Zagazig University Digital Repository
Home
Thesis & Publications
All Contents
Publications
Thesis
Graduation Projects
Research Area
Research Area Reports
Search by Research Area
Universities Thesis
ACADEMIC Links
ACADEMIC RESEARCH
Zagazig University Authors
Africa Research Statistics
Google Scholar
Research Gate
Researcher ID
CrossRef
Chest Ultrasonographic Assessment of Diaphragmatic Excursion and Thickness as a New Weaning Parameter in Mechanically Ventilated Chronic Obstructive Pulmonary Disease Patients.
Faculty
Medicine
Year:
2023
Type of Publication:
ZU Hosted
Pages:
Authors:
Samah Mohamed Shihata
Staff Zu Site
Abstract In Staff Site
Journal:
Zagazig University Medical Journal Zagazig University, Faculty of Medicine
Volume:
Keywords :
Chest Ultrasonographic Assessment , Diaphragmatic Excursion , Thickness
Abstract:
Background: Diaphragmatic muscle dysfunction is common among 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 the 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 the time of weaning in the respiratory ICU at Zagazig University Hospitals. The following were done: ABG, and 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: the successful Weaning group (35 patients), and failed Weaning group (13 patients). Diaphragmatic excursion, tdi at end inspiration, tdi at end-expiration, tdi %, tdi % /f, and tdi % x Vt are significantly higher in the successful group (p<0.001). Diaphragmatic excursion and tdi at end inspiration are considered excellent significant discriminators for the success of weaning (P<0.000). tdi at end-expiration and tdi % is considered a good significant discriminator for the success of weaning (P<0.000). Integration of (Diaphragmatic excursion, tdi %, tdi % /f, tdi % x Vt, RSBI, PI max, PaO2/FiO2, and PEEP) can predict weaning success correctly by a percent of 65%. Conclusions: Diaphragmatic excursion is the most accurate, sensitive, and excellent discriminator for the prediction of successful weaning among diaphragmatic parameters. Integration of diaphragmatic ultrasound parameters and conventional weaning indices improves the successful weaning predictive value.
Author Related Publications
Samah Mohamed Shihata, "فيتامين د والشكل الظاهرى لمرضى الربو الشعبى", Egyptian Journal of Chest Diseases and Tuberculosis, 2013
More
Samah Mohamed Shihata, "Pleural fluid CRP, LDH, and pH as predictors of successful pleurodesis in malignant pleural effusions", Egyptian Journal of Chest Diseases and Tuberculosis, 2015
More
Samah Mohamed Shihata, "Prognostic values of pneumonia severity index, CURB-65 and expanded CURB-65 scores in community-acquired pneumonia in Zagazig University Hospitals", Egyptian Journal of Chest Diseases and Tuberculosis, 2017
More
Samah Mohamed Shihata, "Assessment of radiological pulmonary shadows in patients with extra pulmonary neoplasm", Egyptian Journal of Chest Diseases and Tuberculosis, 2017
More
Samah Mohamed Shihata, "Dead space addition test and swallowing assessment as new predictors of extubation outcome in mechanically ventilated patients with chronic obstructive pulmonary disease", Egyptian Journal of Chest Diseases and Tuberculosis, 2018
More
Department Related Publications
Mohammed Shabrawy Mahmoudi, "Arterial stiffness can occur early in mild-tomoderate chronic obstructive pulmonary disease", The Egyptian Journal of Bronchology, 2020
More
Walid Mansour Mohammed Amer, "Airway pressure release ventilation in comparison to synchronized intermittent mandatory ventilation in acute respiratory failure: a randomized controlled trial", Wolters Kluwer - Medknow, 2020
More
Walid Mansour Mohammed Amer, "Computed Tomography Imaging Assessment of the Effect of Vancomycin Paste on Poststernotomy Healing", Dove Press Ltd, 2021
More
Mohammed Walaa Saeed Meghawri, "Sonographic evaluation of different sclerosing agents in pleurodesis of malignant pleural effusion at Zagazig University Hospitals التقييم باستخدام الموجات فوق الصوتية للعوامل المصلبة المختلفة للانصباب الجنبي الخبيث في مستشفيات جامعة الزقازيق", The Egyptian Journal of Chest Diseases and Tuberculosis, 2018
More
Mohammed Walaa Saeed Meghawri, "Role of diaphragmatic rapid shallow breathing index in predicting weaning outcome in patients with acute exacerbation of COPD دور مؤشر التنفس الضحل السريع للحجاب الحاجز في توقع نتائج الفطام في مرضي التفاقم الحاد لمرضي السدة الرئوية المزمنة", International Journal of COPD, 2018
More
جامعة المنصورة
جامعة الاسكندرية
جامعة القاهرة
جامعة سوهاج
جامعة الفيوم
جامعة بنها
جامعة دمياط
جامعة بورسعيد
جامعة حلوان
جامعة السويس
شراقوة
جامعة المنيا
جامعة دمنهور
جامعة المنوفية
جامعة أسوان
جامعة جنوب الوادى
جامعة قناة السويس
جامعة عين شمس
جامعة أسيوط
جامعة كفر الشيخ
جامعة السادات
جامعة طنطا
جامعة بنى سويف