Evolution of Respiratory Muscles Thickness in Mechanically Ventilated Patients With COVID-19

Haaksma, Mark E.; Smit, Jeff M.; Kramer, Ruben; Heldeweg, Micah L A; Veldhuis, Lars; Lieveld, Arthur W.E.; Pikerie, Dagnery; Mousa, Amne; Girbes, Armand R. J.; Heunks, Leo; Tuinman, Pieter R.

doi:10.4187/respcare.10063

Cited by 2 publications

(1 citation statement)

References 23 publications

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“…In the ICU, diaphragmatic dysfunction, defined as a reduced thickening fraction assessed by ultrasound, was predictive of the need for invasive ventilation in patients with severe respiratory failure related to COVID-19 pneumonia undergoing a NIV trial [ 126 , 127 ]. In mechanically ventilated ICU patients, reduced diaphragm thickness was also associated with prolonged ventilation time [ 128 ] and mortality [ 129 ]. Furthermore, a decrease in diaphragm thickness after five days of ICU stay was recognized as an expression of acute muscle wasting and was significantly associated with mortality [ 130 ].…”

Section: Diaphragm Ultrasound In Specific Clinical Situations or Dise...mentioning

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: Diaphragm Ultrasound In Specific Clinical Situations or Dise...mentioning

confidence: 99%

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

Siniscalchi,

Nouvenne,

Cerundolo

et al. 2024

Geriatrics

View full text Add to dashboard Cite

show abstract

A Window Into the Future: The Diagnostic and Prognostic Utility of Respiratory Muscle Ultrasound in Optimizing Mechanical Ventilation

Morris

Goligher

2022

Respir Care

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Evolution of Respiratory Muscles Thickness in Mechanically Ventilated Patients With COVID-19

Cited by 2 publications

References 23 publications

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

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

A Window Into the Future: The Diagnostic and Prognostic Utility of Respiratory Muscle Ultrasound in Optimizing Mechanical Ventilation

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