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Diaphragm dysfunction is common after cardiac surgery and may delay weaning from mechanical ventilation and cause respiratory distress.
The investigators' main objective is to determine the incidence of diaphragm dysfunction ( using the non-invasive ultrasonic method by calculating the inspiratory diaphragmatic thickening fraction) in a selected population of cardiac surgery patients during weaning from mechanical ventilation.
The second endpoints are to determine the associated risk factors to post-operative diaphragm weakness and the consequence on the patient outcome.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| cardiac surgery |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Non invasive ultrasound measurement of the diaphragm thickness during breathing | Other |
|
| Measure | Description | Time Frame |
|---|---|---|
| Diaphragm inspiratory thickening fraction | At the begining of the spontaneous breathing trial (around 4hours after surgery) |
| Measure | Description | Time Frame |
|---|---|---|
| Diaphragm dysfunction before surgery | the day before surgery | |
| Severity score (Euroscore) | the day before surgery | |
| extracorporeal circulation duration |
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Inclusion Criteria:
Exclusion Criteria:
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patient admitted in Intensive Care Unit (ICU) after planned cardiac surgery
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Unité de Réanimation Cardio-vasculaire et Thoracique | Grenoble | 38043 | France |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 24365607 | Background | DiNino E, Gartman EJ, Sethi JM, McCool FD. Diaphragm ultrasound as a predictor of successful extubation from mechanical ventilation. Thorax. 2014 May;69(5):423-7. doi: 10.1136/thoraxjnl-2013-204111. Epub 2013 Dec 23. | |
| 22397655 | Background | McCool FD, Tzelepis GE. Dysfunction of the diaphragm. N Engl J Med. 2012 Mar 8;366(10):932-42. doi: 10.1056/NEJMra1007236. No abstract available. |
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| ID | Term |
|---|---|
| D012133 | Respiratory Paralysis |
| D018908 | Muscle Weakness |
| D012131 | Respiratory Insufficiency |
| ID | Term |
|---|---|
| D012120 | Respiration Disorders |
| D012140 | Respiratory Tract Diseases |
| D010243 | Paralysis |
| D009461 | Neurologic Manifestations |
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| peroperative |
| left ventricular ejection fraction | the day before surgery |
| 20813887 | Background | Jaber S, Petrof BJ, Jung B, Chanques G, Berthet JP, Rabuel C, Bouyabrine H, Courouble P, Koechlin-Ramonatxo C, Sebbane M, Similowski T, Scheuermann V, Mebazaa A, Capdevila X, Mornet D, Mercier J, Lacampagne A, Philips A, Matecki S. Rapidly progressive diaphragmatic weakness and injury during mechanical ventilation in humans. Am J Respir Crit Care Med. 2011 Feb 1;183(3):364-71. doi: 10.1164/rccm.201004-0670OC. Epub 2010 Sep 2. |
| 31016412 | Derived | Moury PH, Cuisinier A, Durand M, Bosson JL, Chavanon O, Payen JF, Jaber S, Albaladejo P. Diaphragm thickening in cardiac surgery: a perioperative prospective ultrasound study. Ann Intensive Care. 2019 Apr 24;9(1):50. doi: 10.1186/s13613-019-0521-z. |
| D009422 |
| Nervous System Diseases |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D009135 | Muscular Diseases |
| D009140 | Musculoskeletal Diseases |
| D020879 | Neuromuscular Manifestations |
| D010335 | Pathologic Processes |