The Use of Diaphragmatic Ultrasonography in Mechanical Ventilation Weaning Decision in COPD Patient
Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age21-70
SponsorTanta University
About this trial
The aim of this study is to evaluate the use of diaphragmatic ultrasonography in taking mechanical ventilation weaning decision and predicting outcome in Chronic obstructive pulmonary disease patient.
Primary outcome:
• Number of patients with failed weaning trial and need reintubation.
Secondary outcomes:
* Time till extubation trial. * Ventilation free days after extubation less or more than 48h . * Number of Intensive care unit discharges. * Sensitivity and specificity of diaphragmatic assessment as a predictor of weaning.
Eligibility criteria
Qualifiers
Adult patient more than 21 years old of both sexes, coming to our intensive care unit with acute exacerbation of Chronic obstructive pulmonary disease & need mechanical ventilation at least 48 hr.
Disqualifiers
Patient refusal.
Morbid obesity with body mass index > 35 kg/m2.
Patients with a history of recent thoracic surgery.
Neuromuscular disorders affecting the diaphragm e.g.(myopathy).
Trial design
Treatments tested in this trial
- conventional clinical criteria of weaning from mechanical ventilation
- conventional clinical criteria and ultrasonic criteria for weaning
Treatment groups
140 Participants
are divided into 2 treatment groupsSponsors and collaborators
Source ClinicalTrials.gov