Accuracy of DE and DTF in Prediction of Extubation Success
Conditions
Brief summary
This trial enrolled all the adult patients who were mechanically ventilated for more than 48 hours and met all creteria for extubation. Patients who needed reintubation for upper aiway obstruction, neurological or hemodynamic alteration were excluded. The diaphragm ultrasound was performed during spontaneous breathing test or pressure support ventilation trial measuring the dipahragmatic excursion (DE) and the diaphragm thickening fraction (DTF) whithin 24 hours before extubation.
Detailed description
This trial enrolled all the adult patients who were mechanically ventilated for more than 48 hours and met all creteria for extubation. Patients who needed reintubation for upper aiway obstruction, neurological or hemodynamic alteration were excluded. The diaphragm ultrasound was performed during spontaneous breathing test or pressure support ventilation trial measuring the dipahragmatic excursion (DE) and the diaphragm thickening fraction (DTF) whithin 24 hours before extubation. The investigators compared the median values of DE and DTF in the group of successfully extubated patients and the group of patients who needed reintubation. Our study compared the utility of DTF and DE to predict extubation success.
Interventions
DIAGNOSTIC_TESTcomparaison between DE and DTF in prediction of extubation success
diaphragm ultrasound and measurement of DE and DTF in patients meeting all extubation criteria during spontaneous breathing trial
Sponsors
Mongi Slim Hospital
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* patients who were mechanically ventilated for more than 48h and meeting all criteria for extubation * patients without history of neuromuscular disease, or severe chronic respiratory failure
Exclusion criteria
* patients who needed reintubation for upper airway obstruction or neurological or hemodynamic instability
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| extubation success | 48 hours after extubation | comparaison between DE and DTF values in successfully extubated patients |
Countries
Tunisia
Outcome results
None listed