Cardiac, Pulmonary and Diaphragm Sonography for the Early Diagnosis of the Different Etiologies Underlying Failure of Weaning From Mechanical Ventilation

Centre Hospitalier Universitaire Dijon100 enrolled

Overview

Weaning patients off ventilation in an ICU is sometimes difficult, because of three major inter-related etiologies: impaired lung, heart and diaphragm function. In this context, ultrasonography during tests to wean patients off ventilation could make it possible to diagnose cardiac dysfunction, a loss of pulmonary aeration or diaphragm dysfunction and thus reduce the number of failures at extubation. The study will be carried out in 100 patients on mechanical ventilation following abdominal or heart surgery, who will have echocardiography, and pulmonary and diaphragm ultrasonography.

Study Type

OBSERVATIONAL

Enrollment

100

Conditions

Mechanical Ventilation Following Heart or Abdominal Surgery

Eligibility

Sex: ALLMin age: 60 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Patients on mechanical ventilation for at least 48 hours * Age ≥ 60 years * Patients who have undergone abdominal or heart surgery Exclusion Criteria: * Patients with a known neuromuscular disease * Patients younger than 60 years * Duration of mechanical ventilation \<48h * Non-surgical patients * Patients with severe COPD

Locations (1)

Outcomes

Primary Outcomes

Echocardiography

Time frame: At baseline

Lung ultrasonography

Time frame: At baseline

Diaphragm ultrasonography

Time frame: At baseline

Cardiac, Pulmonary and Diaphragm Sonography for the Early Diagnosis of the Different Etiologies Underlying Failure of Weaning From Mechanical Ventilation

Overview

Conditions

Eligibility

Locations (1)

Outcomes

Primary Outcomes

Central Contacts