Ultrasound monitoring of diaphragm activity in bilateral diaphragmatic paralysis.
نویسندگان
چکیده
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 may be used to study progress in diaphragmatic paralysis.
منابع مشابه
نتایج درمانی پلیکاسیون دیافراگم در فلج اکتسابی یک‌طرفه غیربدخیم دیافراگم در 20 بیمار
Background: Acquired paralysis of the diaphragm is a condition caused by trauma, surgical injuries, (lung cancer surgery, esophageal surgery, cardiac surgery, thoracic surgery), and is sometimes of an unknown etiology. It can lead to dyspnea and can affect ventilatory function and patients activity. Diaphragmatic plication is a treatment method which decreases inconsistent function of diaphragm...
متن کاملBilateral isolated phrenic neuropathy causing painless bilateral diaphragmatic paralysis.
The authors report four patients with a syndrome of painless bilateral isolated phrenic neuropathy. Electrophysiologic testing demonstrated active denervation restricted to the diaphragm. Long-term recovery was poor. The authors conclude that bilateral isolated phrenic neuropathy is a cause of painless diaphragmatic paralysis distinguishable from immune brachial plexus neuropathy and other neur...
متن کاملDiaphragmatic Paralysis - Symptoms, Evaluation, Therapy and Outcome
The diaphragm has a major role in inspiration. The muscle separates the mostly negative pressure chest cavity, from the positive pressure abdomen. The displacement of the muscle with inspiration expands the chest, augmenting the negative pleural pressure, thereby forcing air flow into the lung. However paralysis of the muscle, unilaterally or even bilaterally, is compatible with life in most ca...
متن کاملBilateral diaphragm paralysis after simultaneous cardiac surgery and Nuss procedure in the infant
The case of a 15-month-old boy with bilateral diaphragm paralysis after simultaneous cardiac surgery for tetralogy of Fallot, and Nuss procedure for pectus excavatum, is presented. Extubated one day after his first operation, the boy suffered severe respiratory distress soon after, due to bilateral diaphragmatic paralysis. Diaphragm paralysis restricted abdominal respiration, while thoracic res...
متن کاملA case of chronic inflammatory demyelinating polyneuropathy with reversible alternating diaphragmatic paralysis: case study
Respiratory failure requiring mechanical ventilation has been reported in patients with bilateral diaphragmatic paralysis due to CIDP. We report a case of CIDP that progressed to respiratory failure with normal chest radiography despite unilateral diaphragmatic paralysis. This manifestation would have been missed if ultrasound was not employed.
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- Archives of disease in childhood
دوره 60 2 شماره
صفحات -
تاریخ انتشار 1985