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To evaluate the distribution of different types of difficult weaning and the predictive value of weaning relative factors.
108 patients who passed the spontaneous breathing test (SBT) were included in this study,every patient were performed 30-60 minutes SBT after enrollment.Patients were divided into succeed weaning and difficult weaning group according the results of SBT, the difficult weaning group were futher divided into A(Airway and Lung dysfunction),B(Brain dysfunction),C(Cardic dysfunction),D(Diaphragm dysfunction),E(Endocrine and metabolic dysfunction)five different groups according to the causes of difficult weaning. The respiratory mechanical parameters,the diameter of inferior vena cava and the diaphgram excursion were recorded before SBT and 30 minutes after SBT.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Weaning success | patients pass SBT and weaning without any ventilation in 48 hours |
| |
| weaning failure | patients do not pass SBT or ventilation with any ventilation in 48 hours |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| weaning | Behavioral | T piece |
|
| Measure | Description | Time Frame |
|---|---|---|
| the reasons of difficult weaning | 30 mins |
| Measure | Description | Time Frame |
|---|---|---|
| The predictive value of diaphragm associated values in weaning | 30mins |
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Inclusion Criteria:
Exclusion Criteria:
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mechanical vetilation patients in ICU, and the patients are weaninng candidates
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Jianfeng Xie, Dr | Contact | +862583262550 | panchun1982@gmail.com |
| Name | Affiliation | Role |
|---|---|---|
| Haibo Qiu, Dr | Southeast University | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Zhongda Hospital | Recruiting | Nanjing | Jiangsu | 210009 | China |
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| ID | Term |
|---|---|
| D014886 | Weaning |
| ID | Term |
|---|---|
| D007227 | Infant Nutritional Physiological Phenomena |
| D002664 | Child Nutritional Physiological Phenomena |
| D009747 | Nutritional Physiological Phenomena |
| D000066888 | Diet, Food, and Nutrition |
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| D010829 | Physiological Phenomena |