Application of Lung, Heart and Diaphragm Ultrasound for Predicting Weaning Outcome of Mechanical Ventilation | ||
| Al-Azhar International Medical Journal | ||
| Volume 2025, Issue 7, July 2025, Pages 24-30 PDF (437.79 K) | ||
| Document Type: Original Article | ||
| DOI: https://doi.org/10.21608/aimj.2025.446631 | ||
| Authors | ||
| IBRAHIM ABD EL-FATTAH MOHSEN1; Mamdouh Helmy Al-Tahan2; Fawzy Mohamed Omar3; Ahmed Adel Ibrahim Eid* 4 | ||
| 1Professor of Chest Diseases, Faculty of Medicine, Al-Azhar University, Cairo, Egypt | ||
| 2Professor of Cardiology, Faculty of Medicine, Al-Azhar University, Cairo, Egypt | ||
| 3Lecturer of Chest Diseases, Faculty of Medicine, Al-Azhar University, Cairo, Egypt | ||
| 4MSc, Chest Diseases, Faculty of Medicine, Al-Azhar University, Cairo, Egypt | ||
| Abstract | ||
| Background: Patients in a critical condition require mechanical ventilation (MV) as a life support system. Successful weaning affects morbidity and mortality once the primary illness resolves. Aim and objectives: To determine whether ultrasound of the heart, lungs, and diaphragm can improve the prediction of weaning outcomes in mechanically ventilated patients at El-Hussein University Hospital’s respiratory ICU. Patients and methods: From January 2023 through September 2024, at El-Hussein University Hospital, researchers examined 100 respiratory intensive care unit patients who were on mechanical ventilation. The research got the green light from the local Ethics Committee at Al-Azhar University's Faculty of Medicine. Results: Very significant (p-value<0.001) by statistical standards, decreased RSBI of patients with successful weaning (mean=48.8±7.8, range=30-65) when compared with patients of weaning failure (mean=61.5±8.6, range=33- 72). Very significant (p-value<0.001) by statistical standards, the increased diaphragmatic excursion of patients with successful weaning(mean=1.45±0.13, range=1.21-1.74) when compared with patients of weaning failure(mean=0.95±0.29, range=0.22- 1.41). Conclusion: Weaning failure was linked to left ventricular systolic and diastolic dysfunction in intensive care unit patients who were mechanically ventilated. It may be helpful to identify individuals who are prone to fail weaning by assessing their lung aeration, diaphragmatic function, and left ventricular systolic and diastolic function prior to starting the weaning process. | ||
| Keywords | ||
| Ultrasonography; Weaning outcome; MV | ||
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