Diaphragmatic Ultrasound and Weaning After Lung Transplant.
NCT05670327 · Status: COMPLETED · Type: OBSERVATIONAL · Enrollment: 43
Last updated 2023-01-04
Summary
The prevalence and adverse effect of diaphragm dysfunction (DD) after bilateral-lung transplant (LT) are still unclear, despite a well-known negative impact on weaning and outcome in other cohorts of critically ill and surgical patients.
Objects: The primary aim is investigating the prevalence of DD, assessed using point-of-care ultrasound and defined as diaphragm thickening fraction (TFdi) \< 29%, at the first weaning trial after LT.
Secondary aims are investigating the impact of DD on weaning (defined success or failure according to pre-defined criteria, neuroventilatory efficiency (EAdi or NVE), perioperative (14-day) pneumonia, ICU length of stay (LOS), in-hospital mortality, and identifying potential risk factors for DD. Moreover, we aim to study the correlation between TFdi versus EAdi/NVE and the rapid shallow breathing index (RSBI), respectively.
Conditions
- Diaphragm
- Diaphragm Disease
- Diaphragm Issues
- Weakness, Muscle
Interventions
- OTHER
-
Diaphragmatic ultrasound assessment
TFdi, diaphragmatic dysplacement, NAVA assessment, respiratory paramenters
Sponsors & Collaborators
-
University of Padova
lead OTHER
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2021-06-22
- Primary Completion
- 2022-10-19
- Completion
- 2022-12-01
Countries
- Italy
Study Locations
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