OBJECTIVE To measure the diaphragmatic excursion and its outcome on weaning from mechanical ventilation. STUDY DESIGN Cross-sectional comparative study. PLACE AND DURATION OF STUDY Medical Intensive Care Unit (ICU), Military Hospital (MH), Rawalpindi, Pakistan, from January to December 2014. METHODOLOGY Diaphragmatic excursion (DE) in cm was measured through ultrasound by marking liver an...

Two trials involving a total of 56 pigs were conducted to examine the effects of weaning at 7 d of age (trial 1) and of energy intake level and length of post-weaning underfeeding period (trial 2) on small intestinal (SI) development and morphometry. At 3 d after weaning, weight of the SI and mucosa (g/kg body weight) and villous height along SI were reduced by 20, 36 and 41%, respectively, com...

OBJECTIVE We sought to determine whether the utilization of a respiratory therapist (RT) driven mechanical ventilation weaning protocol is associated with improvement in clinical outcomes in subjects with simple versus difficult weaning. METHODS This was a retrospective analysis of prospectively collected data obtained during a quality improvement project. We collected data on 803 consecutive...

Background Weaning from mechanical ventilation to spontaneous breathing is associated with changes in the hemodynamic and autonomic nervous systems that are reflected by heart rate variability. Although cardiac dysrhythmias are an important manifestation of hemodynamic alterations, the impact of heart rate variability on the occurrence of dysrhythmias during weaning has not been specifically st...

a 21-year old man with cervical spinal cord damage due to diving was admitted in the icu. tracheostomy was performed due to prolonged mechanical ventilation. left lung atelectasis happened frequently. because of the difficulty of bronchoscopy and failing of recruitment, using a double lumen, two tracheal tubes were guided into the left and right lungs through the tracheostomy stoma site. after ...

Background and Objectives: This review aims to explore the use of inspiratory muscle training (IMT) in patients with mechanical ventilation (MV). The topics were related to its effect on the duration of MV or weaning, respiratory symptoms or lung function, inspiratory muscle strength (IMS) or endurance, functional ability, and quality of life (QoL).  Methods: Articles published in the last 10 ...

BACKGROUND Weaning is the process during which mechanical ventilation is withdrawn and the work of breathing is transferred from the ventilator back to the patient. Prolonged weaning is associated with development of ventilator-related complications and longer stays in the Intensive Care Unit (ICU). Computerized or Automated Weaning is a novel weaning strategy that continuously measures and ada...