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Intensive Care Medicine
Published in: Intensive Care Medicine 7/2016

01-07-2016 | Review

Ultrasonography evaluation during the weaning process: the heart, the diaphragm, the pleura and the lung

Authors: P. Mayo, G. Volpicelli, N. Lerolle, A. Schreiber, P. Doelken, A. Vieillard-Baron

Published in: Intensive Care Medicine | Issue 7/2016

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Abstract

Purpose

On a regular basis, the intensivist encounters the patient who is difficult to wean from mechanical ventilatory support. The causes for failure to wean from mechanical ventilatory support are often multifactorial and involve a complex interplay between cardiac and pulmonary dysfunction. A potential application of point of care ultrasonography relates to its utility in the process of weaning the patient from mechanical ventilatory support.

Methods

This article reviews some applications of ultrasonography that may be relevant to the process of weaning from mechanical ventilatory support.

Results

The authors have divided these applications of ultrasonography into four separate categories: the assessment of cardiac, diaphragmatic, and lung function; and the identification of pleural effusion; which can all be evaluated with ultrasonography during a dynamic process in which the intensivist is uniquely positioned to use ultrasonography at the point of care.

Conclusions

Ultrasonography may have useful application during the weaning process from mechanical ventilatory support.
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Metadata
Title
Ultrasonography evaluation during the weaning process: the heart, the diaphragm, the pleura and the lung
Authors
P. Mayo
G. Volpicelli
N. Lerolle
A. Schreiber
P. Doelken
A. Vieillard-Baron
Publication date
01-07-2016
Publisher
Springer Berlin Heidelberg
Published in
Intensive Care Medicine / Issue 7/2016
Print ISSN: 0342-4642
Electronic ISSN: 1432-1238
DOI
https://doi.org/10.1007/s00134-016-4245-3

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