Ultrasound assessment of diaphragm thickness, contractility, and strain in healthy pediatric patients

Glau, Christie L.; Lin, Elaina E.; Conlon, Thomas W.; Himebauch, Adam S.; Keim, Garrett P.; Nishisaki, Akira

doi:10.1002/ppul.26768

Cited by 1 publication

(1 citation statement)

References 29 publications

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“…The findings are summarized in Table 1 . Recently, reference values have been established also in the pediatric population, where diaphragm ultrasound is increasingly used for clinical indications similar to the ones of adult and older patients [ 44 ].…”

Section: Ultrasound Imaging Of the Diaphragmmentioning

confidence: 99%

Diaphragm Ultrasound in Different Clinical Scenarios: A Review with a Focus on Older Patients

Siniscalchi,

Nouvenne,

Cerundolo

et al. 2024

Geriatrics

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Diaphragm muscle dysfunction is increasingly recognized as a fundamental marker of several age-related diseases and conditions including chronic obstructive pulmonary disease, heart failure and critical illness with respiratory failure. In older individuals with physical frailty and sarcopenia, the loss of muscle mass and function may also involve the diaphragm, contributing to respiratory dysfunction. Ultrasound has recently emerged as a feasible and reliable strategy to visualize diaphragm structure and function. In particular, it can help to predict the timing of extubation in patients undergoing mechanical ventilation in intensive care units (ICUs). Ultrasonographic evaluation of diaphragmatic function is relatively cheap, safe and quick and can provide useful information for real-time monitoring of respiratory function. In this review, we aim to present the current state of scientific evidence on the usefulness of ultrasound in the assessment of diaphragm dysfunction in different clinical settings, with a particular focus on older patients. We highlight the importance of the qualitative information gathered by ultrasound to assess the integrity, excursion, thickness and thickening of the diaphragm. The implementation of bedside diaphragm ultrasound could be useful for improving the quality and appropriateness of care, especially in older subjects with sarcopenia who experience acute respiratory failure, not only in the ICU setting.

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Section: Ultrasound Imaging Of the Diaphragmmentioning

confidence: 99%