Diaphragmatic Echography in Critically Ill patientS (DECIS)

Università degli Studi di Ferrara

Status: Completed

Conditions: Respiratory Failure

Treatments: Device: Ultrasonography

Study type: Observational

Funder types: Other

Identifiers

NCT02696018

138-2012

Details and patient eligibility

About

Acute respiratory failure (ARF) is characterised by a discrepancy between load imposed on respiratory muscles and their capacity. Recently, diaphragmatic ultrasonography has been introduced in the clinical practice to evaluate diaphragmatic function. In particular, the investigators will focus on Diaphragmatic Displacement measured by M-mode ultrasonography. The aim of this study was to compare the diaphragmatic displacement with traditional weaning parameters in potentially ready to be extubated patients undergoing a spontaneous breathing trial (SBT).

Enrollment: 44 patients

Sex: All

Ages: 18 to 80 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• mechanically ventilated since more than 24 hours
• clinical improvement of the underlying acute cause of the respiratory failure
• adequate cough reflex
• absence of excessive and/or purulent tracheobronchial secretion
• stable cardiovascular status
• stable metabolic status
• adequate pulmonary function
• adequate mentation

Exclusion criteria

• age <18 years
• pregnancy
• presence of thoracostomy, pneumothorax or pneumomediastinum
• presence of flail chest or rib fractures
• neuromuscular disease
• use of muscle-paralyzing agents within 48 hours before the study
• history or new detection of paralysis or paradoxical movement of a single hemi-diaphragm on diaphragm ultrasonography

Trial design

44 participants in 1 patient group

Critically ill patients

Description:

Ultrasonography in critically ill patients in weaning from mechanical ventilation

Treatment:

Device: Ultrasonography