Dynamically monitor diaphragmatic function in mechanically ventilated patients in the intensive care unit (ICU) using point-of-care ultrasound, explore its trajectory, and evaluate its predictive value for weaning outcomes. Respiratory
Conditions
Interventions
This is a prospective cohort study to dynamically assess diaphragmatic function using bedside ultrasound to predict weaning outcomes in mechanically ventilated patients. During the study, researchers
Sponsors
First Affiliated Hospital of Jinan University
Eligibility
Sex/Gender
All
Age
18 Years to 120 Years
Inclusion criteria
Inclusion criteria: 1. Age = 18 years old 2. Intubated orally or nasotracheal with invasive mechanical ventilation 3. Expected duration of mechanical ventilation > 48 hours 4. Informed consent was obtained from their legal representatives of patients
Exclusion criteria
Exclusion criteria: 1. Previous known diaphragmatic disease or paralysis (e.g., cervical spinal cord injury, amyotrophic lateral sclerosis, etc.) 2. Previous history of thoracic surgery, especially involving the diaphragm or lung resection, may severely affect diaphragmatic anatomy 3. Use of neuromuscular blocking agents 4. History of chronic obstructive pulmonary disease 5. Pregnant women 6. Technical difficulties in surface ultrasound examination (e.g., severe subcutaneous emphysema, extreme obesity) 7. Other conditions considered by the investigator to be inappropriate for inclusion (e.g., terminal state, treatment withdrawal).
Countries
China
Contacts
Public ContactWan-Jie Gu
Outcome results
None listed