Ultrasonic Weaning Criteria in Prolonged Ventilation

King Abdul Aziz Specialist Hospital

Status: Completed

Conditions: Acute Respiratory Distress Syndrome

Treatments: Diagnostic Test: clinical weaning criteria

Study type: Observational

Funder types: NETWORK

Identifiers

NCT05794867

icu- 4-23

Details and patient eligibility

About

compare and evaluate the effect of use of ultrasonic criteria of weaning versus the conventional ways of weaning in post-traumatic acute respiratory distress syndrome (ARDS) patients who were ventilated for a long time. And compare their effect on the duration of ICU stay.

Full description

It is a prospective double blind study done on total 200 patients. Who were weaned from ventilator after being ventilated for > one week due to respiratory failure. This respiratory failure was selected in our study to be from severe lung contusion and post-traumatic acute respiratory distress syndrome. Patients were randomly allocated in one of two groups each group contain 100 patients. Group A considered control group. Those patients weaned from the ventilator by the conventional criteria of weaning. While group B weaned from the ventilator by the ultrasound criteria of weaning. All patients weaned from both groups followed for six days for signs of failure of weaning ,signs of post-extubation respiratory failure. And number of patients who were re-ventilated and who discharged from ICU in both groups recorded and compared.

Enrollment: 200 patients

Sex: All

Ages: 18 to 65 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• adult patients between 18-65 years old,
• with Acute respiratory distress syndrome,
• any ventilated patients for more than one week

Exclusion criteria

• young or pediatric patients below 18 years.
• patients older than 65 years
• patients had Chronic Respiratory Disease

Trial design

200 participants in 2 patient groups

Patients were randomly allocated in one of two groups each group contain 100 patients.

Description:

Group A considered control group. Those patients weaned from the ventilator by the conventional criteria of weaning

Treatment:

Diagnostic Test: clinical weaning criteria

100 patients

Description:

group B weaned from the ventilator by the ultrasound criteria of weaning. All patients weaned from both groups followed for six days for signs of failure of weaning ,signs of post-extubation respiratory failure. And number of patients who were re-ventilated and who discharged from ICU in both groups recorded and compared.