Ultrasonography evaluation during the weaning process: the heart, the diaphragm, the pleura and the lung

Mayo, Paul H.; Volpicelli, Giovanni; Lerolle, Nicolas; Schreiber, Annia; Doelken, Peter; Vieillard‐Baron, Antoine

doi:10.1007/s00134-016-4245-3

Cited by 117 publications

(89 citation statements)

References 62 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…2). A similar but less exhaustive approach has been suggested by Mayo et al [62]. The use of ultrasound to evaluate the heart and lung has been described in this Intensive Care Medicine critical care ultrasound series [1,2].…”

Section: The Abcde Approach: a Systematic Ultrasound Evaluation Of Pamentioning

confidence: 92%

Respiratory muscle ultrasonography: methodology, basic and advanced principles and clinical applications in ICU and ED patients—a narrative review

et al. 2020

View full text Add to dashboard Cite

Respiratory muscle ultrasound is used to evaluate the anatomy and function of the respiratory muscle pump. It is a safe, repeatable, accurate, and non-invasive bedside technique that can be successfully applied in different settings, including general intensive care and the emergency department. Mastery of this technique allows the intensivist to rapidly diagnose and assess respiratory muscle dysfunction in critically ill patients and in patients with unexplained dyspnea. Furthermore, it can be used to assess patient-ventilator interaction and weaning failure in critically ill patients. This paper provides an overview of the basic and advanced principles underlying respiratory muscle ultrasound with an emphasis on the diaphragm. We review different ultrasound techniques useful for monitoring of the respiratory muscle pump and possible therapeutic consequences. Ideally, respiratory muscle ultrasound is used in conjunction with other components of critical care ultrasound to obtain a comprehensive evaluation of the critically ill patient. We propose the ABCDE-ultrasound approach, a systematic ultrasound evaluation of the heart, lungs and respiratory muscle pump, in patients with weaning failure.

show abstract

Section: The Abcde Approach: a Systematic Ultrasound Evaluation Of Pamentioning

confidence: 92%

Respiratory muscle ultrasonography: methodology, basic and advanced principles and clinical applications in ICU and ED patients—a narrative review

et al. 2020

View full text Add to dashboard Cite

show abstract

“…A recent review suggests the intensivist might productively use ultrasonography to identify impediments to successful extubation. (19) To further investigate the relationship between B-lines and MV-weaning, we report the LUS findings of 57 MV subjects subjected to SBT, immediately before and after the procedure.…”

Section: Introductionmentioning

confidence: 99%

Behavior of lung ultrasound findings during spontaneous breathing trial

Antônio¹,

Teixeira²,

Castro³

et al. 2017

Revista Brasileira De Terapia Intensiva

View full text Add to dashboard Cite

ObjectiveWe aimed to investigate a potential association between B-lines and weaning failure.MethodsFifty-seven subjects eligible for ventilation liberation were enrolled. Patients with tracheostomy were excluded. Lung ultrasound assessments of six thoracic zones were performed immediately before and at the exnd of the spontaneous breathing trial. B-predominance was defined as any profile with anterior bilateral B-pattern. Patients were followed up to 48 hours after extubation.ResultsThirty-eight individuals were successfully extubated; 11 failed the spontaneous breathing trial and 8 needed reintubation within 48 hours of extubation. At the beginning of the T-piece trial, B-pattern or consolidation was already found at the lower and posterior lung regions in more than half of the individuals and remained non-aerated at the end of the trial. A trend toward loss of lung aeration during spontaneous breathing trials was observed only in the spontaneous breathing trial-failure group (p = 0.07), and there was higher B-predominance at the end of the trial (p = 0.01).ConclusionA loss of lung aeration during the spontaneous breathing trial in non-dependent lung zones was demonstrated in subjects who failed to wean.

show abstract

“…Lungs and diaphragm for example, are functionally and anatomically closely related and combined evaluation could potentially have more value than each on its own. Mayo and colleagues (20) already proved such a holistic approach to be useful by detecting risk factors for weaning failure, which lie in heart-, lung-and diaphragm function. Future studies could look if a combination of other organs and/or tissues is viable as well.…”

Section: Discussionmentioning

confidence: 99%

Ultrasound to assess diaphragmatic function in the critically ill—a critical perspective

2017

View full text Add to dashboard Cite

Ultrasound of the diaphragm in critically ill patients has become a diagnostic technique of emerging interest among clinicians and scientists. The advantages include that it is widely available, noninvasive and examination can be performed after relatively short training and at low costs. It is used to estimate muscle mass by measurement of muscle thickness and diagnose weakness by the assessment of diaphragm movement during unassisted breathing. Thickening of the muscle during inspiration has been used to quantify force generation. The enthusiasm that surrounds this topic is shared by many clinicians and we agree that ultrasound is a valuable tool to screen for diaphragm dysfunction in intensive care unit (ICU) patients. However, in our opinion much more studies are required to validate ultrasound as a tool to quantify breathing effort. More sophisticated ultrasound techniques, such as speckle tracking imaging are promising techniques to evaluate respiratory muscle function in patients, including the critically ill.

show abstract

Ultrasonography evaluation during the weaning process: the heart, the diaphragm, the pleura and the lung

Abstract: Ultrasonography may have useful application during the weaning process from mechanical ventilatory support.

Cited by 117 publications

References 62 publications

Respiratory muscle ultrasonography: methodology, basic and advanced principles and clinical applications in ICU and ED patients—a narrative review

Respiratory muscle ultrasonography: methodology, basic and advanced principles and clinical applications in ICU and ED patients—a narrative review

Behavior of lung ultrasound findings during spontaneous breathing trial

Ultrasound to assess diaphragmatic function in the critically ill—a critical perspective

Contact Info

Product

Resources

About