The Role of Lung and Diaphragm Ultrasonography in Predicting Clinical Progression in Hypoxemic Respiratory Failure

Simge Evren

Status: Completed

Conditions: Lung Ultrasound; Hypoxemic Respiratory Failure; Diaphragm Ultrasonography

Study type: Observational

Funder types: Other

Identifiers

NCT06706830

291

Details and patient eligibility

About

The goal of this observational study is to evaluate whether the risk of intubation in patients with hypoxemic respiratory failure who were monitored in the intensive care unit and received non-invasive mechanical ventilation and high-flow nasal oxygen treatment could be predicted using lung and diaphragm ultrasound.

The main question it aims to answer is:

Can lung and diaphragm ultrasound predict the risk of intubation in patients with hypoxemic respiratory failure?

Full description

Between January 1, 2024, and May 1, 2024, the diaphragm thickness fraction, excursion, LUS score, ROX index, and the LUSS/ROX index ratio were evaluated using lung and diaphragm ultrasound in 91 patients admitted to the intensive care unit with a diagnosis of hypoxemic respiratory failure. These evaluations were performed at the 6th, 12th, 24th, and 48th hours of their ICU stay, and during intubation if the decision for intubation was made

Enrollment: 91 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

-PaO2 <60 mmHg detected in arterial blood gas samples at the time of admission to the intensive care unit

Exclusion criteria

• Under the age of 18
• History of lung and diaphragm surgery
• Congenital, acquired or traumatic diaphragmatic hernia
• Diaphragm paralysis
• Hemodynamic instability requiring vasoactive drug support
• Do not agree to participate in the study

Trial design

91 participants in 1 patient group

Hypoxemic

Description:

Patients whose partial oxygen levels are low