Critically ill patients frequently develop respiratory muscle dysfunction that may contribute to difficult and prolonged weaning from mechanical ventilation. that is besides complications such as barotrauma, ventilator-acquired pneumonia, accumulation of secretions, and lung atelectasis.
The ultrasound estimation of parasternal intercostal muscle and diaphragmatic functions is a method to evaluate if there is a good chance of weaning outcomes.
1. Adult patients more than 18 years old. 2. Patient on mechanical ventilation more than 48 hours.
1. Declining to give a written informed consent. 2. Diaphragmatic paralysis or injury
intubated ventilated patients in ICU for more than 48 h
Cohort
Prospective
Not listed
Ultrasound guided muscles function assessment
\- Evaluation of the efficacy of diaphragmatic and parasternal intercostal muscle functions as a predictors of successful weaning from mechanical ventilation.
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