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Diaphragm Training Ultrasound

2019-12-10 01:20:58 | BioPortfolio

Summary

Common neurological indications of intubation and initiation of mechanical ventilation (MV) include ischemic and hemorrhagic stroke, neurotrauma, and intracranial hemorrhage. Mechanical ventilation is frequently applied to protect the airway from the risk of aspiration and to prevent both hypoxemia and hypercapnia, which are two major systemic factors of secondary brain insult (Faez et al., 2016, 2016; Asehnoune, Roquilly and Cinotti, 2018).

Mechanical ventilation after endotracheal intubation predisposes these patients to an increased incidence of pulmonary complications such as ventilator-associated pneumonia (VAP), increased risk of deep vein thrombosis, bedsores, increased hospital stay, and poor clinical outcome ( El-naggar, Raafat, and Mohamed, 2018; G et al., 2019).

The weaning process from MV involves the reduction of ventilator parameters and Extubation (Zein et al., 2016). Daily, careful evaluation of clinical and neurological conditions and completion of spontaneous breathing trial (SBT) should be considered in order to recognize and facilitate the process of withdrawal of the MV(Faez et al., 2016; Patricia Kritek, 2019).

The diaphragm which is the principal respiratory muscle provides nearly 75% of the resting pulmonary ventilation(Soliman et al., 2019). However, In ICU patients, the diaphragm is vulnerable to damage from hypotension, hypoxia, and sepsis(Bruni et al., 2017; Li et al., 2018; Qian et al., 2018). Diaphragmatic dysfunction and atrophy is the main precipitating factor for difficult and successful weaning (Dres and Demoule, 2018).

Study Design

Conditions

DIAPHRAGM -Ultrasound -Weaning -Mechanical Ventilation

Intervention

DIAPHRAGMATIC exercising

Status

Not yet recruiting

Source

Mansoura University

Results (where available)

View Results

Links

Published on BioPortfolio: 2019-12-10T01:20:58-0500

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Medical and Biotech [MESH] Definitions

Techniques for effecting the transition of the respiratory-failure patient from mechanical ventilation to spontaneous ventilation, while meeting the criteria that tidal volume be above a given threshold (greater than 5 ml/kg), respiratory frequency be below a given count (less than 30 breaths/min), and oxygen partial pressure be above a given threshold (PaO2 greater than 50mm Hg). Weaning studies focus on finding methods to monitor and predict the outcome of mechanical ventilator weaning as well as finding ventilatory support techniques which will facilitate successful weaning. Present methods include intermittent mandatory ventilation, intermittent positive pressure ventilation, and mandatory minute volume ventilation.

A congenital abnormality characterized by the elevation of the DIAPHRAGM dome. It is the result of a thinned diaphragmatic muscle and injured PHRENIC NERVE, allowing the intra-abdominal viscera to push the diaphragm upward against the LUNG.

Mechanical devices used to produce or assist pulmonary ventilation.

Mechanical ventilation delivered to match the patient's efforts in breathing as detected by the interactive ventilation device.

A chronic lung disease developed after OXYGEN INHALATION THERAPY or mechanical ventilation (VENTILATION, MECHANICAL) usually occurring in certain premature infants (INFANT, PREMATURE) or newborn infants with respiratory distress syndrome (RESPIRATORY DISTRESS SYNDROME, NEWBORN). Histologically, it is characterized by the unusual abnormalities of the bronchioles, such as METAPLASIA, decrease in alveolar number, and formation of CYSTS.

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