Ultrasonic Weaning Criteria in Prolonged Ventilation

Study Overview
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Brief Summary
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compare and evaluate the effect of use of ultrasonic criteria of weaning versus the conventional ways of weaning in post-traumatic acute respiratory distress syndrome (ARDS) patients who were ventilated for a long time. And compare their effect on the duration of ICU stay.

Detailed Description
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It is a prospective double blind study done on total 200 patients. Who were weaned from ventilator after being ventilated for > one week due to respiratory failure. This respiratory failure was selected in our study to be from severe lung contusion and post-traumatic acute respiratory distress syndrome. Patients were randomly allocated in one of two groups each group contain 100 patients. Group A considered control group. Those patients weaned from the ventilator by the conventional criteria of weaning. While group B weaned from the ventilator by the ultrasound criteria of weaning. All patients weaned from both groups followed for six days for signs of failure of weaning ,signs of post-extubation respiratory failure. And number of patients who were re-ventilated and who discharged from ICU in both groups recorded and compared.

Official Title
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Comparative Study Between Use of Ultrasonic Criteria of Weaning Versus the Conventional Criteria of Weaning in Post-traumatic Acute Respiratory Distress Syndrome Patients Who Were Ventilated for a Long Time

Conditions
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Acute Respiratory Distress Syndrome

Intervention / Treatment
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* Diagnostic Test: clinical weaning criteria


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: adult patients between 18-65 years old, with Acute respiratory distress syndrome, any ventilated patients for more than one week Exclusion Criteria: young or pediatric patients below 18 years. patients older than 65 years patients had Chronic Respiratory Disease

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 65 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Patients were randomly allocated in one of two groups each group contain 100 patients.<br>Group A considered control group. Those patients weaned from the ventilator by the conventional criteria of weaning | Diagnostic Test: clinical weaning criteria<br>* Xray chest and calculation of thr rapid shallow breathing rate<br>* Other names: arterial blood gases and reading on the ventilator;|
| 100 patients<br>group B weaned from the ventilator by the ultrasound criteria of weaning. All patients weaned from both groups followed for six days for signs of failure of weaning ,signs of post-extubation respiratory failure. And number of patients who were re-ventilated and who discharged from ICU in both groups recorded and compared. | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| The number of patients who had no failure of weaning | patients followed by ultrasounds criteria | 6 days | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| The number of patients who discharged early from ICU |  | 6 days |