Ultrasonic Assessment of Diaphragm Condition of the Patients, Who Passed the Selection for Lung Volume Reduction Surgery

Горбунков, С. Д.; Varlamov, V V; Gichkin, A. Yu.; Perley, V. E.; Chernyĭ, S M; Романихин, А. И.; Syrovnev, V A; Agishev, A S; Akopov, Andrey

doi:10.24884/0042-4625-2015-174-5-13-17

Cited by 3 publications

(3 citation statements)

References 8 publications

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“…УЗИ диафрагмы при ХОБЛ В разных исследованиях сообщается как о нормальной, так и о сниженной функции диафрагмы при ХОБЛ [52][53][54][55][56][57][58]. В исследовании A. Marchioni и соавт.…”

Section: диафрагма и механическая вентиляция легкихunclassified

Possibilities of ultrasound research of the diaphragm

Nekludova

Авдеев

2019

Terapevticheskii arkhiv

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The ultrasound method is a non-invasive and safe diagnostic method. Ultrasound examination (ultrasound) of the diaphragm allows you to conduct a direct study of its structure and function. Using stationary and portable ultrasound scanners, the study of the diaphragm can be carried out in specialized laboratories, in outpatient departments, in various departments of the clinic, including in intensive care units, in patients in different clinical conditions. Ultrasound of the diaphragm can be implemented on devices of different technical levels. Despite the fact that at present the diaphragm ultrasound method is not standardized, nevertheless, it provides clinically important information for solving various clinical studies, including when conducting dynamic observation.

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Section: диафрагма и механическая вентиляция легкихunclassified

Possibilities of ultrasound research of the diaphragm

Nekludova

Авдеев

2019

Terapevticheskii arkhiv

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“…Наиболее сложным, но высокоинформативным инструментально-диагностическим приемом является определение трансдиафрагмального давления. Проведение теста показано в случаях, когда указанные методы не дали исчерпывающей информации [4]. В ряде ситуаций для верификации диагноза можно использовать игольчатую электронейромиографию, являющуюся стандартной инвазивной процедурой для оценки биоэлектрических потенциалов диафрагмы (исключение миопатической причины ДД) [1,3].…”

Section: Discussionunclassified

“…Чаще она встречается у мужчин, пре обладает одностороннее поражение диафрагмы слева. Клинические проявления колеблются от умеренныхв случае ее слабости -до выраженных -при двустороннем параличе диафрагмы, что связано со значительными диагностическими и терапевтическими затруднениями [4,5]. Выраженность симптомов, как правило, коррелирует со степенью нарушения способности диафрагмы генерировать давление [1,[6][7][8].…”

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Bilateral diaphragm paralysis: a clinical case

Uryasev

Zhukova

Glotov

et al. 2022

Pulʹmonologiâ (Mosk.)

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Diaphragm dysfunction is a rare cause of respiratory distress with a variety of clinical manifestations that complicate diagnosis and treatment. The given clinical case demonstrates the possibility of detecting bilateral diaphragm paralysis using available general clinical and instrumental diagnostic methods. Among the physical data, high standing of the lower borders of the lungs with limited mobility and paradoxical movement of the diaphragm during the Mueller test have a high diagnostic value. Chest X-ray demonstrates the high standing of both domes of the diaphragm and subsegmental atelectasis in the basal parts of the lungs. Severe hypoxemia developed: oxygen saturation in clino- and orthostasis was 72 and 96%, respectively. The tests of pulmonary function showed significant restrictive impairments, a decrease in the vital capacity of the lungs was also determined. Ultrasound examination of the diaphragm revealed hyperechogenicity, lack of inspiratory thickening, and respiratory mobility of the domes of the diaphragm. Electromyography confirmed gross right and left phrenic nerve axonopathy. An idiopathic variant of diaphragm dysfunction can be assumed based on the patient stabilization during CPAP therapy, physiotherapy exercises, chest massage, followed by the disappearance of signs of bilateral diaphragm paralysis. Conclusion. The presented case demonstrates the difficulties of diagnosing bilateral diaphragm paralysis. The final diagnosis was made through the use of specific research methods recommended for suspected diaphragm dysfunction. The prognosis of the idiopathic variant of bilateral diaphragm paralysis, as in this case, is favorable. Spontaneous remission was observed.

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Surgical correction of respiratory failure in patients with diffuse pulmonary emphysema who underwent long-term oxygen therapy

Горбунков

Varlamov

Chernyĭ

et al. 2017

VESTNIK KHIRURGII IMENI I.I.GREKOVA

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OBJECTIVE. The research showed the possibility of operative treatment of patients with terminal stage of respiratory failure who underwent long-term oxygen therapy. MATERIAL AND METHODS. Surgical correction of respiratory failure was performed for two patients after clinical, functional and radio studies. RESULTS. The degree of arterial hypoxemia significantly decreased after operation due to improved ventilation of maximally saved pulmonary tissue areas. This allowed doctors to apply a situational oxygen therapy. Tolerance of physical activity reliably improved and value of BODE-index decreased. CONCLUSIONS. The terminal stage of respiratory failure couldn’t be a contraindication to surgical treatment.

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Ultrasonic Assessment of Diaphragm Condition of the Patients, Who Passed the Selection for Lung Volume Reduction Surgery

Cited by 3 publications

References 8 publications

Possibilities of ultrasound research of the diaphragm

Possibilities of ultrasound research of the diaphragm

Bilateral diaphragm paralysis: a clinical case

Surgical correction of respiratory failure in patients with diffuse pulmonary emphysema who underwent long-term oxygen therapy

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