Mechanical ventilation dependence and difficult weaning in neurosurgical critically ill patients
Conditions
Interventions
DTE+DE group:Intervention process based on joint assessment of diaphragmatic thickening rate (DTF) and diaphragmatic mobility (DE).
DTE group:Intervention process based on the assessment of diaphragmatic thickening fraction (DTF)
Control group:Control group: Traditional SBT process
Sponsors
Shanghai General Hospital
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: 1. Meet the diagnostic criteria for neurosurgical critically ill patients in the "Expert Consensus on Neurosurgical Critical Care Management in China (2020 Edition)"; 2. Patients aged >= 18 years who were continuously admitted to the ICU during the study period; 3. Mechanical ventilation time >= 24h.
Exclusion criteria
Exclusion criteria: 1. Trauma fixation, skin and other reasons affect the movement of the diaphragm and its ultrasound examination; 2. Patients who received invasive or non-invasive ventilation treatment before admission to the hospital; 3. Pregnant or lactating women; 4. No SBT was performed or passed within 2 weeks after mechanical ventilation; 5. Tracheotomy was performed during the experiment. 6. During the research period, family members or patients request to withdraw from the experiment.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The success rate of the first weaning; | — |
Secondary
| Measure | Time frame |
|---|---|
| length of hospital stay;Total medical expenses;Duration of mechanical ventilation;Incidence rate of VAP; | — |
Countries
China
Contacts
Public ContactFei Kaihong
Shanghai General Hospital
Outcome results
None listed