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| Diaphragm excursion as a predictor of weaning from mechanical ventilation in postoperative esophageal cancer patients |
| Pan Ling-ai, Wang Yi-ping |
| Intensive Care Unit, Sichuan Provincial People′s Hospital, Chengdu 610072, China |
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Abstract Objective: To evaluate the predictive value of the diaghram excursion for weaning from mechanical ventilation in post-operative esophageal cancer patients. Methods: 108 post-operative esophageal cancer patients who need the mechanical ventilation more than 72 h were enrolled for this prospective study. All patients were evaluated to be weaned from June 2014 to May 2017. Patients received SBT for 1 h, and we performed the ultrasound for the right hemi-diaphram and recorded the diaphragm excursion. The patients who passed the SBT and without need for reintubation or NIPPV within 48 h were included into A group; the others were included into B group. Results: The diaphragm excursion of group A was (1.28±0.29) cm; the oxygen partial pressure was (102.3±9.6) mm Hg; the diaphragm excursion of group B was (0.89±0.21) cm; the oxygen partial pressure was (78.2±11.7) mm Hg. The diaphragm excursion of group B was significantly smaller than that of group A, and oxygen partial pressure was significantly lower than group A. The difference between the two groups was statistically significant (P＜0.05). Conclusion: The assessment of diaphragm excursion using ultrasound may be helpful to predict weaning for post-operative esophageal cancer patients.
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Received: 28 July 2017
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| About author:: Pan Ling-ai, E-mail: panlingai2004@163.com |
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