000			02669cam a2200349 a 4500
003			EG-GiCUC
005			20250223031444.0
008			160320s2015 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.V
100	0		_aMahmoud Ahmed Hassan Khalil
245	1	0	_aVentilator induced diaphragmatic dysfunction assessed by ultrasonography and its impact on weaning outcome / _cMahmoud Ahmed Hassan Khalil ; Supervised Yasser Sadek Nassar , Ashraf Hussein Abdelmohsen , Moamen Yahiya Mohamed
246	1	5	_aتقييم اعتلال الحجاب الحاجز الناتج عن استخدام جهاز التنفس الصناعي بواسطة الموجات الفوق صوتية وتأثير ذلك على نتيجة الفطام
260			_aCairo : _bMahmoud Ahmed Hassan Khalil , _c2015
300			_a114 P. : _bcharts , facsimiles ; _c25cm
502			_aThesis (M.Sc.) - Cairo University - Faculty of Medicine - Department of Critical Care Medicine
520			_aBackground: Ventilator induced diaphragmatic dysfunction (VIDD), as a loss of diaphragmatic force generating capacity due to the use of mechanical ventilation. Difficulties in discontinuing ventilatory support are encountered in 20{u2013}25% of mechanically ventilated patients, with a staggering 40% of time spent in the intensive care unit being devoted to weaning. M-mode ultrasonography is now an accepted qualitative method of assessing diaphragmatic motion in normal and pathological conditions. In this study, we evaluated whether diaphragmatic excursion (DE) as measured by M-mode Sonography can be a predictor of weaning and diagnosis of VIDD. Methods: Fifty consecutive patients who required mechanical ventilation {u2265}72hrs. who fulfilled the spontaneous breath trial (SBT) criteria, at the start of a 1-hr SBT, each hemidiaphragm was evaluated M-mode Sonography with the patient in the supine position. Rapid shallow Breathing index (RSBI) was simultaneously calculated at the bedside. Ultrasonographic Diaphragmatic Dysfunction (DD) was diagnosed if an Diaphragmatic Excursion (DE) was <10 mm or negative, the latter indicating paradoxical diaphragmatic movement
530			_aIssued also as CD
653		4	_aDiaphragm
653		4	_aUltrasonography
653		4	_aWeaning
700	0		_aAshraf Hussein Abdelmohsen , _eSupervisor
700	0		_aMoamen Yahiya Mohamed , _eSupervisor
700	0		_aYasser Sadek Nassar , _eSupervisor
856			_uhttp://172.23.153.220/th.pdf
905			_aAml _eCataloger
905			_aNazla _eRevisor
942			_2ddc _cTH
999			_c55652 _d55652