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Respiratory weaning failure worsens prognostic of patients following on-pump cardiac surgery. There are increasing evidences that pulmonary, diaphragmatic or cardiologic echographies are useful in order to improve this critical medical status.
Based both on a previous study conducted in the critical care unit of Purpan and on literature we hypothesize that a combined thoracic echography score could be of interest. We make the hypothesis that the use of a score based on thoracic combined echography (ETC = cardiac, pulmonary and diaphragmatic) allows to predict the failure of respiratory weaning in cardiac surgery and allows to improve the characterization of the causes of this failure
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Patient with mechanical ventilation | Patient will be followed with combined Thoracic Echography Record |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Combined Thoracic Echography Record | Other | This examination will be done to do the longitudinal follow-up of the patient |
|
| Measure | Description | Time Frame |
|---|---|---|
| Evaluation of predictive value of combined Thoracic Echography (ETC) as assessed by difference in the ETC score before and after extubation | 1 hour after the weaning test and 48h after |
| Measure | Description | Time Frame |
|---|---|---|
| Evaluation of predictive value of combined Thoracic Echography (ETC) as assessed T tube Test score difference between patient who succeed or failed the weaning test | H0 and 48h after the weaning test | |
| Evaluation of diagnostic value of combined Thoracic Echography (ETC) after failure to weaning test as assessed be ECT scores collected |
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Inclusion Criteria:
Exclusion Criteria:
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Patients will be recruited during the pre anesthetic visit
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| Name | Affiliation | Role |
|---|---|---|
| Nicolas MAYEUR, MD | University Hospital, Toulouse | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University Hospital Toulouse | Toulouse | 31000 | France |
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| ID | Term |
|---|---|
| D012131 | Respiratory Insufficiency |
| ID | Term |
|---|---|
| D012120 | Respiration Disorders |
| D012140 | Respiratory Tract Diseases |
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| H0, H1 and H48 |