title: [Diagnosis and Treatment of Diaphragmatic Dysfunction].
abstract: There are many reasons for an impairment of the diaphragmatic function potentially affecting all components of the respiratory pump. Particularly, diagnosis and treatment of unilateral and bilateral phrenic nerve paralysis are challenging. Neuromuscular disorders, trauma, iatrogenic conditions, tumor compression, but also infectious and inflammatory conditions in addition to neuralgic amyotrophy and idiopathic phrenic nerve paralysis are reasons for phrenic nerve paralysis. Primarily, diagnostic procedures include the anamnesis, physical examination, blood gas analysis, lung function testing and the diagnosis of the underlying disease. In addition, specific respiratory muscle testing and respiratory imaging are available today. Current established treatment options include respiratory muscle training, long-term non-invasive ventilation and surgical diaphragm plication in selected patients.
authors.affiliation: Lungenklinik, Lehrstuhl für Pneumologie, Universität Witten/Herdecke, Kliniken der Stadt Köln gGmbH.
authors.forename: W
authors.initials: W
authors.lastname: Windisch
authors.affiliation: Klinik für Pneumologie, Intensiv- und Schlafmedizin, KRH Klinikum Siloah-Oststadt-Heidehaus, Hannover.
authors.forename: B
authors.initials: B
authors.lastname: Schönhofer
authors.affiliation: Lungenklinik, Lehrstuhl für Pneumologie, Universität Witten/Herdecke, Kliniken der Stadt Köln gGmbH.
authors.forename: F S
authors.initials: FS
authors.lastname: Magnet
authors.affiliation: Lungenklinik, Lehrstuhl für Thoraxchirurgie, Universität Witten/Herdecke, Kliniken der Stadt Köln gGmbH.
authors.forename: E
authors.initials: E
authors.lastname: Stoelben
authors.affiliation: Gesundheitsverbund Landkreis Konstanz, II. Medizinische Klinik, Pneumologie und Internistische Intensivmedizin, Klinikum Konstanz.
authors.forename: H-J
authors.initials: HJ
authors.lastname: Kabitz
mesh_terms: D003131:Combined Modality Therapy / Q000379:methods; D019317:Evidence-Based Medicine; D005081:Exercise Therapy / Q000379:methods*; D006801:Humans; D013510:Pulmonary Surgical Procedures / Q000379:methods*; D012121:Respiration, Artificial / Q000379:methods*; D012129:Respiratory Function Tests / Q000379:methods*; D012133:Respiratory Paralysis / Q000175:diagnosis* / Q000628:therapy*; D016896:Treatment Outcome