Diaphragm excursion as a predictor of weaning from mechanical ventilation in postoperative esophageal cancer patients
Pan Ling-ai
Wang Yi-ping
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.
Keywords：UltrasoundDiaphragm excursionEsophageal cancerWean
Publication Date：2017-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 1115-1117 )