ArticleIndian journal of anaesthesia2022
Role of diaphragm ultrasound in weaning mechanically ventilated patients: A prospective observational study.
Article in Indian journal of anaesthesia, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.
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Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it, 26 citations in OpenAlex.
- Accuracy of respiratory muscle assessments to predict weaning outcomes: a systematic review and comparative meta-analysis.Critical care (London, England) · 2024Pooled it
- Effects of external diaphragmatic pacing with neurally adjusted ventilatory assist on diaphragm function in AECOPD patients.Scientific reports · 2025Trial
- Effectiveness of diaphragmatic ultrasound as a predictor of successful weaning from mechanical ventilation.Journal of clinical monitoring and computing · 2025Observational
- Article
- Ultrasonographic evaluation of diaphragm thickness and excursion: correlation with weaning success in trauma patients: prospective cohort study.Journal of anesthesia · 2024Article
- Value of diaphragmatic ultrasound parameters in assessing weaning outcomes and survival in ventilator-dependent intensive care unit patients.American journal of translational research · 2024Article
- Trends in research inIndian journal of anaesthesia · 2023Article
- Diaphragmatic ultrasound: A new frontier in weaning from mechanical ventilation.Indian journal of anaesthesia · 2023Article
- Exploring statistical analysis in medical research: A journey of self, with a statistician or both.Indian journal of anaesthesia · 2023Article
- Amantadine for the intractable hiccup when weaning a patient with a brainstem lesion-a case study.Indian journal of anaesthesia · 2023Article
- Thrust on airway research - Exploring the publications.Indian journal of anaesthesia · 2023Article
- Ultrasonographic Assessment of Diaphragmatic Function and Its Clinical Application in the Management of Patients with Acute Respiratory Failure.Diagnostics (Basel, Switzerland) · 2023Review
- Optimising clinical outcomes with innovative research in the intensive care unit.Indian journal of anaesthesia · 2022Article
- Identification of effective weaning through diaphragmatic ultrasound added to clinical parameters among mechanically ventilated patients in the intensive care unit at a tertiary care center: A prospective observational study.International journal of critical illness and injury scienceArticle
- Role of perioperative diaphragmatic point-of-care ultrasound in assessing postoperative pulmonary complications in brachial plexus repair surgeries with preexisting hemidiaphragm paresis: A prospective observational study.Journal of anaesthesiology, clinical pharmacologyArticle
- Diaphragm excursion-time index for predicting early extubation of cardiac surgical patients: A prospective observational study.Journal of anaesthesiology, clinical pharmacologyArticle
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background and Aims: Weaning from mechanical ventilation based on clinical parameters and rapid shallow breathing index (RSBI) is associated with a higher weaning failure. Bedside ultrasound of the diaphragm is gaining popularity to assess the diaphragm function. The aim of our study was to determine the use of diaphragm ultrasound in weaning ventilated patients. Methods: This prospective study was done on 200 adult patients on mechanical ventilation for more than 24 h. After meeting the clinical weaning criteria, a spontaneous breathing trial (SBT) was performed. RSBI was recorded and a bedside ultrasound of the diaphragm was performed to measure diaphragmatic excursion (DE) and diaphragm thickening fraction (DTF) before extubation. We assessed the predictability of weaning success of RSBI, DE and DTF by determining the area under the receiver operating characteristic (AUROC) curve and Youden's index. The requirement of non-invasive ventilation or re-intubation within 48 h was considered a weaning failure. Results: Out of the 200 patients studied, 171 were successfully weaned. The AUROC values for RSBI, DTF, DE, RSBI-DTF and RSBI-DE for successful weaning prediction were 0.422, 0.654, 0.809, 0.656 and 0.807, respectively. The predictability using cut-off values were DE >1.21 cm (sensitivity 94%, specificity 71%, Youden's index 0.65), DTF >37% (sensitivity 80%, specificity 52%, Youden's index 0.31) and RSBI <82 (sensitivity 94%, specificity 31%, Youden's index 0.25). Conclusion: Diaphragm ultrasound helps in predicting successful weaning in mechanically ventilated patients. Both DE and DTF showed a higher specificity than RSBI and a combination of RSBI-DE and RSBI-DTF was better than using RSBI alone.
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