Critical care : the official journal of the Critical Care Forum
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Extubation failure is associated with increased mortality. Cough ineffectiveness may be associated with extubation failure, but its quantification for patients undergoing weaning from invasive mechanical ventilation (IMV) remains challenging. ⋯ Sonometric assessment of cough strength might be helpful to identify patients at risk of extubation failure in patients undergoing IMV.
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Randomized Controlled Trial
Single-plane versus real-time biplane approaches for ultrasound-guided central venous catheterization in critical care patients: a randomized controlled trial.
Critical care patients often require central venous cannulation (CVC). We hypothesized that real-time biplane ultrasound-guided CVC would improve first-puncture success rate and reduce mechanical complications. The purpose of this study was to compare the success rate and safety of single-plane and real-time biplane approaches for ultrasound-guided CVC. ⋯ Real-time biplane imaging of ultrasound-guided CVCs offers advantages over the single-plane approach for critically ill patients.