Strategies for Predicting Successful Weaning from Mechanical Ventilation

2001 ◽  
pp. 499-530 ◽  
Author(s):  
G Budinger ◽  
Martin Tobin
Keyword(s):  
Mechanical Ventilation ◽  
Weaning From Mechanical Ventilation ◽  
Successful Weaning

Lung Ultrasound to Monitor Disease Severity and Aid Prognostication in COVID-19 Pneumonia: A Retrospective Analysis of Serial Lung Ultrasound Assessments

POCUS Journal ◽  
2021 ◽  
Vol 6 (2) ◽  
pp. 109-116
Author(s):  
Matthew Llewelyn Gibbins ◽  
Quentin Otto ◽  
Paul Adrian Clarke ◽  
Stefan Gurney
Keyword(s):  
Mechanical Ventilation ◽  
Retrospective Analysis ◽  
Disease Severity ◽  
Scoring System ◽  
Lung Ultrasound ◽  
Weaning From Mechanical Ventilation ◽  
Icu Discharge ◽  
Successful Weaning ◽  
Ultrasound Assessment ◽  
Disease Free

Background: The aim of this retrospective analysis was to assess if serial lung ultrasound assessments in patients with COVID-19 pneumonia, including a novel simplified scoring system, correlate with PaO2:FiO2 ratio, as a marker of disease severity, and patient outcomes. Methods: Patients treated for COVID-19 pneumonia in a tertiary intensive care unit who had a lung ultrasound assessment were included. Standardised assessments of anterior and lateral lung regions were prospectively recorded. A validated lung ultrasound score-of-aeration and a simplified scoring system based on the number of disease-free lung regions were correlated with: PaO2:FiO2 ratio,  successful weaning from mechanical ventilation, and status (alive or dead) at discharge.  MedCalc© statistical software was used for statistical analysis. Results: 28 patients (109 assessments) were included. Correlation was seen between score-of-aeration and PaO2:FiO2 ratio (r = -0.61, p<0.0001) and between the simplified scoring system and PaO2:FiO2 ratio (r = 0.52 p<0.0001). Achieving a score-of-aeration of ≤9/24 or ≥2 disease-free regions was associated with successful weaning from mechanical ventilation and survival to ICU discharge (accuracy of 94% and 97% respectively). Conclusion: Retrospective analysis from this small cohort of patients demonstrates that scores-of-aeration and a simplified scoring system based on the number of disease-free antero-lateral regions from serial LUS assessments correlate with PaO2:FiO2 ratio as a marker of disease severity in patients with COVID-19 pneumonia. In addition, lung ultrasound may help identify patients who will have favourable outcomes. 

Evaluation of some predictors for successful weaning from mechanical ventilation

2015 ◽  
Author(s):  
Ali Mabrouk ◽  
Osama Mansour ◽  
Aml Amin ◽  
Mahmoud Alhabashy ◽  
Ahmed Alasdoudy
Keyword(s):  
Mechanical Ventilation ◽  
Weaning From Mechanical Ventilation ◽  
Successful Weaning

scholarly journals Evaluation of some predictors for successful weaning from mechanical ventilation

2015 ◽  
Vol 64 (3) ◽  
pp. 703-707 ◽  
Author(s):  
Ali A. Mabrouk ◽  
Osama F. Mansour ◽  
Aml A. Abd El-Aziz ◽  
Mahmoud M. Elhabashy ◽  
Ahmed A. Alasdoudy
Keyword(s):  
Mechanical Ventilation ◽  
Weaning From Mechanical Ventilation ◽  
Successful Weaning
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