[Usefulness of diaphragmatic ultrasound in predicting extubation success].
Utilidad de la ecografía diafragmática para predecir el éxito en la extubación.
Airway extubation
Artificial
Critical illness
Destete del ventilador
Diafragma/diagnóstico por imagen
Diaphragm/diagnostic imaging
Enfermedad crítica
Extubación de la vía aérea
Intensive care units
Predictive value of tests
Respiración
Respiration
Retirada de la ventilación
Sensibilidad y especificidad
Sensitivity and specificity
Ultrasonografía
Ultrasonography
Unidades de cuidados intensivos
Valor predictivo de las pruebas
Ventilator weaning
Weaning from ventilation
Journal
Medicina intensiva
ISSN: 2173-5727
Titre abrégé: Med Intensiva (Engl Ed)
Pays: Spain
ID NLM: 101717568
Informations de publication
Date de publication:
May 2021
May 2021
Historique:
received:
22
07
2019
revised:
16
09
2019
accepted:
24
10
2019
pubmed:
25
12
2019
medline:
25
12
2019
entrez:
25
12
2019
Statut:
ppublish
Résumé
To evaluate the diagnostic accuracy of diaphragmatic ultrasound in predicting extubation success. A diagnostic accuracy study was carried out. Intensive Care Unit of an Academic hospital in the city of Bogotá (Colombia). A consecutive sample of patients >18 years of age subjected to invasive mechanical ventilation for >48h. Diaphragmatic ultrasound evaluation at the end of spontaneous ventilation testing. Diaphragmatic excursion (DE, cm), inspiration time (TPIA A total of 84 patients were included, 79.8% (n=67) with successful extubation and 20.2% (n=17) with failed extubation. The variable with the best discriminatory capacity in predicting extubation success was diaphragm contraction speed, with AUC-ROC 0.70 (p=0.008). Diaphragm contraction speed exhibited acceptable discriminatory capacity. Ultrasound could be part of a multifactorial approach in the extubation process.
Identifiants
pubmed: 31870509
pii: S0210-5691(19)30265-7
doi: 10.1016/j.medin.2019.10.007
pii:
doi:
Types de publication
Journal Article
Langues
eng
spa
Sous-ensembles de citation
IM
Pagination
226-233Informations de copyright
Copyright © 2019 Elsevier España, S.L.U. y SEMICYUC. All rights reserved.