ALSHAER, I., Elsheikh, H., Shaalan, A., Elnaggar, M. (2020). The Role of Ultrasound in Assessment of Diaphragmatic Dysfunction in I.C.U Patients. test, 37(2), 354-368. doi: 10.21608/bmfj.2020.79647
ISLAM M.H ALSHAER; Hesham Elsheikh; Ahmed Shaalan; Marwa Elnaggar. "The Role of Ultrasound in Assessment of Diaphragmatic Dysfunction in I.C.U Patients". test, 37, 2, 2020, 354-368. doi: 10.21608/bmfj.2020.79647
ALSHAER, I., Elsheikh, H., Shaalan, A., Elnaggar, M. (2020). 'The Role of Ultrasound in Assessment of Diaphragmatic Dysfunction in I.C.U Patients', test, 37(2), pp. 354-368. doi: 10.21608/bmfj.2020.79647
ALSHAER, I., Elsheikh, H., Shaalan, A., Elnaggar, M. The Role of Ultrasound in Assessment of Diaphragmatic Dysfunction in I.C.U Patients. test, 2020; 37(2): 354-368. doi: 10.21608/bmfj.2020.79647

The Role of Ultrasound in Assessment of Diaphragmatic Dysfunction in I.C.U Patients

Benha Medical Journal
Article 4, Volume 37, Issue 2, June 2020, Pages 354-368    PDF (1.34 M)
Document Type: Original Article
DOI: 10.21608/bmfj.2020.79647
Authors
ISLAM M.H ALSHAER1; Hesham Elsheikh2; Ahmed Shaalan2; Marwa Elnaggar3
1radiology department, faculty of medicine, banha univircity , cairo, egypt
2Department of Radiology, Faculty of medicine, Banha university, Egypt
3department of chest medicine, Faculty of Medicine, Benha University, Egypt
Abstract
Background: Diaphragm dysfunction (DD) is frequently seen in critically ill patients, and ultrasound could be a useful tool to detect it and to predict extubation success or failure in mechanically ventilated patients. Besides, it would also be useful in differential diagnosis of dyspnea and respiratory failure. Aim of work :The aim of work is to evaluate usefulness and accuracy of ultrasound in assessment of DD in intensive care unit (ICU) patients in comparison with clinical outcome of patients.. In this prospective study, we compared the performance of ultrasound in visualization of diaphragm, detection of paradoxical movement, measurement of tidal and maximal thickness, and excursion, and calculation of thickening fraction (TF) of the diaphragm in quiet breathing. Patients and Method: The present study was performed on50 patients (26 males and 24 females) admitted in RICU in Benha university hospital The field study was conducted from March 2019 to September 2019. Ultrasound of the Rt, hemidiaphragm was done on the day of admission or soon after admission (1-2) days. Results: there was no statistical significant difference between the studied groups regarding ultrasound measurement (DTF, DE and DT) and patient outcome with p value (0.273,0.245 and 0.497)respectively.Conclusion: ultrasound of diaphragm in ICU patients may be a reliable, noninvasive and convenient way to assess the DD in ICU patients to predict their outcome.
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