Ultrasound assessment of lung aeration loss during a successful weaning trial predicts postextubation distress*

@article{Soummer2012UltrasoundAO,
  title={Ultrasound assessment of lung aeration loss during a successful weaning trial predicts postextubation distress*},
  author={Alexis Soummer and S{\'e}bastien Perbet and H{\'e}l{\`e}ne Brisson and Charlotte Arbelot and Jean Michel Constantin and Qin Lu and J. J. Rouby and Mohammed Bouberima and Laurence Roszyk and B{\'e}laid Bouhemad and Antoine Monsel1 and Chung Hi Do and Mohamed Saleh and Corinne V{\'e}zinet and Liliane Bodin and Yannick Lemanach and Catherine Devilliers and Jean-{\'e}tienne Bazin and Sophie Cayot-Constantin and Vincent Sapin and Matthieu Jabaudon and Pierre Bulpa},
  journal={Critical Care Medicine},
  year={2012},
  volume={40},
  pages={2064–2072}
}
Objective:Postextubation distress after a successful spontaneous breathing trial is associated with increased morbidity and mortality. Predicting postextubation distress is therefore a major issue in critically ill patients. To assess whether lung derecruitment during spontaneous breathing trial assessed by lung ultrasound is predictive of postextubation distress. Design and Setting:Prospective study in two multidisciplinary intensive care units within University Hospital. Patients and Methods… 
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289 Citations
Highly Influential Citations
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Methods Citations
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289 Citations

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Combined Thoracic Ultrasound Assessment during a Successful Weaning Trial Predicts Postextubation Distress
TLDR
The decision to attempt extubation could be significantly assisted by an integrative, dynamic, and fully bedside ultrasonographic assessment of cardiac, lung, and diaphragm functions.
Plasma Levels of sRAGE, Loss of Aeration and Weaning Failure in ICU Patients: A Prospective Observational Multicenter Study
TLDR
Plasma levels of sRAGE do not predict postextubation distress or SBT failure/success in patients weaning from mechanical ventilation, but may not be evaluable by plasma levels of SRAGE, a marker of alveolar type I epithelial cell injury.
Behavior of lung ultrasound findings during spontaneous breathing trial
TLDR
A loss of lung aeration during the spontaneous breathing trial in non-dependent lung zones was demonstrated in subjects who failed to wean.
Influence of lung aeration on diaphragmatic contractility during a spontaneous breathing trial: an ultrasound study
TLDR
In patients with high lung aeration loss, increased diaphragmatic contractility indicates an additional respiratory effort to compensate lung volume loss that would contribute to successful SBT.
Lung ultrasound and the role of lung aeration score in patients with acute respiratory distress syndrome on extracorporeal membrane oxygenation
TLDR
In most of the patients who were weaned off VV-ECMO, a progressive reduction of LUS aeration scores corresponding to lung re-aeration was observed, and LUS correlated with findings on CT and CXR for quantifying lung aeration and the clinical presentation of patients.
Lung ultrasound score before and after extubation for predicting weaning outcome
TLDR
LUS use after extubation also helps in early prediction of post-extubation failure by assessing aeration changes and other lung pathology, and is very useful additive tool in predicting extubations failure eas­ily and timely.
Pulmonary Ultrasound and Diaphragmatic Shortening Fraction Combined Analysis for Extubation-Failure-Prediction in Critical Care Patients.
Sonographic measurement of lung aeration versus rapid shallow breathing index as a predictor of successful weaning from mechanical ventilation
TLDR
Lung ultrasound is useful as a bedside tool that can help physicians in their weaning decisions and there was a statistically significant relation between LUS and the other variables including hospital stay, mechanical ventilation duration, and mortality.
Assessment of Lung Aeration and Recruitment by CT Scan and Ultrasound in Acute Respiratory Distress Syndrome Patients*
TLDR
Global Lung Ultrasound score variations should not be used for bedside assessment of positive end-expiratory pressure–induced recruitment, and is a valid tool to assess regional and global lung aeration.
Ultrasonographic evaluation of lung and heart in predicting successful weaning in mechanically ventilated neurosurgical patients
TLDR
Point of care lung and cardiac ultrasonography may be useful in detecting cardiopulmonary changes induced by SBT, suggesting significant lung de-recruitment in critically ill neurosurgical patients.
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