A narrative review of diaphragm ultrasound to predict weaning from mechanical ventilation: where are we and where are we heading?

Welters, Ingeborg ORCID: 0000-0002-3408-8798, Turton, Peter and ALAidarous, Sondus (2019) A narrative review of diaphragm ultrasound to predict weaning from mechanical ventilation: where are we and where are we heading? The Ultrasound Journal, 11 (1). 2-. ISSN 2036-3176, 2524-8987

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Official URL: https://doi.org/10.1186/s13089-019-0117-8

Abstract

<h4>Background</h4>The use of ultrasound to visualize the diaphragm is well established. Over the last 15 years, certain indices of diaphragm function, namely diaphragm thickness, thickening fraction and excursion have been established for mechanically ventilated patients to track changes in diaphragm size and function over time, to assess and diagnose diaphragmatic dysfunction, and to evaluate if these indices can predict successful liberation from mechanical ventilation. In the last 2 years, three meta-analyses and a systematic review have assessed the usability of diaphragmatic ultrasound to predict successful weaning. Since then, further data have been published on the topic.<h4>Conclusions</h4>The aim of this narrative review is to briefly describe the common methods of diaphragmatic function assessment using ultrasound techniques, before summarizing the major points raised by the recent reviews. A narrative summary of the most recent data will be presented, before concluding with a brief discussion of future research directions in this field.

Item Type:	Article
Uncontrolled Keywords:	Diaphragm, Muscle atrophy, Diaphragm ultrasound, Thickening fraction
Depositing User:	Symplectic Admin
Date Deposited:	26 Mar 2019 08:27
Last Modified:	07 Dec 2024 06:46
DOI:	10.1186/s13089-019-0117-8
Open Access URL:	https://link.springer.com/article/10.1186/s13089-0...
Related URLs:	Author Publisher
URI:	https://livrepository.liverpool.ac.uk/id/eprint/3034902