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http://dx.doi.org/10.1007/s00408-018-0148-0 | DOI Listing |
JMIR Form Res
September 2025
Department of Critical Care Medicine, Guangdong Provincial People's Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, Guangdong Provincial Geriatrics Institute, No. 106, Zhongshaner Rd, Guangzhou, 510080, China, 86 15920151904.
Background: Point-of-care ultrasonography has become a valuable tool for assessing diaphragmatic function in critically ill patients receiving invasive mechanical ventilation. However, conventional diaphragm ultrasound assessment remains highly operator-dependent and subjective. Previous research introduced automatic measurement of diaphragmatic excursion and velocity using 2D speckle-tracking technology.
View Article and Find Full Text PDFPediatr Pulmonol
September 2025
Perinatal Institute, Division of Neonatology and Pulmonary Biology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.
Objective: To wean respiratory support, preterm infants with severe respiratory failure are often administered systemic corticosteroids. We sought to evaluate if postnatal age or clinical characteristics predicted death or tracheostomy following systemic dexamethasone in evolving bronchopulmonary dysplasia.
Study Design: We performed a retrospective study of infants born at ≤ 30 weeks' gestational age cared for at a Level IV referral center from 2009 to 2019 who received a complete course of systemic dexamethasone beyond 4 weeks of age for the indication of preventing death and/or liberating from positive pressure ventilation.
Medicine (Baltimore)
September 2025
Department of Structural Heart Disease Center, Wuhan University Central South Hospital, Wuhan, Hubei, China.
Severe pneumonia frequently necessitates intensive care, with mechanical ventilation serving as a cornerstone of treatment. Despite its life-saving benefits, ventilator weaning poses considerable challenges and is often associated with complications. This study evaluates the efficacy of a tailored nursing approach in enhancing weaning outcomes and accelerating pulmonary recovery.
View Article and Find Full Text PDFAcute Crit Care
August 2025
Department of Intensive Care Unit, Maternal and Child Health Hospital of Hubei Province, Wuhan, China.
Background: To explore the value of the diaphragm thickness fraction (TF) and diaphragm mobility (DM) measured by ultrasound for predicting ventilator withdrawal success in patients with acute respiratory distress syndrome (ARDS) after cardiac surgery.
Methods: This study included 246 patients undergoing the spontaneous breathing trial. Diaphragmatic function was evaluated by ultrasound, including the diaphragm thickness at the end of calm breathing (thickness of the diaphragm at functional residual capacity [TdiFRC]) and the maximum diaphragm thickness at the end of inspiration (thickness of the diaphragm at full vital capacity [TdiFVC]); TF=(TdiFVC-TdiFRC)/TdiFRC×100%.
Front Comput Neurosci
August 2025
General Surgery Department, The Second Hospital of Jilin University, Changchun, Jilin, China.
Diaphragm dysfunction represents a significant complication in elderly patients undergoing mechanical ventilation, often resulting in extended intensive care stays, unsuccessful weaning attempts, and increased healthcare expenditures. To address the deficiency of precise, real-time decision support in this context, a novel artificial intelligence framework is proposed, integrating imaging, physiological signals, and ventilator parameters. Initially, a hierarchical Transformer encoder is employed to extract modality-specific embeddings, followed by an attention-guided cross-modal fusion module and a temporal network for dynamic trend prediction.
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