الفهرس 
Anatomy of the Respiratory Diaphragm and LungsOnly 14 pages are availabe for public view
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Abstract
Background: Weaning off Mechanical ventilation (MV) is a critical step in pediatric ICU however it lacks standardized criteria. Diaphragmatic Ultrasound parameters like diaphragm thickening fraction (DTF), diaphragmatic excursion (DE), and time to peak inspiratory amplitude (TPIA) can be used to assess diaphragmatic muscle strength and to predict weaning success.
Aim of study: Is to assess the validity of diaphragmatic ultrasonography as a predictor of weaning outcome from mechanical ventilation in pediatric age group.
Methods: Prospective cohort study including 30 pediatric patients aged 0-18 years on mechanical ventilation. Ultrasound measurements of diaphragmatic thickening fraction, diaphragmatic excursion, and time to peak inspiratory amplitude were taken during the spontaneous breathing trial (SBT) and compared between successful and failed weaning groups.
Results: Out of the included 30 patients (50% male), 19 patients (63.3%) were successfully weaned. Mechanical ventilation duration was significantly longer in the failed weaning group (P=0.017). There was significant difference between both groups regarding right DE (P=0.032) and left DE (P=0.022) with cutoff values of >4.1 mm and >5.5 mm with AUC (Area under curve) of 0.737 and 0.831 respectively. There was no statistically significant difference between both groups regarding DTF or TPIA.
Conclusion: We have found that DE is a predictor of weaning success while DTF and diaphragmatic TPIA had no correlation with weaning outcome.