Acute Respiratory Distress Syndrome
Conditions
Brief summary
compare and evaluate the effect of use of ultrasonic criteria of weaning versus the conventional ways of weaning in post-traumatic acute respiratory distress syndrome (ARDS) patients who were ventilated for a long time. And compare their effect on the duration of ICU stay.
Detailed description
It is a prospective double blind study done on total 200 patients. Who were weaned from ventilator after being ventilated for \> one week due to respiratory failure. This respiratory failure was selected in our study to be from severe lung contusion and post-traumatic acute respiratory distress syndrome. Patients were randomly allocated in one of two groups each group contain 100 patients. Group A considered control group. Those patients weaned from the ventilator by the conventional criteria of weaning. While group B weaned from the ventilator by the ultrasound criteria of weaning. All patients weaned from both groups followed for six days for signs of failure of weaning ,signs of post-extubation respiratory failure. And number of patients who were re-ventilated and who discharged from ICU in both groups recorded and compared.
Interventions
Xray chest and calculation of thr rapid shallow breathing rate
Sponsors
Study design
Eligibility
Inclusion criteria
* adult patients between 18-65 years old, * with Acute respiratory distress syndrome, * any ventilated patients for more than one week
Exclusion criteria
* young or pediatric patients below 18 years. * patients older than 65 years * patients had Chronic Respiratory Disease
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| The number of patients who had no failure of weaning | 6 days | patients followed by ultrasounds criteria |
Secondary
| Measure | Time frame |
|---|---|
| The number of patients who discharged early from ICU | 6 days |
Countries
Saudi Arabia