Change In Diaphragmatic Thickness Predicts Extubation Success

Albert Einstein Healthcare Network

Status: Terminated

Conditions: Mechanical Ventilation Complication

Treatments: Procedure: Diaphragm Ultrasound

Study type: Observational

Funder types: Other

Identifiers

NCT02656199

4541

Details and patient eligibility

About

We will investigate whether measurement of the change in thickness of the diaphragm during the respiratory cycle by ultrasound can predict extubation success in a 48 hour window. We will also asses whether this is only possible on low levels of pressure support as has been shown previously, or if this technique retains its predictive power at higher levels of pressure support.

Enrollment: 57 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• age greater than 18, ventilated for >24 hours

Exclusion criteria

• already chronically on mechanical ventilatory support, already has tracheostomy, has pathology that obscures visualization of the right hemidiaphragm, has acute stroke either hemorrhagic or ischemic, cannot identify appropriate decision maker to get informed consent.

Trial design

57 participants in 1 patient group

Main Cohort

Description:

all patients enrolled will have an ultrasound of their diaphragm performed once they are on a pressure support trial. Intervention: Diaphragm Ultrasound

Treatment:

Procedure: Diaphragm Ultrasound