Respiratory Insufficiency
Conditions
Keywords
Ultrasonography, Weaning
Brief summary
When attempting to wean a patient from the ventilator, even if he/she passes the spontaneous breathing test, 10-20% of the time extubation failure occurs and the patient is reintubated. When the patient is reintubated the mortality rate increases and the length of intensive care unit stay is also increased. It is vital to intensively assess the patient before extubation and correctly predict extubation success. Muscular ultrasound may be helpful in these situations.
Interventions
Muscular ultrasound is done before extubation
Sponsors
Study design
Eligibility
Inclusion criteria
* Adult patients undergoing weaning from mechanical ventilation * Patients who have been mechanically ventilated for more than 72 hrs
Exclusion criteria
* Pregnant patients * Patients with previous neuromuscular diseases * Difficulties in muscular ultrasound (Dressing, operation, etc)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Extubation success (no need for reintubation) | 48 hours after extubation |
Secondary
| Measure | Time frame |
|---|---|
| Weaning success (no need for applying the ventilator again) | 2 hours after spontaneous breathing trial |
Countries
South Korea