Change In Diaphragmatic Thickness Predicts Extubation Success



Status:Recruiting
Healthy:No
Age Range:18 - Any
Updated:4/21/2016
Start Date:January 2015
End Date:June 2016
Contact:Scott Blumhof, DO
Email:blumhofs@einstein.edu
Phone:2154566945

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Can the Diaphragm Predict the Course of Mechanical Ventilation? A Prospective Study Evaluating Several M-Mode Ultrasound Measured Diaphragmatic Parameters and Their Effects on Weaning From Mechanical Ventilation

We will investigate whether measurement of the change in thickness of the diaphragm during
the respiratory cycle by ultrasound can predict extubation success in a 48 hour window. We
will also asses whether this is only possible on low levels of pressure support as has been
shown previously, or if this technique retains its predictive power at higher levels of
pressure support.


Inclusion Criteria:

- age greater than 18, ventilated for >24 hours

Exclusion Criteria:

- already chronically on mechanical ventilatory support, already has tracheostomy, has
pathology that obscures visualization of the right hemidiaphragm, has acute stroke
either hemorrhagic or ischemic, cannot identify appropriate decision maker to get
informed consent.
We found this trial at
1
site
Philadelphia, Pennsylvania 19141
Principal Investigator: Scott Blumhof, DO
Phone: 215-456-6945
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Philadelphia, PA
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