COVID-19, Diaphragm Ultrasound, Lung Ultrasound, Weaning
Conditions
Brief summary
The goal of this observational study is to learn about the function of lung and diaphragm ultrasound during weaning from mechanical ventilation in COVID-19 patients. The aim of this study was that the lung ultrasound score and diaphragm muscle mobility could be a potential predictive factor of weaning success.
Interventions
Ultrasonographic scans of the lung and right hemidiaphragm were acquired after 30 min from the beginning of the SBT, or immediately before reconnecting the patient to the ventilator in the case of SBT failure occurring before
Sponsors
Study design
Eligibility
Inclusion criteria
* age \> 18 years, * critically ill patients with COVID-19 (defined as those requiring mechanical ventilation due to respiratory failure), and eligible for their first SBT according to the attending physician's judgement that the underlying disease which led to intubation had sufficiently resolved.
Exclusion criteria
* patients with previous cardiothoracic surgery or pleurodesis and patients who presented with stridor (due to upper airway involvement) as a cause of extubation failure * neuromuscular disease
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| The primary end-point was to verify the lung and diaphragm ultrasound evaluation if the predicts weaning success/failure from mechanical ventilation | spontaneous-breathing trial started until 48 hours following extubation | Weaning failure was defined as failure to pass the spontaneous-breathing trial or the need for re-intubation within 48 h following extubation |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| The secondary outcome was to verify the predictive value of the traditional weaning parameters | spontaneous-breathing trial started until 48 hours following extubation | Weaning failure was defined as failure to pass the spontaneous-breathing trial or the need for re-intubation within 48 h following extubation |
Countries
China