression in Patients Receiving High-Flow Nasal Oxygen and Non-Invasive Mechanical Ventilation Support for Hypoxemic Respiratory Failure
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Diaphragm Ultrasonography
- Sponsor
- Simge Evren
- Enrollment
- 91
- Locations
- 2
- Primary Endpoint
- Lung and diaphragm ultrasound evaluation for risk of intubation
- Status
- Completed
- Last Updated
- last year
Overview
Brief Summary
The goal of this observational study is to evaluate whether the risk of intubation in patients with hypoxemic respiratory failure who were monitored in the intensive care unit and received non-invasive mechanical ventilation and high-flow nasal oxygen treatment could be predicted using lung and diaphragm ultrasound.
The main question it aims to answer is:
Can lung and diaphragm ultrasound predict the risk of intubation in patients with hypoxemic respiratory failure?
Detailed Description
Between January 1, 2024, and May 1, 2024, the diaphragm thickness fraction, excursion, LUS score, ROX index, and the LUSS/ROX index ratio were evaluated using lung and diaphragm ultrasound in 91 patients admitted to the intensive care unit with a diagnosis of hypoxemic respiratory failure. These evaluations were performed at the 6th, 12th, 24th, and 48th hours of their ICU stay, and during intubation if the decision for intubation was made
Investigators
Simge Evren
Principal Investigator
Prof. Dr. Cemil Tascıoglu Education and Research Hospital Organization
Eligibility Criteria
Inclusion Criteria
- •PaO2 \<60 mmHg detected in arterial blood gas samples at the time of admission to the intensive care unit
Exclusion Criteria
- •Under the age of 18
- •History of lung and diaphragm surgery
- •Congenital, acquired or traumatic diaphragmatic hernia
- •Diaphragm paralysis
- •Hemodynamic instability requiring vasoactive drug support
- •Do not agree to participate in the study
Outcomes
Primary Outcomes
Lung and diaphragm ultrasound evaluation for risk of intubation
Time Frame: 48 hours
Lung and diaphragm ultrasound can predict risk of intubation
Secondary Outcomes
- ROX index evaluation for risk of intubation(48 hours)
- LUSS/ROX index ratio evaluation for risk of intubation(48 hours)