Ecographic evaluation of diaphragmatic function in critical ill patient

Authors

  • Luisa María Charco Roca Facultativo Especialista en Anestesiología y Reanimación. Hospital General Universitario de Albacete
  • Elena Simón Polo Medico Interno Residente de Anestesiología y Reanimación. Hospital General Universitario de Albacete

DOI:

https://doi.org/10.30445/rear.v11i2.659

Keywords:

Critically ill patient, diaphragm dysfunction, ultrasound, diaphragm

Abstract

Ultrasound is a non-invasive technique that can is used in the structural and functional evaluation of the diaphragm. Ultrasounds facilitates the study of diaphragmatic movement in a variety of normal and pathological conditions. We present four clinical cases in which the evaluation of diaphragmatic dysfunction by ultrasound showed the origin of respiratory failure quickly and easily. Ultrasound evaluation of diaphragm function in critically ill patients is a useful and simple technique. It provides fast and reliable data for the diagnosis of respiratory insufficiency of neuromuscular origin with clinical application for weaning from mechanical ventilation and differential diagnosis of the causes of failure respiratory.

References

- Gerscovich EO, Cronan M, McGahan JP, Jain K, Jones CD, McDonald C. Ultrasonographic evaluation of diaphragmatic motion. J Ultrasound Med 2001;20:597–604.
- Sarwal A, Walker FO, Cartwright MS. Neuromuscular ultrasound for evaluation of the diaphragm. Muscle Nerve. 2013 Mar;47(3):319-29.
- DiNino E1, Gartman EJ, Sethi JM, McCool FD. Diaphragm ultrasound as a predictor of successful extubation from mechanical ventilation.Thorax. 2014 May;69(5):423-7.
- Zambon M, Greco M, Bocchino S, Cabrini L, Beccaria PF, Zangrillo A. Assessment of diaphragmatic dysfunction in the critically ill patient with ultrasound: a systematic review.Intensive Care Med. 2017 Jan;43(1):29-38.
- Serna Gandía M, Vicho Pereira R, Cuesta Montero P, Carpi Femenía I, Benlloch Beitia A. Ultrasonografía en UCI. Rev electron Boletín SCI 2016; Vol 2 (1): 1
- Matamis D, Soilemezi E, Tsagourias M, et al. Sonographic evaluation of the diaphragm in critically ill patients. Technique and clinical applications. Intensive Care Med. 2013;39:801–10.
- Alexander C. Diaphragm movements and the diagnosis of diaphragmatic paralysis. Clin Radiol 1966;17:79–83.
- Wait JL, Nahormek PA, Yost WT, Rochester DP. Diaphragmatic thickness–lung volume relationship in vivo. J Appl Physiol 1989;67: 1560–1568.

Downloads

Published

2020-08-16

How to Cite

Charco Roca, L. M., & Simón Polo, E. (2020). Ecographic evaluation of diaphragmatic function in critical ill patient. Revista Electrónica AnestesiaR, 11(2), 1. https://doi.org/10.30445/rear.v11i2.659

Issue

Vol. 11 No. 2 (2019): Revista Electrónica de AnestesiaR

Section

Clinical case reports

License

Copyright (c) 2019 Revista Electrónica AnestesiaR

Creative Commons License

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

Envío y derechos de autor

 

Most read articles by the same author(s)

1 2 > >>