Chest Ultrasonographic Assessment of Diaphragmatic Excursion and Thickness as a New Weaning Parameter in Mechanically Ventilated Chronic Obstructive Pulmonary Disease Patients
El-Shahat, H., Mahfouz, T., Elfeqy, M., Shehata, S. (2023). Chest Ultrasonographic Assessment of Diaphragmatic Excursion and Thickness as a New Weaning Parameter in Mechanically Ventilated Chronic Obstructive Pulmonary Disease Patients. EKB Journal Management System, 29(5), 1282-1293. doi: 10.21608/zumj.2022.178996.2696
Hanan M. El-Shahat; Tarek Mahfouz; Mohammad Elfeqy; Samah Shehata. "Chest Ultrasonographic Assessment of Diaphragmatic Excursion and Thickness as a New Weaning Parameter in Mechanically Ventilated Chronic Obstructive Pulmonary Disease Patients". EKB Journal Management System, 29, 5, 2023, 1282-1293. doi: 10.21608/zumj.2022.178996.2696
El-Shahat, H., Mahfouz, T., Elfeqy, M., Shehata, S. (2023). 'Chest Ultrasonographic Assessment of Diaphragmatic Excursion and Thickness as a New Weaning Parameter in Mechanically Ventilated Chronic Obstructive Pulmonary Disease Patients', EKB Journal Management System, 29(5), pp. 1282-1293. doi: 10.21608/zumj.2022.178996.2696
El-Shahat, H., Mahfouz, T., Elfeqy, M., Shehata, S. Chest Ultrasonographic Assessment of Diaphragmatic Excursion and Thickness as a New Weaning Parameter in Mechanically Ventilated Chronic Obstructive Pulmonary Disease Patients. EKB Journal Management System, 2023; 29(5): 1282-1293. doi: 10.21608/zumj.2022.178996.2696

Chest Ultrasonographic Assessment of Diaphragmatic Excursion and Thickness as a New Weaning Parameter in Mechanically Ventilated Chronic Obstructive Pulmonary Disease Patients

Zagazig University Medical Journal
Article 9, Volume 29, Issue 5, September and October 2023, Page 1282-1293  XML PDF (598.26 K)
Document Type: Original Article
DOI: 10.21608/zumj.2022.178996.2696
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Authors
Hanan M. El-Shahat1; Tarek Mahfouz2; Mohammad Elfeqy3; Samah Shehata email orcid 4
1Professor and head of Chest department, zagazig university,Egypt
2Professor of chest diseases,chest department,Zagazig university,Egypt
3Assistant lecturer of chest diseases,chest department,zagazig university,Egypt
4Assistant professor of chest diseases,Chest department, zagazig university,Egypt
Abstract
Background: Diaphragmatic muscle dysfunction is common among the mechanically ventilated COPD patients which leads to weaning failure. Bedsides Diaphragmatic US can be used to predict the extubation outcome. Aim: To study the value of chest Ultrasonography in assessment of both diaphragmatic excursion and thickness as a weaning parameter in mechanically ventilated COPD patients. Patients and methods: The study was conducted on 48 mechanically ventilated COPD patients at time of weaning in the respiratory ICU, Zagazig University Hospitals. The following were done: ABG, chest X ray. Ultrasonographic assessment of the right diaphragm (thickness and excursion) during SBT. The results: Patients were classified according to weaning outcome into two groups: Successful Weaning group (35 patients) and Failed Weaning group (13 patients). Diaphragmatic excursion, tdi at end inspiration , tdi at end expiration , tdi % , tdi % /f , tdi % x Vt are significantly higher in the successful group (p < 0.001).Diaphragmatic excursion and tdi at end inspiration are considered an excellent significant discriminator for success of weaning (P
Keywords
ultrasound; diaphragm; COPD; Weaning
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