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To evaluate the validity of lung ultrasound compared to CT chest and chest radiograph for diagnosis of ARDS and prediction of successful weaning from mechanical ventilation in those patients compared to traditional methods.
57 patients will be diagnosed as ARDS by CT chest and clinical criteria, then will be compared between the findings by lung ultrasound and chest radiograph to detect the sensitivity of both imaging to CT chest as gold standard in diagnosis of ARDS patients
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| Measure | Description | Time Frame |
|---|---|---|
| diagnostic data checklist | Data of CT chest ,lung ultrasound and chest radiography in diagnosis of ARDS . | immediately after ICU admission |
| Measure | Description | Time Frame |
|---|---|---|
| success rate | compared the success of both methods in terms of reintubation or not for those patients | within 24 hours after weaning |
| lung ultrasound as a predictor for weaning | evaluate the scoring of lung aeration |
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Inclusion Criteria:
Patients or legal guardian's consent .All patients with suspicious criteria of acute respiratory distress syndrome .Hemodynamically stable in the absence or minimal of vasopressors.
Exclusion Criteria:
Pregnant women. patients with traumatic lung injury or pneumothorax. surgical dressings over the right lower rib cage which would preclude ultrasound examination. presence of ascites. presence of lung collapse, fibrosis, or pleural effusion.
-presence of any mass or mechanical factor in the chest or the abdomen interfering with the diaphragmatic mobility.
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patients highly suspected to be ARDS admitted to ICU
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Marwa M Medhat, M.D | Contact | 0552330832 | Medhatmarwa9@gmail.com |
| Name | Affiliation | Role |
|---|---|---|
| mona elharisy, M.D | zagazig university faculty of human medicine | Study Director |
| Marwa M Medhat, M.D | zagazig university faculty of human medicine | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Faculty of Medicine,Zagazig University | Recruiting | Zagazig | Sharqia Province | 44519 | Egypt |
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| ID | Term |
|---|---|
| D012128 | Respiratory Distress Syndrome |
| ID | Term |
|---|---|
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |
| D012120 | Respiration Disorders |
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| immediately before weaning |
| diaphragmatic ultrasound as a predictor for weaning | diaphragmatic thickness and excursion | immediately before weaning |