Diaphragmatic ultrasonography as a predictor for mechanical ventilation weaning in adults: an integrative review
ABSTRACT Diaphragmatic ultrasonography (US) has been used to evaluate several respiratory diseases. Due to portability, this examination can easily be performed at bedside, in wards, emergency rooms and especially in the intensive care unit To identify and analyze how diaphragmatic ultrasonography c...
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Universidade de São Paulo
2025-08-01
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| Series: | Fisioterapia e Pesquisa |
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| author | Enathanael Ribeiro Soares Joel Freires de Alencar Arrais Flávio Vinicius Fagundes Xavier Adalberto Veronese da Costa Glêbia Alexa Cardoso Wildberg Alencar Lima |
| author_facet | Enathanael Ribeiro Soares Joel Freires de Alencar Arrais Flávio Vinicius Fagundes Xavier Adalberto Veronese da Costa Glêbia Alexa Cardoso Wildberg Alencar Lima |
| author_sort | Enathanael Ribeiro Soares |
| collection | DOAJ |
| description | ABSTRACT Diaphragmatic ultrasonography (US) has been used to evaluate several respiratory diseases. Due to portability, this examination can easily be performed at bedside, in wards, emergency rooms and especially in the intensive care unit To identify and analyze how diaphragmatic ultrasonography can support safe mechanical ventilation weaning based on scientific evidence. This is an integrative literature review. Bibliographic survey was conducted from September to November 2022 in the following electronic databases: SciELO, LILACS and PubMed. A total of eight articles were included and evaluated using the Newcastle-Ottawa and PEDro scales, showing intermediate to high methodological quality. In total, the studies included 482 adult volunteers, of both sexes, aged 58.09±8.03, who had undergone invasive mechanical ventilation for at least 24 hours and were under ventilation to continue invasive ventilation weaning. In the selected studies, we found three evaluative variables: diaphragmatic excursion (DE) (75%); diaphragmatic thickness (DT) (62.5%); and diaphragmatic thickening fraction (DTF) (100%). Incorporating DT, DE and DTF into protocols for mechanical ventilation weaning in critically ill patients seems to support decision-making on the ideal time for weaning, reducing extubation failure. |
| format | Article |
| id | doaj-art-0bc45a61ddbf424fa1c8f20dd9261fd0 |
| institution | Kabale University |
| issn | 2316-9117 |
| language | English |
| publishDate | 2025-08-01 |
| publisher | Universidade de São Paulo |
| record_format | Article |
| series | Fisioterapia e Pesquisa |
| spelling | doaj-art-0bc45a61ddbf424fa1c8f20dd9261fd02025-08-20T03:44:13ZengUniversidade de São PauloFisioterapia e Pesquisa2316-91172025-08-013210.1590/1809-2950/e24014824enDiaphragmatic ultrasonography as a predictor for mechanical ventilation weaning in adults: an integrative reviewEnathanael Ribeiro Soareshttps://orcid.org/0009-0007-3234-8270Joel Freires de Alencar Arraishttps://orcid.org/0000-0002-5127-5309Flávio Vinicius Fagundes Xavierhttps://orcid.org/0000-0002-0193-5276Adalberto Veronese da Costahttps://orcid.org/0000-0001-6597-463XGlêbia Alexa Cardosohttps://orcid.org/0009-0003-3820-8771Wildberg Alencar Limahttps://orcid.org/0000-0002-9584-3961ABSTRACT Diaphragmatic ultrasonography (US) has been used to evaluate several respiratory diseases. Due to portability, this examination can easily be performed at bedside, in wards, emergency rooms and especially in the intensive care unit To identify and analyze how diaphragmatic ultrasonography can support safe mechanical ventilation weaning based on scientific evidence. This is an integrative literature review. Bibliographic survey was conducted from September to November 2022 in the following electronic databases: SciELO, LILACS and PubMed. A total of eight articles were included and evaluated using the Newcastle-Ottawa and PEDro scales, showing intermediate to high methodological quality. In total, the studies included 482 adult volunteers, of both sexes, aged 58.09±8.03, who had undergone invasive mechanical ventilation for at least 24 hours and were under ventilation to continue invasive ventilation weaning. In the selected studies, we found three evaluative variables: diaphragmatic excursion (DE) (75%); diaphragmatic thickness (DT) (62.5%); and diaphragmatic thickening fraction (DTF) (100%). Incorporating DT, DE and DTF into protocols for mechanical ventilation weaning in critically ill patients seems to support decision-making on the ideal time for weaning, reducing extubation failure.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1809-29502025000100501&lng=en&tlng=enUltrasonographyDiaphragmVentilator Weaning |
| spellingShingle | Enathanael Ribeiro Soares Joel Freires de Alencar Arrais Flávio Vinicius Fagundes Xavier Adalberto Veronese da Costa Glêbia Alexa Cardoso Wildberg Alencar Lima Diaphragmatic ultrasonography as a predictor for mechanical ventilation weaning in adults: an integrative review Fisioterapia e Pesquisa Ultrasonography Diaphragm Ventilator Weaning |
| title | Diaphragmatic ultrasonography as a predictor for mechanical ventilation weaning in adults: an integrative review |
| title_full | Diaphragmatic ultrasonography as a predictor for mechanical ventilation weaning in adults: an integrative review |
| title_fullStr | Diaphragmatic ultrasonography as a predictor for mechanical ventilation weaning in adults: an integrative review |
| title_full_unstemmed | Diaphragmatic ultrasonography as a predictor for mechanical ventilation weaning in adults: an integrative review |
| title_short | Diaphragmatic ultrasonography as a predictor for mechanical ventilation weaning in adults: an integrative review |
| title_sort | diaphragmatic ultrasonography as a predictor for mechanical ventilation weaning in adults an integrative review |
| topic | Ultrasonography Diaphragm Ventilator Weaning |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1809-29502025000100501&lng=en&tlng=en |
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