Health Condition 1: J986- Disorders of diaphragm
Conditions
Interventions
Sponsors
None listed
Eligibility
Inclusion criteria
Inclusion criteria: (1) Age = 18 years (2) On mechanical ventilation for more than 12 h (3) Meeting all of the following criteria for the SBT: a. FiO2 b. Positive end-expiratory pressure =5 cmH2O c. Respiratory rate=30 breaths/min d. Haemodynamic stability in the absence/ minimal vasopressors
Exclusion criteria
Exclusion criteria: 1. Age 2. Neuromuscular diseases 3. Flail chest or multiple rib fracture 4. Morbid obesity (BMI > 40 kg/m2) 5. Inability to obtain a clear TDI signal of the right hemidiaphragm 6. Pregnant patient. 7. Tracheostomised patient
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Correlation of diaphragmatic kinetics (Peak contraction velocity, peak relaxation velocity, velocity time integral, maximal relaxation rate) with weaningTimepoint: Just before the Spontaneous Breathing Trial. | — |
Secondary
| Measure | Time frame |
|---|---|
| Incidence of reintubation within 48 hours of extubation.Timepoint: Within 48 hours of extubation. | — |
Countries
India
Contacts
Medanta - The Medicity, Gurugram