02939cam a2200349 a 4500 EG-GiCUC 20250223031332.0 151109s2015 ua dh f m 000 0 eng d EG-GiCUC eng EG-GiCUC eng Deposite M.Sc Cai01.11.09.M.Sc.2015.Ma.U Mahmoud Ahmed Mosa Mohamed Ultrasound assessment of lung aeration loss during a successful weaning trial predicts postextubation distress / Mahmoud Ahmed Mosa Mohamed ; Supervised Tarek Samir Elgohary , Khaled Mahmoud Kamel , Wael Samy Gamal {uFE98}{uFED8}{uFEF4}{uFEF4}م {uئإؤ٣}{uئإؤ٨}دان التهو{uئإئ٤}{uئإ٩٤} الر{uئإ٨أ}و{uئإئ٤}{uئإ٩٤} {uئإ٩٢}{uئإ٨إ}{uئإآ٤}{uئإ٩٨}{uئإء٨}دام المو{uئإء٠}{uئإ٨إ}ت {uئإؤ٣}وق الصو{uئإ٩٨}{uئإئ٤}{uئإ٩٤} على الرئة اثناء مرحلة الفطام الناجحة للتنبؤ بالاضطرابات التنفسية ما بعد نزع الانبوبة الحنجرية Cairo : Mahmoud Ahmed Mosa Mohamed , 2015 133 P. : charts . facsimiles ; 25cm Thesis (M.Sc.) - Cairo University - Faculty of Medicine - Department of Critical Care Medicine Aim of work: To asses whether lung derecruitment during spontaneous breathing trial and postextubation assessed by lung ultrasound is predictive of postextubation distress. Results: Mean age was 56.66 ±6.36, 56% were males. Twelve patients failed the spontaneous breathing trial, 38 were extubated. 24 were definitively weaned (postextubation success group), and 14 suffered from postextubation distress. Loss of lung aeration at end of spontaneous breathing trial was marked in patients with postextubation distress, and increased from (11.57±2.24) to (14.93±2.23). ROC curve has an excellent predictive value for postextubation distress with area under the curve (AUC) 0.972 & cutoff value LUS {u2265}11 at the end of spontaneous breathing trial, with asensitivity of 100% & a specificity of 88%. ROC curve for difference in LUS between basal &end of trial showed an excellent predictive value for postextubation distress with sensitivity 100% & specificity 83% at cutoff value {u2265} 3 ( area under the curve = 0.91 ). Conclusion: Lung ultrasound determination of aeration changes during a successful spontaneous breathing trial accurately predict postextubation distress Issued also as CD Lung ultrasound Mechanical ventilation Postextubation distress Khaled Mahmoud Kamel , Supervisor Tarek Samir Elgohary , Supervisor Wael Samy Gamal , Supervisor http://172.23.153.220/th.pdf Nazla Revisor Soheir Cataloger ddc TH 53190 53190 ddc 0 CUCL cl210 2024-02-11 Cai01.11.09.M.Sc.2015.Ma.U 01010110066690000 2023-09-22 00:00:00 TH ddc 0 CUCL cl2u8 2024-02-11 Cai01.11.09.M.Sc.2015.Ma.U 01020110066690000 2023-09-22 00:00:00 66690.CD CD