Ultrasound monitoring of diaphragm activity in bilateral diaphragmatic paralysis.

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Ultrasound monitoring of diaphragm activity in bilateral diaphragmatic paralysis.

Recovery of diaphragm activity after bilateral diaphragmatic paralysis was monitored in a term infant using a mechanical sector scanner fitted with a 5 MHz transducer. The ratio of diaphragmatic excursion during spontaneous breathing and ventilator assistance was used an objective measure for comparison of diaphragmatic activity during recovery. Ultrasound assessment of diaphragm contraction ma...

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Regional lung function in bilateral diaphragmatic paralysis.

1. The distribution of regional function in the lungs of six patient with bilateral diaphragmatic paralysis was investigated by continuous inhalation and infusion of the radioactive gases 81mKr and 85mKr during tidal breathing. 2. In the supine and right lateral decubitus postures the vertical distribution of ventilation per unit alveolar volume was less in the dependent zones, the reverse of t...

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An unusual cause of bilateral diaphragmatic paralysis.

In a patient who had a sudden onset of bilateral diaphragmatic paralysis after forceful neck manipulation complete, though gradual, recovery in lung function and transdiaphragmatic pressures was seen over three years. This is a previously unrecognised risk of neck osteopathy.

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Determinants of diaphragm motion in unilateral diaphragmatic paralysis.

Cranial displacement of a hemidiaphragm during sniffs is a cardinal sign of unilateral diaphragmatic paralysis in clinical practice. However, we have recently observed that isolated stimulation of one phrenic nerve in dogs causes the contralateral (inactive) hemidiaphragm to move caudally. In the present study, therefore, we tested the idea that, in unilateral diaphragmatic paralysis, the patte...

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Bilateral diaphragm paralysis: a challenging diagnosis.

Bilateral diaphragm paralysis is a rare cause of unexplained respiratory failure. Although it is a known complication of cardiothoracic surgery, it is often under-recognized and diagnosis is frequently delayed.1 It should be considered in patients with low lung volumes on imaging, progressive hypercapnia, and pronounced dyspnea in the supine position.2 Pulmonary function tests reveal a restrict...

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ژورنال

عنوان ژورنال: Archives of Disease in Childhood

سال: 1985

ISSN: 0003-9888,1468-2044

DOI: 10.1136/adc.60.2.170