Health Condition 1: J969- Respiratory failure, unspecified
Conditions
Interventions
Intervention1: diaphragmatic thickness fraction (TFdi): Using ultrasound to measure changes in thickness of the diaphragm during inspiration and expiration.: TFdi = Thickness end inspiration - Thickne
Sponsors
Dr Sumit Ray
Eligibility
Inclusion criteria
Inclusion criteria: 1.Age more than 18 years 2.Patients on mechanical ventilation for more than 24 hours. 3.Fulfilling weaning criteria 4.Adequate cough, absence of excessive tracheobronchial secretion, resolution of underlying critical illness for which the patient is intubated 5.The patient is alert and cooperative, without sedation
Exclusion criteria
Exclusion criteria: 1.History of diaphragm paralysis, spinal cord injury higher than T8 2.Chronically on domiciliary BiPAP support 3.Neuromuscular diseases, 4.Pregnancy 5.Pneumothorax, pneumomediastinum, thoracostomy, chest tube or chest injuries that prevent ultrasound 6.Pleural lesions or pleurodesis 7.Previous history of failed extubation or weaning. 8. Left ventricular ejection fraction less than 40% 9.H/o Chronic lung disease with cor pulmonale (Interstitial Lung disease, Chronic Obstructive Pulmonary Disease)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Weaning Success: Successful extubation with no need for ventilatory support within 48 hours post-extubation.Timepoint: Within 48 hours post-extubation. | — |
Secondary
| Measure | Time frame |
|---|---|
| NilTimepoint: NIl | — |
Countries
India
Contacts
Public ContactDr Sumit Ray
Holy Family Hospital
Outcome results
None listed