| Institution: | 1.North Shore/LIJ Medical Center, Division of Pulmonary, Critical Care, and Sleep Medicine,Hofstra NorthShore-LIJ School of Medicine,Hempstead,USA;2.Department of Emergency Medicine,San Luigi Gonzaga University Hospital,Orbassano,Italy;3.Département de Réanimation Médicale et de Médecine Hyperbare,CHU Angers et UFR Santé Angers, Université Angers,Angers,France;4.Respiratory Intensive Care Unit,Salvatore Maugeri Foundation,Pavia,Italy;5.Division of Pulmonary and Critical Care Medicine,Albany Medical Center,Albany,USA;6.Assistance Publique-H?pitaux de Paris, H?pital Ambroise Paré, Service de Réanimation,P?le Thorax-Maladies Cardiovasculaires-Abdomen-Métabolisme,Boulogne-Billancourt,France;7.INSERM U-1018,CESP, Equipe 5 (EpReC, Epidémiologie Rénale et Cardiovasculaire),Villejuif,France;8.Université de Versailles Saint-Quentin en Yvelines,UFR des Sciences de la Santé Simone Veil,Saint-Quentin en Yvelines,France |
| Abstract: | PurposeOn 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.MethodsThis article reviews some applications of ultrasonography that may be relevant to the process of weaning from mechanical ventilatory support.ResultsThe 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.ConclusionsUltrasonography may have useful application during the weaning process from mechanical ventilatory support. |
