Respiratory Insufficiency
Conditions
Keywords
Respiratory weaning, Pulmonary ventilation
Brief summary
Respiratory weaning failure worsens prognostic of patients following on-pump cardiac surgery. There are increasing evidences that pulmonary, diaphragmatic or cardiologic echographies are useful in order to improve this critical medical status. Based both on a previous study conducted in the critical care unit of Purpan and on literature we hypothesize that a combined thoracic echography score could be of interest. We make the hypothesis that the use of a score based on thoracic combined echography (ETC = cardiac, pulmonary and diaphragmatic) allows to predict the failure of respiratory weaning in cardiac surgery and allows to improve the characterization of the causes of this failure
Interventions
This examination will be done to do the longitudinal follow-up of the patient
Sponsors
Study design
Eligibility
Inclusion criteria
* Adult (\> 18 years old) beneficiating of mechanical ventilation following cardiac surgery * Weaning test period * Patient insured under the French social security system
Exclusion criteria
* Tracheostomy * Neurological disorders * Need for prophylactic non invasive ventilation. * Global obstructive lung disease with a forced expiratory volume \< 50%. * Judicial protection * Patient already included in a trial still running. * Pregnancy
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Evaluation of predictive value of combined Thoracic Echography (ETC) as assessed by difference in the ETC score before and after extubation | 1 hour after the weaning test and 48h after |
Secondary
| Measure | Time frame |
|---|---|
| Evaluation of predictive value of combined Thoracic Echography (ETC) as assessed T tube Test score difference between patient who succeed or failed the weaning test | H0 and 48h after the weaning test |
| Evaluation of diagnostic value of combined Thoracic Echography (ETC) after failure to weaning test as assessed be ECT scores collected | H0, H1 and H48 |
Countries
France