The Role of Muscular Ultrasound in Predicting Weaning Success

Seoul National University Hospital114 enrolled

Overview

When attempting to wean a patient from the ventilator, even if he/she passes the spontaneous breathing test, 10-20% of the time extubation failure occurs and the patient is reintubated. When the patient is reintubated the mortality rate increases and the length of intensive care unit stay is also increased. It is vital to intensively assess the patient before extubation and correctly predict extubation success. Muscular ultrasound may be helpful in these situations.

Study Type

INTERVENTIONAL

Allocation

Purpose

DIAGNOSTIC

Masking

NONE

Enrollment

114

Conditions

Respiratory Insufficiency

Interventions

Muscular ultrasoundOTHER

Muscular ultrasound is done before extubation

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Adult patients undergoing weaning from mechanical ventilation * Patients who have been mechanically ventilated for more than 72 hrs Exclusion Criteria: * Pregnant patients * Patients with previous neuromuscular diseases * Difficulties in muscular ultrasound (Dressing, operation, etc)

Locations (1)

Seoul National University

Seoul, South Korea

Outcomes

Primary Outcomes

Extubation success (no need for reintubation)

Time frame: 48 hours after extubation

Secondary Outcomes

Weaning success (no need for applying the ventilator again)

Time frame: 2 hours after spontaneous breathing trial

Data from ClinicalTrials.gov

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