Point-of-Care Ultrasound Evaluation of Diaphragm as a Predictor of Extubation Success in Mechanically Ventilated, Malnourished, End-Stage Liver Disease Pretransplant Candidates-Observational Cohort Study.

ABSTRACT:

Background

Ultrasound evaluation of diaphragmatic anatomy and function has recently gained traction as a simple and useful tool to assess the extubation readiness in mechanically ventilated patients, nevertheless, how applicable this approach is in the population of chronically debilitated patients on mechanical ventilation (MV) remains unclear.

Objective

To evaluate ultrasonographic assessment of diaphragmatic thickening fraction (ΔTDI%) as a predictor of extubation success in the population of end-stage liver disease (ESLD) malnourished patients on MV.

Design

Prospective, single-center, observational cohort study.

Methods

We used point-of-care ultrasound to evaluate ΔTDI% and diaphragm thickness during expiration (T _exp) and inspiration (

SUBMITTER: Reid AM 

PROVIDER: S-EPMC12451113 | biostudies-literature | 2025 Jan-Dec

REPOSITORIES: biostudies-literature