Evaluating the Diaphragm Parameters by Ultrasound to Predict Weaning from Mechanical Ventilatio
Not Applicable
- Conditions
- Health Condition 1: R098- Other specified symptoms and signsinvolving the circulatory and respiratory systems
- Registration Number
- CTRI/2024/01/061846
- Lead Sponsor
- Vardhman Mahavir Medical College and Sadarjung Hospital
- 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
2-On mechanical ventilator =48 hours
Exclusion Criteria
1-History of neuromuscular disease, diaphragmatic palsy, thoracic surgery, any mass or mechanical factor in chest or abdomen
2-Low Glasgow coma score
3-Pregnancy, ascites, morbid obesity
4-Increased intra-abdominal pressure.
5-Lung collapse and large pleural effusion
Study & Design
- Study Type
- Observational
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method 1.To assess the accuracy of diaphragmatic indices (Diaphragm excursion, Time to peak amplification, and diaphragm thickness fraction) by ultrasonography to predict successful weaning in patients on mechanical ventilation. <br/ ><br>2.To evaluate the best measured variables to predict successful weaning . <br/ ><br>Timepoint: At the time, just before extubation of the patient from mechanical ventilator.
- Secondary Outcome Measures
Name Time Method 1.To compare diaphragmatic parameters with Rapid shallow breathing index (RSBI). <br/ ><br>2.To assess the association between diaphragmatic indices & diaphragmatic dysfunction & reintubation <br/ ><br>3.To assess the patients’ characteristics like age, sex, SOFA score, APACHE II score, type of mode of mechanical ventilation & comorbidities for diaphragm dysfunction and <br/ ><br>4.To assess the duration on mechanical ventilation & ICU stay. <br/ ><br>Timepoint: At the time, just before extubation of the patient from mechanical ventilator. <br/ ><br>