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European Journal of Medical Research
Published in: European Journal of Medical Research 1/2022

Open Access 01-12-2022 | Acute Respiratory Distress-Syndrome | Research

Prophetic values of lung ultrasound score on post-extubation distress in patients with acute respiratory distress syndrome

Authors: Ran Wang, Benquan Qi, Xiaohua Zhang, Liang Meng, Xiaofei Wu

Published in: European Journal of Medical Research | Issue 1/2022

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Abstract

Background

Acute respiratory distress syndrome (ARDS) has been a prevalent disease in ICU with mortality of up to 27–45%. A considerable proportion of extubated ARDS patients passing spontaneous breathing trial (SBT) still requires reintubation.

Methods

Lung ultrasonography (LUS) was used to predict the success rate of extubation. Ninety-two patients passing the 60-min SBT were included in this prospective research. Their clinical characters including LUS, APACHE II, SOFA, CPIS, EVLWI and PaO2/FiO2 were collected before the SBT. Another two LUS assessments were performed at the end of and 4 h after SBT. LUS results were evaluated and scored by two independent experts, and the correlations of LUS scores, APACHE-II scores, SOFA scores, CPIS and EVLWI with the success rate of extubation and rate of reintubation were analyzed.

Results

Failed weaning and reintubation of ARDS patients were correlated with higher LUS scores both before and after SBT. Post-extubation distress was correlated with higher APACHE-II scores, SOFA scores, CPIS and EVLWI before SBT. There were positive correlations between the LUS score and APACHE-II score, SOFA score, CPIS and EVLWI before SBT, respectively.

Conclusion

LUS score measured at the end of 60-min SBT could be used to predict post-extubation distress in ARDS patients.
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Metadata
Title
Prophetic values of lung ultrasound score on post-extubation distress in patients with acute respiratory distress syndrome
Authors
Ran Wang
Benquan Qi
Xiaohua Zhang
Liang Meng
Xiaofei Wu
Publication date
01-12-2022
Publisher
BioMed Central
Published in
European Journal of Medical Research / Issue 1/2022
Electronic ISSN: 2047-783X
DOI
https://doi.org/10.1186/s40001-022-00652-9

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