Ultrasound evaluation of diaphragm function and its application in critical patients, mechanical ventilation and brachial plexus block.
Before diaphragm ultrasonography, assessment of diaphragm function was very difficult due to the complex nature of its exploration. The use of this new technique has shed light on diagnostic problems and treatment with an improvement in final outcomes for critically ill patients, in whom the incidence of diaphragm weakness or dysfunction has been underestimated. Better knowledge of diaphragm function enables us earlier diagnosis by quantification of diaphragm contractile activity or evaluation of functional status after delivery of plexus block anaesthesia, facilitating therapeutic decisions. It is also being used as a guide in the process of weaning from mechanical ventilation or as the safest approach for braquial plexus block. In this review we present how to perform a systematic exploration of diaphragm function and its clinical implications.
Servicio de Anestesia Reanimación y Tratamiento del Dolor, Hospital Universitario de Móstoles, Móstoles Madrid, España. Electronic address: borjaquintana@hotmail.es.
F de B
FB
de la Quintana Gordon
Servicio de Anestesia Reanimación y Tratamiento del Dolor, Hospital Universitario de Móstoles, Móstoles Madrid, España.
B
B
Nacarino Alcorta
Servicio de Anestesia Reanimación y Tratamiento del Dolor, Hospital Universitario de Móstoles, Móstoles Madrid, España.
M
M
Fajardo Pérez
D000779:Anesthetics, Local / Q000494:pharmacology; D065527:Brachial Plexus Block; D003422:Critical Care / Q000379:methods*; D016638:Critical Illness; D003964:Diaphragm / Q000000981:diagnostic imaging / Q000187:drug effects / Q000503:physiopathology*; D004867:Equipment Design; D006801:Humans; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000517:prevention & control; D012121:Respiration, Artificial / Q000009:adverse effects; D012129:Respiratory Function Tests / Q000379:methods*; D012131:Respiratory Insufficiency / Q000517:prevention & control; D015656:Respiratory Mechanics; D012133:Respiratory Paralysis / Q000000981:diagnostic imaging / Q000503:physiopathology; D014159:Transducers; D014463:Ultrasonography / Q000295:instrumentation / Q000379:methods; D015300:Ventilator Weaning / Q000379:methods
D000779:Anesthetics, Local
Diaphragmatic paralysis; Diaphragmatic paralysis and brachial plexus block; Diaphragmatic ultrasonography; Ecografía del diafragma; Parálisis diafragmática; Parálisis diafragmática y anestesia del plexo braquial