Diaphragmatic ultrasonography for the pulmonologist: Technique and clinical use

Ultrasonography is an emerging tool that helps to assess diaphragmatic function. It is now widely used in ICUs to predict weaning from mechanical ventilation. Ultrasonography is readily available, harmless (no radiation), and repeatable with good interoperator reproducibility. Over the past few year...

Full description

Saved in:

Bibliographic Details
Published in:	Revue des maladies respiratoires Vol. 41; no. 1; p. 1
Main Authors:	Schenesse, D, Mouillot, P, Rabec, C, Barnestein, R, Tankere, P, Giboulot, M, Bonniaud, P, Georges, M
Format:	Journal Article
Language:	English French
Published:	France 01-01-2024
Subjects:	Diaphragm - diagnostic imaging Humans Lung Pulmonologists Reproducibility of Results Ultrasonography - methods Neuromuscular diseases Interstitial lung diseases Bronchopneumopathie obstructive chronique Chronic obstructive pulmonary disease Pneumopathies interstitielles diffuses Maladies neuromusculaires Échographie diaphragmatique Diaphragmatic ultrasonography
Online Access:	Get more information
Tags:	Add Tag No Tags, Be the first to tag this record!

Description
Summary:	Ultrasonography is an emerging tool that helps to assess diaphragmatic function. It is now widely used in ICUs to predict weaning from mechanical ventilation. Ultrasonography is readily available, harmless (no radiation), and repeatable with good interoperator reproducibility. Over the past few years, ultrasonography has seen increasing use in patients with chronic pulmonary pathologies. The aim of this review is (1) to describe the ultrasound techniques used to assess diaphragmatic excursion and thickening, (2) to indicate the expected, normal values in healthy patients, and (3) to summarize the main findings and clinical applications in treatment of chronic respiratory disorders. Chronic pulmonary diseases are associated with diaphragmatic dysfunction that can be assessed with ultrasound. Diaphragmatic dysfunction is primary in neuromuscular disorders and secondary to respiratory disease in other chronic pulmonary conditions (COPD, ILD). Ultrasound is correlated with the severity of the underlying disease (functional and clinical parameters). The prognostic interest of diaphragm ultrasonography remains to be established, after which its utilization should become routine.
ISSN:	1776-2588
DOI:	10.1016/j.rmr.2023.10.005