• Rev Esp Anestesiol Reanim · Nov 2017

    Review

    Ultrasound evaluation of diaphragm function and its application in critical patients, mechanical ventilation and brachial plexus block.

    • F de B de la Quintana Gordon, B Nacarino Alcorta, and M Fajardo Pérez.
    • Servicio de Anestesia Reanimación y Tratamiento del Dolor, Hospital Universitario de Móstoles, Móstoles Madrid, España. Electronic address: borjaquintana@hotmail.es.
    • Rev Esp Anestesiol Reanim. 2017 Nov 1; 64 (9): 513-521.

    AbstractBefore diaphragm ultrasonography, assessment of diaphragm function was very difficult due to the complex nature of its exploration. The use of this new technique has shed light on diagnostic problems and treatment with an improvement in final outcomes for critically ill patients, in whom the incidence of diaphragm weakness or dysfunction has been underestimated. Better knowledge of diaphragm function enables us earlier diagnosis by quantification of diaphragm contractile activity or evaluation of functional status after delivery of plexus block anaesthesia, facilitating therapeutic decisions. It is also being used as a guide in the process of weaning from mechanical ventilation or as the safest approach for braquial plexus block. In this review we present how to perform a systematic exploration of diaphragm function and its clinical implications.Copyright © 2017 Sociedad Española de Anestesiología, Reanimación y Terapéutica del Dolor. Publicado por Elsevier España, S.L.U. All rights reserved.

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