Ultrasonographic evaluation of lung and heart in predicting successful weaning in mechanically ventilated neurosurgical patients.

ABSTRACT: In critically ill neurosurgical patients, delayed and premature extubation increases the risk of morbidity and mortality. Assessment of critically ill patients before and during spontaneous breathing trial (SBT) is crucial in predicting weaning failure. We explored the trend of changes with integrated lung and cardiac ultrasonography in predicting success of weaning in neurosurgical patients. Lung ultrasound and cardiac ultrasound was performed before and after 30 min and 120 min of SBT. Lung ultrasound score (LUS, range 0-36) was calculated using a predefined method of assessment of six chest regions on either side. The left ventricular function was evaluated by measuring fractional area change. The maximum velocities of mitral inflow E and A waves (E/A), deceleration time of E wave (DTE)

SUBMITTER: Sachin S 

PROVIDER: S-EPMC7222928 | biostudies-literature | 2021 Feb

REPOSITORIES: biostudies-literature