Simple jQuery Dropdowns
Please use this identifier to cite or link to this item: http://repository.li.mahidol.ac.th/dspace/handle/123456789/46181
Title: Diaphragmatic parameters by ultrasonography for predicting weaning outcomes
Authors: Pongdhep Theerawit
Dararat Eksombatchai
Yuda Sutherasan
Thitiporn Suwatanapongched
Charn Kiatboonsri
Sumalee Kiatboonsri
Faculty of Medicine, Ramathibodi Hospital, Mahidol University
Keywords: Medicine
Issue Date: 23-Nov-2018
Citation: BMC Pulmonary Medicine. Vol.18, No.1 (2018)
Abstract: © 2018 The Author(s). Background: Diaphragmatic dysfunction remains the main cause of weaning difficulty or failure. Ultrasonographic measurement of diaphragmatic function can be used to predict the outcomes of weaning from mechanical ventilation. Our primary objective was to investigate the performance of various sonographic parameters of diaphragmatic function for predicting the success of weaning from mechanical ventilation. Methods: We prospectively enrolled 68 adult patients requiring mechanical ventilation who were admitted to the intensive care unit from June 2013 to November 2013. The diaphragmatic inspiratory excursion, time to peak inspiratory amplitude of the diaphragm (TPIA dia ), diaphragmatic thickness (DT), DT difference (DTD), and diaphragm thickening fraction (TFdi) were determined by bedside ultrasonography performed at the end of a spontaneous breathing trial. A receiver operating characteristic curve was used for analysis. Results: In total, 62 patients were analyzed. The mean TPIA dia was significantly higher in the weaning success group (right, 1.27 ± 0.38 s; left, 1.14 ± 0.37 s) than in the weaning failure group (right, 0.97 ± 0.43 s; left, 0.85 ± 0.39 s) (P < 0.05). The sensitivity, specificity, positive predictive value, and negative predictive value of a TPIA dia of > 0.8 s in predicting weaning success were 92, 46, 89, and 56%, respectively. The diaphragmatic inspiratory excursion, DTD, and TFdi were associated with reintubation within 48 h. The P values were 0.047, 0.021, and 0.028, and the areas under the receiver operating characteristic curve were 0.716, 0.805, and 0.784, respectively. Conclusion: Among diaphragmatic parameters, TPIA dia exhibits good performance in predicting the success of weaning from mechanical ventilation. This study demonstrated a trend toward successful use of TPIA dia rather than diaphragmatic inspiratory excursion as a predictor of weaning from mechanical ventilation.
URI: https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85057100319&origin=inward
http://repository.li.mahidol.ac.th/dspace/handle/123456789/46181
ISSN: 14712466
Appears in Collections:Scopus 2018

Files in This Item:
There are no files associated with this item.


Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.