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Usefulness of non invasive ventilation in patients extubated after more than 48 hours of invasive ventilation is still in debate except for specific patients (chronic pulmonary disease and chronic heart failure).
Many experimental and clinical studies have shown that diaphragmatic function is depressed by mechanical ventilation in intubated patients.
The investigators will test the hypothesis that non invasive ventilation after extubation may improve diaphragmatic function
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Sonographic diaphragmatic measurements | Other |
|
| Measure | Description | Time Frame |
|---|---|---|
| Diaphragmatic excursion | Before the first NIV session | |
| Diaphragmatic thickening | Before the first NIV session | |
| Diaphragmatic excursion | After the first NIV session | |
| Diaphragmatic thickening | After the first NIV session | |
| Diaphragmatic excursion | After 24 h of NIV use | |
| Diaphragmatic thickening | After 24 h of NIV use |
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Inclusion Criteria:
Exclusion Criteria:
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Critical care patients (surgical or medical)
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| Name | Affiliation | Role |
|---|---|---|
| Gharib AJOB, MD | Hôpitaux Universitaires de Strasbourg | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Service d'anesthésie- réanimation chirurgicale, Nouvel Hôpital Civil, Hôpitaux Universitaires de Strasbourg | Strasbourg | 67091 | France |
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