NCT07590362招募中不适用
Diaphragmatic Rapid Shallow Breathing Index (D-RSBI) Versus Traditional Rapid Shallow Breathing Index (RSBI) for Prediction of Weaning Success From Mechanical Ventilation in COPD Patients
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 100
- 试验地点
- 1
研究概览
简要总结
This prospective observational cohort study aims to compare the predictive accuracy of diaphragmatic rapid shallow breathing index (D-RSBI) versus traditional rapid shallow breathing index (RSBI) for predicting weaning success from invasive mechanical ventilation in COPD patients. Diaphragmatic ultrasound measurements will be performed during spontaneous breathing trials, and patients will be followed for 72 hours after extubation to assess weaning outcomes.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Mechanically ventilated COPD patients fulfilling standard weaning readiness criteria.
- •Invasive mechanical ventilation for more than 24 hours before spontaneous breathing trial.
- •Hemodynamically stable without significant vasopressor support.
- •Adequate oxygenation with FiO2 ≤ 0.5 and PEEP ≤ 8 cmH2O .
- •Preserved mental status and ability to initiate spontaneous breathing.
- •Successful tolerance of spontaneous breathing trial conducted on CPAP mode with pressure support ≤ 8 cmH2O.
排除标准
- •Refusal of consent
- •Neuromuscular disease, phrenic nerve palsy, or diaphragmatic paralysis.
- •Large pneumothorax or pathology interfering with ultrasound assessment.
- •Terminal extubation.
- •Recent major thoracic surgery.
- •Poor sonographic window despite repeated attempts.
研究者
Ahmed Atef Mohamed
Resident of Anesthesia, ICU and Pain Management faculty of medicine Sohag University
Sohag University
研究点 (1)
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