Health Condition 1: B- Imaging
Conditions
Interventions
Intervention1: Dr Ajay Sood: Professor and head department of anaesthesia IGMC shimla Himachal Pradesh phone no 9418028130
Control Intervention1: Diaphragm ultrasonography (DUS): Diaphragm excursion (
Sponsors
Igmc shimla
Eligibility
Inclusion criteria
Inclusion criteria: Patients admitted in GICU of dept. of Anaesthesia IGMC Shimla and are on mechanical ventilator with following parameters 1. Normal performance status before disease onset ( per- illness frailty score less than 3) 2. Who are mechanically ventilated for at lest 24 h 3. With satisfactory clinical weaning parameters such as the ability to tolerate a spontaneous breathing trial (SBT) for 1 h 4. Stable haemolytic or on minimal and single vasopressin ,afebrile in the last 24 hours, with minimal tracheo bronchial secretions and effective cough response will be invluded
Exclusion criteria
Exclusion criteria: 1. Patient with neuromuscular disorder 2. Patient with pneumothorax 3. Preexisting diaphragmatic palsy 4. Who underwent thoracic and abdominal surgeries 5. Where ultrasound is not possible due to wound dressings
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Weaning success is better in patients meeting Rapid shallow breathing index(RSBI) and clinical criteria with diaphragm ultrasonography (DUS)Timepoint: To check for reintegration rate within 24 hours | — |
Secondary
| Measure | Time frame |
|---|---|
| NILTimepoint: | — |
Countries
India
Contacts
Public ContactDr Ajay Sood
IGMC Shimla
Outcome results
None listed