Diaphragm and Lung Ultrasound Indices in Prediction of Outcome of Weaning from Mechanical Ventilation in Pediatric Intensive Care Unit

Objective To predict the added value of diaphragmatic and lung ultrasound indices (US) in anticipation of the outcome of mechanical ventilation of pediatric patients in the intensive care unit. Methods This prospective study was conducted in Zagazig University, Pediatric Hospitals, PICU; Egypt. One...

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Bibliographic Details
Published in:Indian journal of pediatrics 2020-06, Vol.87 (6), p.413-420
Main Authors: Abdel Rahman, Dalia A., Saber, S., El-Maghraby, A.
Format: Article
Language:English
Subjects:
Child
Diaphragm - diagnostic imaging
Egypt
Gynecology
Humans
Infant
Intensive Care Units, Pediatric
Lung - diagnostic imaging
Medicine
Medicine & Public Health
Original
Original Article
Pediatrics
Predictive Value of Tests
Prospective Studies
Respiration, Artificial
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Summary:Objective To predict the added value of diaphragmatic and lung ultrasound indices (US) in anticipation of the outcome of mechanical ventilation of pediatric patients in the intensive care unit. Methods This prospective study was conducted in Zagazig University, Pediatric Hospitals, PICU; Egypt. One hundred six mechanically ventilated children aged between 1 mo to 170 mo were included in the study. All patients were candidates for weaning and have been given a chance for spontaneous breathing trial (SBT), during which diaphragmatic and lung US was performed for them. The diaphragm thickening fraction (DTF), the diaphragmatic excursion and the lung US score (LUS), that included 4 US aeration forms, were assessed. Results There were statistically significant differences between patients with failed weaning and those with successful weaning regarding DTF, diaphragmatic excursion and LUS ( p  
ISSN:0019-5456
0973-7693
DOI:10.1007/s12098-019-03177-y