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Increased intra-abdominal pressure (IAP) affects pulmonary dynamics. However, little is studied whether pulmonary dynamics affects IAP. We hypothesize that the change of IAP can also reflect the change of pulmonary dynamics. In this study, we choose patients who received spontaneous breathing trial to answer the hypothesis.
During the weaning process, we tapered down the respiratory support from mechanical ventilation and recruited respiratory muscles to work. Previous study showed that transdiaphragmatic pressure was increasing while pressure support was reducing. However, the transdiaphragmatic pressure required invasive procedure to measure and not used frequently in weaning. IAP reflects the pleural pressure. If the PEEP is not changed, change of IAP is largely due to change of transpulmonary pressure.
Study Aim:
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| Measure | Description | Time Frame |
|---|---|---|
| To evaluate the patterns of change of IAP during SBT | 30min, 60min, 120min during a 2-hr SBT | 30min, 60min, 120min |
| Measure | Description | Time Frame |
|---|---|---|
| To predict success of SBT by the change of IAP | To predict success of 2-hour IAP the change of IAP between 0 min and 30 min, and tha change of IAP beween 0 min and 120 min | 0 min, 30 min, 120 min |
| To predict weaning success by the change of IAP |
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Inclusion Criteria:
Exclusion Criteria:
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Adult patients with endotracheal intubation and are preparing for weaning assessment
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Nin-Chieh Hsu, MD | Contact | 886-2-23123456 | 62557 | chesthsu@gmail.com |
| Name | Affiliation | Role |
|---|---|---|
| Nin-Chieh Hsu, MD | National Taiwan University Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Nin-Chieh Hsu | Not yet recruiting | Taipei | Taipei | 100 | Taiwan |
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| ID | Term |
|---|---|
| D012131 | Respiratory Insufficiency |
| ID | Term |
|---|---|
| D012120 | Respiration Disorders |
| D012140 | Respiratory Tract Diseases |
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To predict weaning success by the change of IAP between 0 min and 30 min, and tha change of IAP beween 0 min and 120 min
| 0 min, 30 min, 120 min |
| National Taiwan University Hospital | Recruiting | Taipei | 100 | Taiwan |