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Evaluating heart,lung and diaphragm ultrasound as predictor of successful weaning from mechanical ventilation in ICU patients.

Not Applicable
Conditions
Health Condition 1: O- Medical and Surgical
Registration Number
CTRI/2024/08/072581
Lead Sponsor
Maulana Azad Medical College
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
ot Yet Recruiting
Sex
Not specified
Target Recruitment
0
Inclusion Criteria

1. Age 18 years to 65 years

2. mechanical ventilation for minimum 48 hours and maximum 7 days.

Exclusion Criteria

1. patients with history of neuromuscular disease

2.patients with history of diaphragmatic dysfunction

3. patients with chest tube in situ

4. patients with pneumothorax and pneumomediastinum

5.patients with chronic obstructive pulmonary disease

6.pregnant patients

7.patients with known heart failure

8.significant cardiac arrythmia

Study & Design

Study Type
Observational
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
To evaluate left atrial pressure (LAP) as a predictor of successful weaning from mechanical ventilation in ICU patients.Timepoint: 30minutes from spontaneous breathing trial
Secondary Outcome Measures
NameTimeMethod
To evaluate change in velocity time integral to passive leg raise, peak early and peak atrial velocity trans mitral flow from pulsed wave doppler and early diastolic mitral annulus velocity based on tissue doppler imaging were measured <br/ ><br>Lung ultrasound score as predictor of successful weaning from mechanical ventilation in ICU patients <br/ ><br>Diaphragm thickness fraction as predictor of successful weaning from mechanical ventilation in ICU patients <br/ ><br>The number of patients requiring non invasive ventilation or reintubation within 24 hours of extubation <br/ ><br>time to reintubation or non invasive ventilationTimepoint: Rapid shallow breathing index at 5 and 30 minutes of spontaneous breathing trial <br/ ><br>lung ultrasound score at 30 minutes of spontaneous breathing trial <br/ ><br>Diaphragm thickness fraction at 30 minutes of spontaneous breathing trial <br/ ><br>within 24 hours from extubation <br/ ><br>within 24 hours from extubation
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