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Thursday 22 August 2013

Usefulness of combined bedside lung ultrasound and echocardiography to assess weaning failure from mechanical ventilation

Usefulness of combined bedside lung ultrasound and echocardiography to assess weaning failure from mechanical ventilation: A suggestive case.  Critical care medicine, Aug 2013, Vol. 41(8) [online case report]

Mongodi, S., et al.

http://journals.lww.com/ccmjournal/Abstract/2013/08000/Usefulness_of_Combined_Bedside_Lung_Ultrasound_and.50.aspx

Recognition of the cardiac origin of weaning failure is a crucial issue for successful discontinuation of mechanical ventilation. Bedside lung ultrasound and echocardiography have shown a potential in predicting weaning failure. Objective of this report was to describe the case of a patient repeatedly failing to wean from mechanical ventilation, where the combined use of lung ultrasound and echocardiography during a spontaneous breathing trial uncovered an unexpected cause of the failure.

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