Ultrasonographic evaluation of the influence of different postures on diaphragmatic motion in mechanically ventilated patients.
We confirmed a diaphragmatic motion during mechanical ventilation in four patients with central nervous system damage. The right hemidiaphragm were visualized with 3.5 MHz ultrasound, and motion was measured using time-motion analysis in separate postures. The dome was most impaired during the right decubitus posture. The crural region was most improving during the left decubitus posture. The costal region was most impaired during the sitting posture. The motion of the dependent region was impaired.
Akiyama
N
N
Department of Rehabilitation Medicine, Rehabilitation Center, Second Branch Hospital of Nippon Medical School, 1-396 Kosugi-cho Nakahara-ward, 211 8533, Kawasaki Kanagawa, Japan.
Ishikawa
S
S
Takeuchi
T
T
D000293:Adolescent; D000328:Adult; D003964:Diaphragm / Q000000981:diagnostic imaging* / Q000503:physiopathology; D004576:Electromyography; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009068:Movement; D011187:Posture; D012121:Respiration, Artificial; D014463:Ultrasonography