Diaphragmatic impairment as a predictor of invasive ventilation in acute exacerbation of chronic obstructive pulmonary disease patients

El-Sayed, Amr; Neanaa, Eman Hashem Mohamed; Beshey, Bassem Nashaat

doi:10.1080/11101849.2022.2085975

Cited by 2 publications

(1 citation statement)

References 32 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Many studies found that diaphragm dysfunction correlates to NIV failure (and with corticosteroid therapy, prolonged MV and tracheostomy) [66]. DTF with a cut-off value of <26-29% on both hemidiaphragm was able to predict NIV failure in acute exacerbation of COPD, with 96.67% sensitivity and 80-82.22% specificity [67]. In another similar study, DTF < 20% was the cut-off to identify diaphragm dysfunction with an AUC of 0.84.…”

Section: Diaphragm Ultra-sound (Dus)mentioning

confidence: 96%

The Role of Pocus in Acute Respiratory Failure: A Narrative Review on Airway and Breathing Assessment

Sartini,

Ferrari,

Cutuli

et al. 2024

JCM

View full text Add to dashboard Cite

Acute respiratory failure (ARF) is a challenging condition that clinicians, especially in emergency settings, have to face frequently. Especially in emergency settings, many underlying diseases can lead to ARF and life-threatening conditions have to be promptly assessed and correctly treated to avoid unfavorable outcomes. In recent years, point-of-care ultrasound (POCUS) gained growing consideration due to its bedside utilization, reliability and reproducibility even in emergency settings especially in unstable patients. Research on POCUS application to assess ARF has been largely reported mainly with observational studies showing heterogeneous results from many different applications. This narrative review describes the wide potentiality of POCUS to face airways and breathing life-threatening conditions such as upper airway management, pulmonary and pleural pathologies and diaphragm impairment. We conducted extensive research of the literature to report from major studies to case reports deemed useful in practical clinical utilization of POCUS in ARF. Due to the huge amount of the literature found, we focused on airways and breathing assessment trying to systematize the evidence according to clinical care of ARF in emergency settings. Further studies, possibly trials, should determine how POCUS is crucial in clinical practice in terms of standard of care improvements, patient safety and cost-benefit analysis.

show abstract

Section: Diaphragm Ultra-sound (Dus)mentioning

confidence: 96%

The Role of Pocus in Acute Respiratory Failure: A Narrative Review on Airway and Breathing Assessment

Sartini,

Ferrari,

Cutuli

et al. 2024

JCM

View full text Add to dashboard Cite

show abstract

The role of ultrasound in predicting non-invasive ventilation outcomes: a systematic review

Kheir,

Dong,

Roselli

et al. 2023

Front. Med.

View full text Add to dashboard Cite

PurposeTo systematically review and compare ultrasonographic methods and their utility in predicting non-invasive ventilation (NIV) outcomes.MethodsA systematic review was performed using the PubMed, Medline, Embase, and Cochrane databases from January 2015 to March 2023. The search terms included the following: ultrasound, diaphragm, lung, prediction, non-invasive, ventilation, and outcomes. The inclusion criteria were prospective cohort studies on adult patients requiring non-invasive ventilation in the emergency department or inpatient setting.ResultsFifteen studies were analyzed, which comprised of 1,307 patients (n = 942 for lung ultrasound score studies; n = 365 patients for diaphragm dysfunction studies). Lung ultrasound scores (LUS) greater than 18 were associated with NIV failure with a sensitivity 62–90.5% and specificity 60–91.9%. Similarly, a diaphragm thickening fraction (DTF) of less than 20% was also associated with NIV failure with a sensitivity 80–84.6% and specificity 76.3–91.5%.ConclusionPredicting NIV failure can be difficult by routine initial clinical impression and diagnostic work up. This systematic review emphasizes the importance of using lung and diaphragm ultrasound, in particular the lung ultrasound score and diaphragm thickening fraction respectively, to accurately predict NIV failure, including the need for ICU-level of care, requiring invasive mechanical ventilation, and resulting in higher rates of mortality.

show abstract

Diaphragmatic impairment as a predictor of invasive ventilation in acute exacerbation of chronic obstructive pulmonary disease patients

Cited by 2 publications

References 32 publications

The Role of Pocus in Acute Respiratory Failure: A Narrative Review on Airway and Breathing Assessment

The Role of Pocus in Acute Respiratory Failure: A Narrative Review on Airway and Breathing Assessment

The role of ultrasound in predicting non-invasive ventilation outcomes: a systematic review

Contact Info

Product

Resources

About