Mechanical Ventilation Clinical Trial
Official title:
Ultrasound Evaluation of the Diaphragmatic Musculature in Mechanically Ventilated Patients in Intensive Care Unit
Muscle weakness and dysfunction are common problems in patients hospitalized in the intensive
care unit. Respiratory muscle weakness during mechanical ventilation was recognized a state
of muscular fatigue. The terminology 'ventilator-induced diaphragmatic dysfunction' (VIDD)
originally was introduced to describe these effects of mechanical ventilation and respiratory
muscle unloading on the diaphragm.
Ultrasonography is becoming increasingly popular management of ICU patients. It is a simple,
non-invasive and safe imaging technique that can be used for the assessment of distinctive
diaphragmatic characteristics.
Parameters such as amplitude and velocity of contraction, which can be assessed using M-mode
ultrasound. In addition, static and dynamic (thickening fraction during inspiration)
diaphragmatic thickness can also be measured by ultrasonography.
The aim of this study is to evaluate the effect of different modes of mechanical ventilation
on diaphragmatic thickness using ultrasonography and the relation between time of mechanical
ventilation and the percentage of change of diaphragmatic thickness in head trauma patients
subjected for mechanical ventilation (>2 days) intensive care unit.
Modes of ventilation will be used in the study are:
- Pressure controlled mandatory ventilation mode (P-CMV).
- Pressure synchronized intermittent mandatory ventilation mode (P-SIMV).
- Pressure support (PS) mode.
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