Acute Respiratory Failure, Lung Ultrasound Score
Conditions
Brief summary
Objectives: Failure of extubation of patients on mechanical ventilation is one of the common problems in the ICU. Aim of work: To evaluate the validity of lung ultrasound score in prediction of weaning outcomes and post-extubation distress.
Detailed description
Methods: A prospective observational study of 50 patients planned for extubation who passed a spontaneous breathing trial, lung ultrasound score and serum level of NT-PRO BNP were done to all patients at end of spontaneous breathing trial, and all patients were followed after extubation and monitored for oxygenation, re-intubation rate, ICU stay, and ICU mortality.
Interventions
OTHERlung ultrasound
Lung ultrasound score was done at the end of SBT using curved array ultrasound probe 2-5 MHz, Siemens X300, Korea
Sponsors
Cairo University
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 80 Years
Healthy volunteers
No
Inclusion criteria
\- 1. Patients age \> 18 years 2\. Patients intubated and mechanically ventilated for more than 48 hours in the intensive care unit and planned for extubation.
Exclusion criteria
* 1\. Patients \< or =18 years 2. Patients with left ventricular failure 3\. Right ventricular failure 4\. Pulmonary hypertension 5\. Aortic valve disease 6\. Hyperthyroidism 7\. Tracheostomy
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Extubation success | 48 hours | number of participants that do not need for respiratory support neither NIV nor intubation for one week during ICU stay |
Countries
Egypt
Outcome results
None listed