Health Condition 1: O- Medical and Surgical
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: All patients, 18 to 65 years of age who have undergone neurosurgical procedure, and are on mechanical ventilation for more than 24 hours post operatively and are ready for weaning (based on Weaning Clinical Criteria) will be included in this study.
Exclusion criteria
Exclusion criteria: 1) preoperatively patients who are on respiratory support for more than 24 hours (either intermittent or continuous oxygen therapy/ invasive or non-invasive mechanical ventilation) 2) patients with heart diseases like severe valvular heart diseases, severe left ventricular dysfunction ( EF 3) patients who have undergone thoracic surgeries like pneumonectomy, pleurodesis, and thoracic trauma 4) pregnancy
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1.Diaphragmatic thickening fraction (DTF) 2.Diaphragmatic excursion (DE) 3.Lung ultrasound score (LUS) 4.Left ventricular (LV) diastolic function- E/A ratio Timepoint: USG examination will be performed at 5 min and 30 min of start of Spontaneous Breathing Trial | — |
Secondary
| Measure | Time frame |
|---|---|
| NILTimepoint: N/A | — |
Countries
India
Contacts
Govind Ballabh Pant Institute of Postgraduate Medical Education and Research Institute