Ultrasonographic diagnosis of diaphragm paralysis in a neonate during mechanical ventilation after cardiac surgery

Cardiology in the Young
Yoshihiro NozakiYoshiaki Kato

Abstract

Diaphragm excursion method is unsuitable for diagnosis of diaphragm paralysis during positive pressure ventilation. We diagnosed diaphragm paralysis in a neonate, without interrupting positive pressure respiratory support after cardiac surgery, using the diaphragm thickness fraction, which could be evaluated during mechanical ventilation and was unaffected by bowel gases. The diaphragm thickness fraction method can help diagnose diaphragm dysfunction using only echography.

References

Jan 25, 2013·Intensive Care Medicine·Dimitrios MatamisLaurent Brochard
Jun 21, 2014·Critical Ultrasound Journal·Giovanni FerrariFranco Aprà
Jul 15, 2015·American Journal of Respiratory and Critical Care Medicine·Ewan C GoligherNiall D Ferguson
May 11, 2016·Cardiology in the Young·Hussam K HamadahAbdulraouf Jijeh

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