EXpert consensus On Diaphragm UltraSonography in the critically …
2022年4月8日 · Background Diaphragm ultrasonography is rapidly evolving in both critical care and research. Nevertheless, methodologically robust guidelines on its methodology and acquiring expertise do not, or only partially, exist. Therefore, we set out to provide consensus-based statements towards a universal measurement protocol for diaphragm ultrasonography and establish key areas for research. Methods ...
Effectiveness of diaphragmatic ultrasound as a predictor of …
2023年5月5日 · The use of diaphragmatic ultrasound in the intensive care unit is a technique of growing interest due to its portability, speed, and safety. Its use allows reporting on the structural and functional status of the diaphragm and can predict the probability of successful mechanical ventilator weaning . Although some studies have demonstrated the ...
Diaphragm ultrasound as indicator of respiratory effort in critically ...
2015年12月1日 · Introduction Pressure-support ventilation, is widely used in critically ill patients; however, the relative contribution of patient’s effort during assisted breathing is difficult to measure in clinical conditions. Aim of the present study was to evaluate the performance of ultrasonographic indices of diaphragm contractile activity (respiratory excursion and thickening) in comparison to ...
Operator independent continuous ultrasound monitoring of …
2024年7月16日 · Background In mechanically ventilated patients, diaphragm ultrasound can identify diaphragm weakness and predict weaning failure. We evaluated whether a novel operator-independent ultrasound-based medical device allowing continuous monitoring of the diaphragm (CUSdi) could reliably (1) measure diaphragm excursion (EXdi) and peak contraction velocity (PCVdi), (2) predict weaning outcome, and (3 ...
Predictors of weaning failure in ventilated intensive care patients: a ...
2024年11月12日 · Background Ventilator weaning is of great importance for intensive care patients in order to avoid complications caused by prolonged ventilation. However, not all patients succeed in weaning immediately. Their spontaneous breathing may be insufficient, resulting in extubation failure and the subsequent need for reintubation. To identify patients at high risk for weaning failure, a variety of ...
Utilization of spontaneous breathing trial, objective cough test, …
2023年10月31日 · Two characteristics measured during diaphragmatic ultrasound have been identified as predictors of extubation failure: diaphragmatic excursion, with a sensitivity of 75% and a specificity of 75% to predict failure; and the fraction of diaphragm thickening, with a receiver operating characteristic curve (ROC curve) value of 0.87 to predict ...
Ultrasound shear wave elastography for assessing diaphragm …
2020年11月27日 · Background Diaphragm dysfunction is highly prevalent in mechanically ventilated patients. Recent work showed that changes in diaphragm shear modulus (ΔSMdi) assessed using ultrasound shear wave elastography (SWE) are strongly related to changes in Pdi (ΔPdi) in healthy subjects. The aims of this study were to investigate the relationship between ΔSMdi and ΔPdi in mechanically ventilated ...
Diaphragm dysfunction during weaning from mechanical …
2018年3月20日 · Using diaphragm ultrasound, Kim et al. identified diaphragm dysfunction in 24/82 medical ICU patients (29%) undergoing a first SBT . Diaphragm dysfunction was associated with a longer total duration of mechanical ventilation (576 vs. 203 h, p < 0.01) and a longer weaning duration (401 vs. 90 h, p < 0.01) [ 8 ].
Weaning of non COPD patients at high-risk of extubation failure ...
2024年11月26日 · A greater respiratory muscle weakness in the intervention group cannot be ruled out as diaphragm ultrasound was not performed in the WIN IN WEAN study. Further prospective studies are warranted to determine the role of respiratory muscle weakness in PRF occuring 7 days after extubation, a muscle dysfunction that would indicate a prolonged use ...
Nuts and bolts of lung ultrasound: utility, scanning techniques ...
2024年10月7日 · Point of Care ultrasound (POCUS) of the lungs, also known as lung ultrasound (LUS), has emerged as a technique that allows for the diagnosis of many respiratory pathologies with greater accuracy and speed compared to conventional techniques such as chest x-ray and auscultation. The goal of this narrative review is to provide a simple and practical approach to LUS for critical care, pulmonary ...