Earlyandsimpledetectionofdiastolicdysfunctionduring：在早期，简单的舒张功能不全的检测.pdfVIP

Voga Critical Care 2012, 16:137 /content/16/4/137 co m m e n tA r y Early and simple detection of diastolic dysfunction during weaning from mechanical ventilation Gorazd Voga* See related research by Moschietto et al., /content/16/3/R81 Moschietto and coworkers performed a complete trans­ Abstract thoracic echocardiographic examination just before and Weaning from mechanical ventilation imposes 10  minutes after starting a spontaneous breathing trial additional work on the cardiovascular system and can (SBT) in 68 nonselected patients, who were ventilated for provoke or unmask left ventricular diastolic dysfunction more than 48  hours [1]. The aim of the study was to with consecutive pulmonary edema or systolic define the role of left ventricular (LV) systolic and dysfunction with inadequate increase of cardiac output diastolic function in weaning outcome. and unsuccessful weaning. Echocardiography, which Twenty out of 68 patients failed to wean. There was no is increasingly used for hemodynamic assessment of difference in LV systolic function between both the failed critically ill patients, allows differentiation between and successful weaning groups, and systolic dysfunction systolic and diastolic failure. For various reasons, (defined as LV ejection fraction 50%) was not related to transthoracic echocardiographic assessment was weaning outcome. The ratio between the mitral Doppler limited to patients with good echo visibility and to inflow velocity (E wave) and the annular t