08 August 2020: Clinical Research
Value of Combination of Heart, Lung, and Diaphragm Ultrasound in Predicting Weaning Outcome of Mechanical Ventilation
Xia Xu 1ACEF** , Rong Wu 1ACEF* , Ya-jiang Zhang 2BCDF , Hui-wen Li 1BCDF , Xiu-hong He 1CDEF , Shu-min Wang 1AEFGDOI: 10.12659/MSM.924885
Med Sci Monit 2020; 26:e924885
Table 2 Comparison of heart, lung, and diaphragm ultrasound variables between the successful and failed weaning groups.
| Variables | Successful weaning group (n=81) | Failed weaning group (n=24) | P value | |
|---|---|---|---|---|
| Echocardiographic indicators | LVEF (%) | 58.93±8.83 | 54.93±9.94 | 0.061 |
| E/A ratio | 1.35±0.33 | 1.27±0.34 | 0.303 | |
| E/e’ ratio | 7.4 (6.1, 10.2) | 10.5 (8.4, 17.5) | ||
| DTE | 185 (160, 220) | 177 (130, 260) | 0.658 | |
| LAP | 12.4 (7.2, 16.8) | 15.9 (10.8, 21.3) | ||
| LUS | 11 (7, 14) | 15 (11, 21) | ||
| Diaphragmatic function n (%) | Normal function | 55 (67.9%) | 10 (41.7%) | |
| Hemidiaphragm dysfunction | 26 (32.1%) | 14 (58.3%) | ||
| Bilateral diaphragmatic dysfunction | 0 | 0 | ||
| A – peak atrial velocity transmitral flow; DTE – deceleration time of E wave; E – the peak early velocity transmitral flow; e’ – early diastolic mitral annulus velocity; LAP – left-atrial pressure; LUS – lung ultrasound score; LVEF – left ventricular ejection fraction; APACHE II – acute physiology and chronic health evaluation II; BMI – body mass index; BNP – brain natriuretic peptide; ICU – Intensive Care Unit; RSBI – rapid shallow breathing index; SOFA – sequential organ failure assessment | ||||