Ultrasound assessment of lung aeration loss during a successful weaning trial predicts postextubation distress*

Critical Care Medicine
Alexis SoummerLung Ultrasound Study Group

Abstract

Postextubation distress after a successful spontaneous breathing trial is associated with increased morbidity and mortality. Predicting postextubation distress is therefore a major issue in critically ill patients. To assess whether lung derecruitment during spontaneous breathing trial assessed by lung ultrasound is predictive of postextubation distress. Prospective study in two multidisciplinary intensive care units within University Hospital. One hundred patients were included in the study. Lung ultrasound, echocardiography, and plasma B-type natriuretic peptide levels were determined before and at the end of a 60-min spontaneous breathing trial and 4 hrs after extubation. To quantify lung aeration, a lung ultrasound score was calculated. Patients were followed up to hospital discharge. Fourteen patients failed the spontaneous breathing trial, 86 were extubated, 57 were definitively weaned (group 1), and 29 suffered from postextubation distress (group 2). Loss of lung aeration during the successful spontaneous breathing trial was observed only in group 2 patients: lung ultrasound scores increased from 15 [13;17] to 19 [16; 21] (p < .01). End-spontaneous breathing trial lung ultrasound scores were significantly higher in group...Continue Reading

References

Jul 1, 1995·American Journal of Respiratory and Critical Care Medicine·A TorresR Rodriguez-Roisin
Dec 31, 1997·American Journal of Respiratory and Critical Care Medicine·D LichtensteinO Barré
Jan 16, 2002·JAMA : the Journal of the American Medical Association·Andrés EstebanUNKNOWN Mechanical Ventilation International Study Group
Jan 15, 2004·Intensive Care Medicine·Daniel A LichtensteinAgnès Gepner
Jan 24, 2004·American Journal of Respiratory and Critical Care Medicine·Theodoros Vassilakopoulos, Basil J Petrof
Oct 8, 2004·Critical Care : the Official Journal of the Critical Care Forum·Scott K Epstein
Oct 26, 2005·Intensive Care Medicine·Christian Richard, Jean Louis Teboul
Jan 6, 2006·Anesthesiology·Alison B Froese
Apr 4, 2006·Journal of the American Society of Echocardiography : Official Publication of the American Society of Echocardiography·Eustachio AgricolaAlberto Margonato
Aug 31, 2006·Intensive Care Medicine·Armand Mekontso-DessapLaurent Brochard
Sep 2, 2006·Cardiovascular Ultrasound·G BedettiG Mottola
Feb 24, 2007·Critical Care : the Official Journal of the Critical Care Forum·Bélaïd BouhemadJean-Jacques Rouby
Apr 21, 2007·Critical Care Medicine·Luca NeriDaniel Lichtenstein
May 2, 2007·The European Respiratory Journal·J-M BolesT Welte
Oct 12, 2007·Intensive Care Medicine·Theodoros Vassilakopoulos
Jan 16, 2008·Current Opinion in Critical Care·Charlotte ArbelotJean-Jacques Rouby
Jun 7, 2008·The American Journal of Emergency Medicine·Giovanni VolpicelliMauro F Frascisco
Oct 3, 2008·Emergency Radiology·Greta GardelliMaurizio Mughetti
Oct 18, 2008·Journal of the American Society of Echocardiography : Official Publication of the American Society of Echocardiography·Francesca FrassiEugenio Picano
Jan 27, 2009·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·Gino SoldatiSara Sher
Apr 22, 2009·The Annals of Thoracic Surgery·Aman S CoonarShaf Keshavjee
Jul 28, 2009·Critical Care Medicine·Bélaïd BouhemadJean-Jacques Rouby
Sep 24, 2009·Critical Care : the Official Journal of the Critical Care Forum·Sergio N NemerPaulo C Souza
Jan 1, 2008·Indian Journal of Critical Care Medicine : Peer-reviewed, Official Publication of Indian Society of Critical Care Medicine·Atul P Kulkarni, Vandana Agarwal
Mar 17, 2010·Intensive Care Medicine·Amal JubranMartin J Tobin
Mar 18, 2010·Anesthesiology·Patrick RayTim T Houle
Jul 28, 2010·Intensive Care Medicine·Amal JubranMartin J Tobin
Sep 21, 2010·American Journal of Respiratory and Critical Care Medicine·Belaïd BouhemadJean-Jacques Rouby
Dec 15, 2010·Critical Care : the Official Journal of the Critical Care Forum·Leo M Heunks, Johannes G van der Hoeven
Dec 15, 2010·Intensive Care Medicine·Lluís ZapataAntoni J Betbesé
May 28, 2011·American Journal of Respiratory and Critical Care Medicine·Oscar PeñuelasUNKNOWN Ventila Group

❮ Previous
Next ❯

Citations

May 7, 2013·American Journal of Respiratory and Critical Care Medicine·Arnaud W ThilleLaurent Brochard
Jul 9, 2014·American Journal of Respiratory and Critical Care Medicine·Salvatore Maurizio MaggioreMassimo Antonelli
Aug 27, 2014·Seminars in Perinatology·Allison Lee
Sep 10, 2013·Best Practice & Research. Clinical Anaesthesiology·Lorenzo BallPaolo Pelosi
Jul 19, 2013·Critical Care Medicine·John Oropello, Marjan Rahmanian
Mar 1, 2016·Anaesthesia Critical Care & Pain Medicine·Antoine Monsel, Carolyn S Calfee
Jun 12, 2016·Journal of Critical Care·K HajiC Royse
Aug 16, 2016·Critical Care : the Official Journal of the Critical Care Forum·Philippe VignonEric Maury
Jul 31, 2016·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Yiorgos Alexandros CavayasAndré Y Denault
Oct 28, 2016·Critical Care : the Official Journal of the Critical Care Forum·Guyi WangXudong Xiang
Dec 3, 2016·Current Opinion in Critical Care·Giacomo BellaniAntonio Pesenti
Mar 9, 2017·Intensive Care Medicine·P MayoA Vieillard-Baron
Mar 10, 2015·Jornal brasileiro de pneumologia : publicaça̋o oficial da Sociedade Brasileira de Pneumologia e Tisilogia·Felippe Leopoldo Dexheimer NetoPaulo de Tarso Roth Dalcin
May 8, 2018·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·Gabriela Bello, Pablo Blanco
Dec 27, 2017·European Journal of Anaesthesiology·Cecilia M AcostaGerardo Tusman
Oct 30, 2018·American Journal of Respiratory and Critical Care Medicine·Francesco MojoliDaniel Lichtenstein
Dec 14, 2012·Current Opinion in Critical Care·Arnaud W ThilleAndrés Esteban
Aug 17, 2019·Intensive Care Medicine·P H MayoM Zanobetti
Jan 22, 2019·Anesthesiology·Maurizio CeredaRahim R Rizi
May 31, 2017·The Cochrane Database of Systematic Reviews·Amanda CorleyAndrew F Smith
Sep 27, 2016·Anesthesia and Analgesia·Audrey MonastesseMartin Girard
May 5, 2020·The Journal of International Medical Research·Peng ShenYunchao Shi
Jan 14, 2020·Journal of Clinical Monitoring and Computing·Sasidharan SachinSuparna Bharadwaj
May 10, 2020·Canadian Association of Radiologists Journal = Journal L'Association Canadienne Des Radiologistes·Carole DennieJana Taylor
Jun 10, 2020·European Heart Journal Cardiovascular Imaging·Luna GarganiMatteo Cameli
Nov 20, 2013·Current Opinion in Critical Care·Francesco CorradiPaolo Pelosi
Jul 22, 2020·PloS One·Auguste DargentUNKNOWN COVID-LUS study group
Sep 8, 2020·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·Giovanni Battista FonsiAndrea Mingoli
Dec 17, 2014·Anesthesiology·Belaïd BouhemadIsabelle Rouquette
Jan 23, 2015·Anesthesiology·Martin GirardAudrey Monastesse

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.