Ultrasound assessment of diaphragmatic dysfunction as a predictor of weaning outcome from mechanical ventilation: A systematic review and meta-analysis

BMJ Open

Volumn 8, Issue 9, 2018, Pages

  Qian, Zhicheng ^a   Yang, Ming ^a   Li, Lin ^b   Chen, Yaolong ^c  

^a AFFILIATED HOSPITAL OF NORTH SICHUAN MEDICAL COLLEGE   (China)

^b Suining People's Hospital   (China)

^c LANZHOU UNIVERSITY   (China)

Author keywords

[No Author keywords available]

Indexed keywords

CLINICAL OUTCOME; DIAPHRAGM DISEASE; DIAPHRAGMATIC EXCURSION; DIAPHRAGMATIC THICKENING FRACTION; ECHOGRAPHY; HUMAN; META ANALYSIS; PROGNOSIS; RESPIRATORY TRACT PARAMETERS; REVIEW; SENSITIVITY AND SPECIFICITY; SYSTEMATIC REVIEW; VENTILATOR WEANING; DIAGNOSTIC IMAGING; DIAPHRAGM; MOVEMENT (PHYSIOLOGY); PATHOPHYSIOLOGY; PREDICTIVE VALUE;

DIAPHRAGM; HUMANS; MOVEMENT; PREDICTIVE VALUE OF TESTS; ULTRASONOGRAPHY; VENTILATOR WEANING;

EID: 85054422688     PISSN: None     EISSN: 20446055     Source Type: Journal    
DOI: 10.1136/bmjopen-2017-021189     Document Type: Review

References (35)

1. Tanios MA, Nevins ML, Hendra KP, et al. A randomized, controlled trial of the role of weaning predictors in clinical decision making. Crit Care Med 2006; 34:2530-5.
2. Esteban A, Anzueto A, Frutos F, et al. Characteristics and outcomes in adult patients receiving mechanical ventilation: A 28-day international study. JAMA 2002; 287:345-55.
3. Torres A, Gatell JM, Aznar E, et al. Re-intubation increases the risk of nosocomial pneumonia in patients needing mechanical ventilation. Am J Respir Crit Care Med 1995; 152:137-41.
4. Thille AW, Richard JC, Brochard L. The decision to extubate in the intensive care unit. Am J Respir Crit Care Med 2013; 187:1294-302.
5. Heunks LM, van der Hoeven JG. Clinical review: The ABC of weaning failure-a structured approach. Crit Care 2010; 14:245.
6. Zapata L, Vera P, Roglan A, et al. B-type natriuretic peptides for prediction and diagnosis of weaning failure from cardiac origin. Intensive Care Med 2011; 37:477-85.
7. Papanikolaou J, Makris D, Saranteas T, et al. New insights into weaning from mechanical ventilation: Left ventricular diastolic dysfunction is a key player. Intensive Care Med 2011; 37:1976-85.
8. Demoule A, Jung B, Prodanovic H, et al. Diaphragm dysfunction on admission to the intensive care unit. Prevalence, risk factors, and prognostic impact-a prospective study. Am J Respir Crit Care Med 2013; 188:213-9.
9. Levine S, Nguyen T, Taylor N, et al. Rapid disuse atrophy of diaphragm fibers in mechanically ventilated humans. N Engl J Med 2008; 358:1327-35.
10. Vassilakopoulos T, Petrof BJ. Ventilator-induced diaphragmatic dysfunction. Am J Respir Crit Care Med 2004; 169:336-41.
11. Kim WY, Suh HJ, Hong SB, et al. Diaphragm dysfunction assessed by ultrasonography: Influence on weaning from mechanical ventilation. Crit Care Med 2011; 39:2627-30.
12. Ali ER, Mohamad AM. Diaphragm ultrasound as a new functional and morphological index of outcome, prognosis and discontinuation from mechanical ventilation in critically ill patients and evaluating the possible protective indices against VIDD. Egypt J Chest Dis Tuberc 2017; 66:339-51.
13. Dres M, Dube BP, Mayaux J, et al. Coexistence and Impact of Limb Muscle and Diaphragm Weakness at Time of Liberation from Mechanical Ventilation in Medical Intensive Care Unit Patients. Am J Respir Crit Care Med 2017; 195:57-66.
14. Whiting PF, Rutjes AW, Westwood ME, et al. QUADAS-2: A revised tool for the quality assessment of diagnostic accuracy studies. Ann Intern Med 2011; 155:529-36.
15. Higgins JP, Thompson SG. Quantifying heterogeneity in a metaanalysis. Stat Med 2002; 21:1539-58.
16. Doorduin J, van Hees HW, van der Hoeven JG, et al. Monitoring of the respiratory muscles in the critically ill. Am J Respir Crit Care Med 2013; 187:20-7.
17. Llamas-Alvarez AM, Tenza-Lozano EM, Latour-Perez J. Diaphragm and lung ultrasound to predict weaning outcome: Systematic review and meta-analysis. Chest 2017; 152:1140-50.
18. Zambon M, Greco M, Bocchino S, et al. Assessment of diaphragmatic dysfunction in the critically ill patient with ultrasound: A systematic review. Intensive Care Med 2017; 43:29-38.
19. Jiang JR, Tsai TH, Jerng JS, et al. Ultrasonographic evaluation of liver/spleen movements and extubation outcome. Chest 2004; 126:179-85.
20. Hu S, Zhou S, Wu D, et al. The predicting value of diaphragm ultrasound for weaning. Acta Universitatis Medicinalis Anhui 2016; 51:673-7.
21. Spadaro S, Grasso S, Mauri T, et al. Can diaphragmatic ultrasonography performed during the T-tube trial predict weaning failure? The role of diaphragmatic rapid shallow breathing index. Crit Care 2016; 20:305-16.
22. Farghaly S, Hasan AA. Diaphragm ultrasound as a new method to predict extubation outcome in mechanically ventilated patients. Aust Crit Care 2017; 30:37-43.
23. Xu S, Bu Z, Pan C, et al. Diaphragm excursion as a predictor of difficult weaning from mechanical ventilation in patients with severe chronic obstructive pulmonary disease. Chinese Journal of Critical Care Medicine 2017; 37:49-53.
24. Vassilakopoulos T, Zakynthinos S, Roussos C. The tensiontime index and the frequency/tidal volume ratio are the major pathophysiologic determinants of weaning failure and success. Am J Respir Crit Care Med 1998; 158:378-85.
25. Capdevila X, Perrigault PF, Ramonatxo M, et al. Changes in breathing pattern and respiratory muscle performance parameters during difficult weaning. Crit Care Med 1998; 26:79-87.
26. Mead J. Functional significance of the area of apposition of diaphragm to rib cage [proceedings]. Am Rev Respir Dis 1979; 119:31-2.
27. Gong J, Zhang B. A comparative study on predicting outcome of ventilator weaning by diaphragmatic excursion, spontaneous breathing trial and rapid shallow breathing index. Trauma & Critical Care Medicine 2016; 4:133-7.
28. Carrie C, Gisbert-Mora C, Bonnardel E, et al. Ultrasonographic diaphragmatic excursion is inaccurate and not better than the MRC score for predicting weaning-failure in mechanically ventilated patients. Anaesth Crit Care Pain Med 2017; 36:9-14.
29. Vivier E, Mekontso Dessap A, Dimassi S, et al. Diaphragm ultrasonography to estimate the work of breathing during noninvasive ventilation. Intensive Care Med 2012; 38:796-803.
30. Ferrari G, De Filippi G, Elia F, et al. Diaphragm ultrasound as a new index of discontinuation from mechanical ventilation. Crit Ultrasound J 2014; 6:8-14.
31. De Jonghe B, Bastuji-Garin S, Durand MC, et al. Respiratory weakness is associated with limb weakness and delayed weaning in critical illness. Crit Care Med 2007; 35:2007-15.
32. Supinski GS, Callahan LA. Diaphragm weakness in mechanically ventilated critically ill patients. Crit Care 2013; 17:R120-37.
33. Dube BP, Dres M, Mayaux J, et al. Ultrasound evaluation of diaphragm function in mechanically ventilated patients: Comparison to phrenic stimulation and prognostic implications. Thorax 2017; 72:811-8.
34. Zhang Z, Xu X, Ni H. Small studies may overestimate the effect sizes in critical care meta-analyses: A meta-epidemiological study. Crit Care 2013; 17:R2-11.
35. DiNino E, Gartman EJ, Sethi JM, et al. Diaphragm ultrasound as a predictor of successful extubation from mechanical ventilation. Thorax 2014; 69:431-5.