Respiratory Muscle Function, Weaning
Conditions
Brief summary
The purpose of this study is to determine whether the diaphragm develops contractile fatigue during a weaning trial and if this is associated with weaning failure.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* age \> 18 year * mechanical ventilation for at least 3 days * the treating physician judges the patient to be ready to be weaned from the ventilator * informed consent
Exclusion criteria
* pre-existent muscle disease (congenital or acquired) or diseases / disorders know to be associated with myopathy including auto-immune diseases. * upper airway / esophageal pathology (i.e. recent surgery, esophageal varices, diaphragmatic hernia) * recent (\< 1 month) nasal bleeding * phrenic nerve lesions
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Fatiguability of the diaphragm | Multiple measurements within 24 hours after start of weaning trial |
Countries
Netherlands