Health Condition 1: R098- Other specified symptoms and signsinvolving the circulatory and respiratory systems
Conditions
Interventions
Intervention1: Nil: Nil
Sponsors
Vardhman Mahavir Medical College and Sadarjung Hospital
Eligibility
Inclusion criteria
Inclusion criteria: 1-Age > 18 years 2-On mechanical ventilator =48 hours
Exclusion criteria
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
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 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. 2.To evaluate the best measured variables to predict successful weaning . Timepoint: At the time, just before extubation of the patient from mechanical ventilator. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1.To compare diaphragmatic parameters with Rapid shallow breathing index (RSBI). 2.To assess the association between diaphragmatic indices & diaphragmatic dysfunction & reintubation 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 4.To assess the duration on mechanical ventilation & ICU stay. Timepoint: At the time, just before extubation of the patient from mechanical ventilator. | — |
Countries
India
Contacts
Public ContactDr Poonam Gupta
Vardhman Mahavir Medical College and Safdarjung Hospital
Outcome results
None listed