Critical Care, Invasive Mechanical Ventilation
Conditions
Keywords
Sonography, Diaphragmatic function, Non invasive ventilation, Critical care patients, Extubation after 24 hours of invasive ventilation
Brief summary
Usefulness of non invasive ventilation in patients extubated after more than 48 hours of invasive ventilation is still in debate except for specific patients (chronic pulmonary disease and chronic heart failure). Many experimental and clinical studies have shown that diaphragmatic function is depressed by mechanical ventilation in intubated patients. The investigators will test the hypothesis that non invasive ventilation after extubation may improve diaphragmatic function
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* Patient extubated after at least 48 hours of invasive ventilation * Requiring non invasive ventilation * Consent of patient
Exclusion criteria
* Diaphragmatic paralysis * Neuromuscular disease * significant pleural effusion * atelectasis requiring bronchoscopy * abdominal hypertension
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Diaphragmatic excursion | Before the first NIV session |
| Diaphragmatic thickening | Before the first NIV session |
Countries
France