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Objectives: Failure of extubation of patients on mechanical ventilation is one of the common problems in the ICU.
Aim of work: To evaluate the validity of lung ultrasound score in prediction of weaning outcomes and post-extubation distress.
Methods: A prospective observational study of 50 patients planned for extubation who passed a spontaneous breathing trial, lung ultrasound score and serum level of NT-PRO BNP were done to all patients at end of spontaneous breathing trial, and all patients were followed after extubation and monitored for oxygenation, re-intubation rate, ICU stay, and ICU mortality.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| patients eligible for weaning by spontaneous breathing trial | Other |
| |
| non invasive ventilation after weaning | Other |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| lung ultrasound | Other | Lung ultrasound score was done at the end of SBT using curved array ultrasound probe 2-5 MHz, Siemens X300, Korea |
|
| Measure | Description | Time Frame |
|---|---|---|
| Extubation success | number of participants that do not need for respiratory support neither NIV nor intubation for one week during ICU stay | 48 hours |
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Inclusion Criteria:
- 1. Patients age > 18 years
2. Patients intubated and mechanically ventilated for more than 48 hours in the intensive care unit and planned for extubation.
Exclusion Criteria:
1. Patients < or =18 years 2. Patients with left ventricular failure
3. Right ventricular failure
4. Pulmonary hypertension
5. Aortic valve disease
6. Hyperthyroidism
7. Tracheostomy
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| Name | Affiliation | Role |
|---|---|---|
| farouk faris, MD | Cairo University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Cairo University Hospitals | Cairo | 11345 | Egypt |
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