Predicting Weaning Outcome of Mechanically Ventilated Patients Using Ultrasound Diaphragmatic Excursion-Based Shallow Breathing Index Compared to Traditional Shallow Breathing Index

Wageh Mahdy, Enas; Ibrahim Saad, Saad; Gamal Thabet Muhammad, Muhammad; Ali Okab, Engy

doi:10.21608/bmfj.2024.315377.2179

Predicting Weaning Outcome of Mechanically Ventilated Patients Using Ultrasound Diaphragmatic Excursion-Based Shallow Breathing Index Compared to Traditional Shallow Breathing Index

Document Type : Original Article

Authors

¹ Assistant Professor of Anesthesia & Intensive Care, Faculty of Medicine – Benha University, Egypt

² Professor of Anesthesia & Intensive Care, Faculty of Medicine, Benha University, Egypt

³ Department of Critical Care Medicine, Faculty of Medicine, Benha University, Egypt

⁴ Lecturer of Critical Care Medicine, Faculty of Medicine, Benha University, Egypt

10.21608/bmfj.2024.315377.2179

Abstract

Background: Mechanical ventilation is crucial incident in intensive care unit management. Weaning is method of decreasing ventilatory support.
This study aimed to predict weaning outcome of MV patients using diaphragmatic excursion dependent shallow breathing index and compare it with traditional shallow breathing index. Methods: The study was prospective observational study that included 58 MV patients randomized into 2 equal groups, Group (I): were assessed using rapid shallow breathing index and Group (II) underwent ultrasonographic assessment for diaphragmatic excursion and assessed using diaphragmatic rapid shallow breathing index. All cases underwent continuous oxygen saturation monitoring, arterial blood gas analysis, and ECG. Results: Glasgow coma scale was higher in weaning success group compared to weaning failure group (P

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