TY  - BOOK
AU  - Mahmoud Ahmed Mosa Mohamed 
AU  - Khaled Mahmoud Kamel , 
AU  - Tarek Samir Elgohary , 
AU  - Wael Samy Gamal , 
TI  - Ultrasound assessment of lung aeration loss during a successful weaning trial predicts postextubation distress / 
PY  - 2015///
CY  - Cairo : 
PB  - Mahmoud Ahmed Mosa Mohamed  , 
KW  - Lung ultrasound
KW  - Mechanical ventilation
KW  - Postextubation distress
N1  - Thesis (M.Sc.) - Cairo University - Faculty of Medicine - Department of Critical Care Medicine; Issued also as CD
N2  - 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
UR  - http://172.23.153.220/th.pdf
ER  -