Sleep-related breathing disorders in diaphragmatic pathologies

Saltürk, Cüneyt; Oruç, Özlem; Metin, Serda Kanbur; Bayram, Serkan; Karakurt, Zühal; Yalçınkaya, İrfan

doi:10.1007/s11325-021-02422-z

Cited by 4 publications

(6 citation statements)

References 24 publications

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“…Thus, objective tests are mandatory to ensure a reliable validation of patients’ condition. Literature evidence suggests that patients with various sorts of diaphragmatic weakness, including neuromuscular disorders, especially when symptomatic for non-refreshing sleep, should undergo sleep recording, to rule out the coexistence of obstructive sleep apnea (OSA) [ 15 , 16 ]. Although this first point is key in the timely identification of patients deserving further attention from sleep clinicians and pulmonologists, we emphasize the importance of other less common nocturnal breathing patterns that can be observed in polygraphic sleep recording, which could help predicting the ongoing respiratory failure.…”

Section: Discussionmentioning

confidence: 99%

Unraveling sleep respiratory dysfunction in amyotrophic lateral sclerosis: Beyond the apnea-hypopnea index and sleep-related hypoxia

Nuredini,

Bottignole,

Stragliati

et al. 2024

Heliyon

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Section: Discussionmentioning

confidence: 99%

Unraveling sleep respiratory dysfunction in amyotrophic lateral sclerosis: Beyond the apnea-hypopnea index and sleep-related hypoxia

Nuredini,

Bottignole,

Stragliati

et al. 2024

Heliyon

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“…In addition, high frequency of obstructive sleep apnea (OSA) has been reported in patients with diaphragm dysfunction[ 41 ]. It is therefore important to seek sleep apnea in these patients because it is recognized that OSA is a risk factor for cardiovascular disease[ 42 ].…”

Section: Clinical Consequences Of Diaphragm Dysfunctionmentioning

confidence: 99%

Interest of thoracic ultrasound after cardiac surgery or interventional cardiology

Boussuges,

Blanc,

Bregeon

et al. 2024

World J Cardiol

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Thoracic ultrasound has attracted much interest in detecting pleural effusion or pulmonary consolidation after cardiac surgery. In 2016, Trovato reported, in the World Journal of Cardiology , the interest of using, in addition to echocardiography, thoracic ultrasound. In this editorial, we highlight the value of assessing diaphragm function after cardiac surgery and interventional cardiology procedures. Various factors are able to impair diaphragm function after such interventions. Diaphragm motion may be decreased by chest pain secondary to sternotomy, pleural effusion or impaired muscle function. Hemidiaphragmatic paralysis may be secondary to phrenic nerve damage complicating cardiac surgery or atrial fibrillation ablation. Diagnosis may be delayed. Indeed, respiratory troubles induced by diaphragm dysfunction are frequently attributed to pre-existing heart disease or pulmonary complications secondary to surgery. In addition, elevated hemidiaphragm secondary to diaphragm dysfunction is sometimes not observed on chest X-ray performed in supine position in the intensive care unit. Analysis of diaphragm function by ultrasound during the recovery period appears essential. Both hemidiaphragms can be studied by two complementary ultrasound methods. The mobility of each hemidiaphragms is measured by M-mode ultrasonography. In addition, recording the percentage of inspiratory thickening provides important information about the quality of muscle function. These two approaches make it possible to detect hemidiaphragm paralysis or dysfunction. Such a diagnosis is important because persistent diaphragm dysfunction after cardiac surgery has been shown to be associated with adverse respiratory outcome. Early respiratory physiotherapy is able to improve respiratory function through strengthening of the inspiratory muscles i.e. diaphragm and accessory inspiratory muscles.

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“…The polysomnography is not specific for the diaphragm; however, it has been shown that unilateral diaphragmatic dysfunction has been linked to a higher prevalence of OSAS compared to healthy subjects [14,[18][19][20][21][22]. Thus, in patients suffering from diaphragmatic dysfunction, it may reveal a diagnosis of OSAS.…”

Section: Techniques For Assessing Diaphragmatic Functionmentioning

confidence: 99%

“…Additionally, a diaphragmatic dysfunction can be linked to sleep-related breathing disorders, particularly in obese individuals. In cases of more pronounced diaphragm paresis, it can lead to snoring, breath cessation, and daytime sleepiness [ 14 ]. In the LTx setting, the respiratory function of the patient is already compromised due to the underlying respiratory disease, and this may interfere with a clear understanding of the role of diaphragmatic function abnormalities.…”

Section: The Diaphragmmentioning

confidence: 99%

Diaphragm and Lung Transplantation

Palleschi,

Mattioni,

LoMauro

et al. 2024

Transpl Int

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Mutual interactions between the diaphragm and lung transplantation (LTx) are known to exist. Before LTx, many factors can exert notable impact on the diaphragmatic function, such as the underlying respiratory disease, the comorbidities, and the chronic treatments of the patient. In the post-LTx setting, even the surgical procedure itself can cause a stressful trauma to the diaphragm, potentially leading to morphological and functional alterations. Conversely, the diaphragm can significantly influence various aspects of the LTx process, ranging from graft-to-chest cavity size matching to the long-term postoperative respiratory performance of the recipient. Despite this, there are still no standard criteria for evaluating, defining, and managing diaphragmatic dysfunction in the context of LTx to date. This deficiency hampers the accurate assessment of those factors which affect the diaphragm and its reciprocal influence on LTx outcomes. The objective of this narrative review is to delve into the complex role the diaphragm plays in the different stages of LTx and into the modifications of this muscle following surgery.

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Sleep-related breathing disorders in diaphragmatic pathologies

Cited by 4 publications

References 24 publications

Unraveling sleep respiratory dysfunction in amyotrophic lateral sclerosis: Beyond the apnea-hypopnea index and sleep-related hypoxia

Unraveling sleep respiratory dysfunction in amyotrophic lateral sclerosis: Beyond the apnea-hypopnea index and sleep-related hypoxia

Interest of thoracic ultrasound after cardiac surgery or interventional cardiology

Diaphragm and Lung Transplantation

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