Health Condition 1: J962- Acute and chronic respiratory failure
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Age more than or equal to 18 years 2. Mechanically ventilated patients via an endotracheal tube 3. Duration of mechanical ventilation for more than or equal to 48 hours 4. Planned for a spontaneous breathing trial or extubation
Exclusion criteria
Exclusion criteria: 1. Patients with multiple cranial nerve palsies. 2. Patients with neurological diseases such as Myasthenia gravis, Muscular Dystrophy, Motor Neuron Disease. 3. Tracheostomized patients. 4. End-of-life care patients. 5. Patients with terminal cancer. 6. Extremely critical moribund patients.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To compare the predictability of successful weaning with LUS B line score guidance versus oxygenation indices guidance weaning (PaO2/FiO2 ratio, Oxygenation index, Oxygen saturation index) in intubated and mechanically ventilated patientsTimepoint: 1.Baseline (within 24 hours of intubation): Hemodynamics, ventilator settings, ABG, lung ultrasound B-line score. 2.Pre-SBT (before Spontaneous Breathing Trial): Repeat above parameters 3.Within 48 hours of extubation: Outcome assessment ? weaning success or failure. | — |
Secondary
| Measure | Time frame |
|---|---|
| To determine the cut-off values (scores for successful weaning/failed weaning) for each of the parameters (LUS B Line score, P/F ratio, OI, and OSI). To determine the correlation between the LUS B line score with each of the oxygenation indices. Timepoint: 1.Baseline (within 24 hours of intubation): Hemodynamics, ventilator settings, ABG, lung ultrasound B-line score. 2.Pre-SBT (before Spontaneous Breathing Trial): Repeat above parameters 3.Within 48 hours of extubation: Outcome assessment ? weaning success or failure. | — |
Countries
India
Contacts
BLK Max Superspeciality Hospital, Rajendra Place, New Delhi