Evidence map›Paper›PMID 36643338›Full record

ArticleArchives of clinical and biomedical research2022

Diaphragm Ultrasound: A Valuable Predictor of the Outcome of Extubation. An Observational Pilot Study in Covid-19 Related ARDS.

Veronica Gagliardi, Angelo Butturini, Gioconda Ferraro, Giuseppe Gagliardi

Abstract read
In one paragraph

Article in Archives of clinical and biomedical research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Observational
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Veronica GagliardiUniversity of Padua, Italy.
Angelo ButturiniDepartment of Anesthesia and Intensive Care, Ospedale Santa Maria della Misericordia, AULSS 5 Polesana, Rovigo, Italy.
Gioconda FerraroDepartment of Anesthesia and Intensive Care, Ospedale Santa Maria della Misericordia, AULSS 5 Polesana, Rovigo, Italy.
Giuseppe GagliardiUniversity of Padua, Italy.

Funding

NCBI Production Resource DevelopmentZ01LM000160 · NLM · NATIONAL LIBRARY OF MEDICINE · PI OSTELL, JAMES M · 2002 to 2006
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Intramural NIH HHS Z01 LM000160
6 · The paper itself

Abstract

Introduction: Because both early and delayed weaning are associated with increased mortality, longer stay in the ICU and higher economic costs, performing extubation once the patient can cope with the respiratory load is completely recommended. Ultrasound Sonography (US) is an available bedside tool that allows a rapid assessment and visualization of the different structures involved in spontaneous breath. M-mode ultrasonography can be useful for the assessment of diaphragm kinetics, providing valuable information about diaphragm disfunction. Aim of the Study: The aim of this study is to find a correlation between the value of the acceleration of the diaphragm detected with the US M-mode and the outcome of the weaning. Materials and Methods: We have enrolled 19 patients admitted in our ICU. Each patient underwent the trial with the ultrasound M-mode to assess the acceleration of the diaphragm during the contraction. We have analyzed the results relating them to the outcome of the weaning. Results: While 11 of our patients have had a successful weaning, 8 have failed it, and we can see that the outcome is associated to the values of acceleration. Discussion: Our study has demonstrated that an assessment of the diaphragm function using US could represent a usable and effective technique as the acceleration is related to the force generated by the diaphragm contraction. Conclusions: In conclusion, the acceleration could be a useful parameter to consider when it comes to the prediction of the outcome of the weaning process.

Indexed as

DiaphragmICURapid Shallow Breathing IndexUltrasound Sonography

Identifiers

PMID36643338
PMCPMC9835007

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