000			02939cam a2200349 a 4500
003			EG-GiCUC
005			20250223031332.0
008			151109s2015 ua dh f m 000 0 eng d
040			_aEG-GiCUC _beng _cEG-GiCUC
041	0		_aeng
049			_aDeposite
097			_aM.Sc
099			_aCai01.11.09.M.Sc.2015.Ma.U
100	0		_aMahmoud Ahmed Mosa Mohamed
245	1	0	_aUltrasound assessment of lung aeration loss during a successful weaning trial predicts postextubation distress / _cMahmoud Ahmed Mosa Mohamed ; Supervised Tarek Samir Elgohary , Khaled Mahmoud Kamel , Wael Samy Gamal
246	1	5	_a{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
260			_aCairo : _bMahmoud Ahmed Mosa Mohamed , _c2015
300			_a133 P. : _bcharts . facsimiles ; _c25cm
502			_aThesis (M.Sc.) - Cairo University - Faculty of Medicine - Department of Critical Care Medicine
520			_aAim 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
530			_aIssued also as CD
653		4	_aLung ultrasound
653		4	_aMechanical ventilation
653		4	_aPostextubation distress
700	0		_aKhaled Mahmoud Kamel , _eSupervisor
700	0		_aTarek Samir Elgohary , _eSupervisor
700	0		_aWael Samy Gamal , _eSupervisor
856			_uhttp://172.23.153.220/th.pdf
905			_aNazla _eRevisor
905			_aSoheir _eCataloger
942			_2ddc _cTH
999			_c53190 _d53190