Health Condition 1: Z991- Dependence on respirator
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Patient eligible for SBT after 48 hrs of mechanical ventilation in CCU Positive end-expiratory pressure less than or equal to 6 cm H2O Partial Pressure of Arterial Oxygen more than or equal to 60 mmHg with fraction of inspired oxygen less than 0.45 GCS more than 13 Richmond Agitation Sedation Scale -1 to +1 Body Temperature less than 38 degree Celsius Hematocrit level more than 21% or Hemoglobin level more than 7 g/dL No or low doses of vasopressor support
Exclusion criteria
Exclusion criteria: Patients with difficulty in obtaining ultrasound window Mechanical Ventilation less than 48 hrs History of Diaphragmatic Paralysis or Injury Ascites Thoracotomy Pneumothorax Pleural Effusion Thoracic Trauma History of Neuromuscular Disease Pregnant women Lactating or nursing mothers
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To assess the power of the Combination of respiratory muscle strength, P0.1 and lung ultrasound score will predict weaning failure from mechanical ventilation in critically ill patients.Timepoint: 30 mins after Spontaneous Breathing Trial | — |
Secondary
| Measure | Time frame |
|---|---|
| To assess Extubation failureTimepoint: Upto 48 hours after extubation;Requirement of noninvasive respiratory support after extubationTimepoint: Upto 48 hours after extubation | — |
Countries
India
Contacts
Department of anaesthesia and critical care AIIMS Raipur