Value of Diaphragm Ultrasonography for Extubation: A Single-Blinded Randomized Clinical Trial.
T G ToledoMarcelo R BacciPublished in: Critical care research and practice (2023)
. This study demonstrates the usefulness of DUS measurement protocols for withdrawing MV. The rate of reintubation was low for both cessation methods. As a parameter, the diaphragm thickness fraction comprehensively evaluates the diaphragm function. The results demonstrate that DUS has the potential to serve as a noninvasive tool for guiding extubation decisions. In conclusion, using DUS in patients with respiratory failure revealed no difference in reintubation rates or mortality compared with the conventional method. Future research should concentrate on larger, multicentered, randomized trials employing a multimodal strategy that combines diaphragmatic parameters with traditional clinical withdrawal indices.
Keyphrases
- mechanical ventilation
- respiratory failure
- acute respiratory distress syndrome
- intensive care unit
- extracorporeal membrane oxygenation
- magnetic resonance imaging
- cardiovascular events
- pain management
- risk factors
- optical coherence tomography
- type diabetes
- randomized controlled trial
- single cell
- computed tomography
- climate change