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

Part of: Echocardiography

Published online by Cambridge University Press:  01 March 2018

Yoshihiro Nozaki ,
Lisheng Lin  and
Yoshiaki Kato
Yoshihiro Nozaki*
Affiliation:
Department of Child Health, Faculty of Medicine, University of Tsukuba, Tsukuba, Ibaraki, Japan
Lisheng Lin
Affiliation:
Department of Child Health, Faculty of Medicine, University of Tsukuba, Tsukuba, Ibaraki, Japan
Yoshiaki Kato
Affiliation:
Department of Child Health, Faculty of Medicine, University of Tsukuba, Tsukuba, Ibaraki, Japan
*
Author for correspondence: Y. Nozaki, Department of Child Health, Faculty of Medicine, University of Tsukuba, 1-1-1 Tennodai, Tsukuba, Ibaraki 305-8575, Japan. Tel: +81 29 853 5635; Fax: +81 29 853 8819; E-mail: nozaki-tuk@umin.ac.jp
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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.

Keywords

Ultrasonographydiaphragm thickness fractionnon-invasive imagingdiaphragm dysfunction
Type
Brief Report
Information
Cardiology in the Young , Volume 28 , Issue 5 , May 2018 , pp. 776 - 778
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Copyright
© Cambridge University Press 2018 

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References

1. Hamadah, HK, Kabbani, MS, Elbarbary, M, et al. Ultrasound for diaphragmatic dysfunction in postoperative cardiac children. Cardiol Young 2017; 27: 452–458.Google Scholar
2. Goligher, EC, Fan, E, Herridge, MS, et al. Evolution of diaphragm thickness during mechanical ventilation. Impact of inspiratory effort. Am J Respir Crit Care Med 2015; 192: 1080–1088.Google Scholar
3. Ferrari, G, De Filippi, G, Elia, F, Panero, F, Volpicelli, G, Aprà, F. Diaphragm ultrasound as a new index of discontinuation from mechanical ventilation. Crit Ultrasound J 2014; 6: 8.Google Scholar
4. Matamis, D, Soilemezi, E, Tsagourias, M, et al. Sonographic evaluation of the diaphragm in critically ill patients. Technique and clinical applications. Intensive Care Med 2013; 39: 801–810.Google Scholar
5. Lee, EP, Hsia, SH, Hsiao, HF, et al. Evaluation of diaphragmatic function in mechanically ventilated children: an ultrasound study. PLoS One 2017; 12: e0183560.Google Scholar
6. Epelman, M, Navarro, OM, Daneman, A, Miller, SF. M-mode sonography of diaphragmatic motion: description of technique and experience in 278 pediatric patients. Pediatr Radiol 2005; 35: 661–667.Google Scholar
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