COMPARISON BETWEEN THORACIC FLUID CONTENT AND LUNG ULTRASOUND IN PREDICTING WEANING FAILURE FROM MECHANICAL VENTILATION IN SEPTIC SHOCK

Document Type : Preliminary preprint short reports of original research

Authors

Department of Critical Care Medicine, Faculty of Medicine, Alexandria University

Abstract

Sepsis is a life-threatening organ dysfunction due to dysregulated host response to infection. Septic shock is a subset of sepsis in which underlying circulatory, cellular and metabolic abnormalities are profound enough to substantially increase mortality.
Weaning of patients from the mechanical ventilation remains one of the critical decisions in intensive care unit. Earlier patient weaning from mechanical ventilation is recommended to avoid complications of prolonged mechanical ventilation; however, premature weaning might result in extubation failure.
Electrical Cardiometry (EC) is a non-invasive method for monitoring thoracic fluid content (TFC) and other hemodynamic parameters. Its concept is based on electrical impedance and erythrocytes arrangement during the cardiac cycle.
Lung ultrasound (LUS) is a useful toolto predict early weaning failure by displaying vertical artifacts called B lines, the number of these B lines correlates with extravascular lung water (EVLW) increase.

AIM OF THE WORK
The aim of this study was to compare thoracic fluid content using electrical cardiometry to lung ultrasound in predicting weaning failure from mechanical ventilation in septic shock.

Keywords

ALEXMED ePosters
Volume 6, Issue 4
September 2024
Pages 79-80

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