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Ultrasound of the Diaphragm and the Respiratory Muscles PDF

169 Pages·2022·72.55 MB·English
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Ultrasound of the Diaphragm and the Respiratory Muscles Ultrasound of the Diaphragm and the Respiratory Muscles Edited by Massimo Zambon Anesthesiologist and Critical Care Specialist Head of Department of Anesthesia and Intensive Care of the Uboldo Hospital, Cernusco sul Naviglio, Milan, Italy First edition published 2022 by CRC Press 6000 Broken Sound Parkway NW, Suite 300, Boca Raton, FL 33487-2742 and by CRC Press 2 Park Square, Milton Park, Abingdon, Oxon, OX14 4RN © 2022 Taylor & Francis Group, LLC CRC Press is an imprint of Taylor & Francis Group, LLC This book contains information obtained from authentic and highly regarded sources. While all reasonable efforts have been made to publish reliable data and information, neither the author[s] nor the publisher can accept any legal responsibility or liability for any errors or omissions that may be made. The publishers wish to make clear that any views or opinions expressed in this book by individual editors, authors or contributors are personal to them and do not necessarily reflect the views/opinions of the publishers. The information or guidance contained in this book is intended for use by medical, scientific or health-care professionals and is provided strictly as a supplement to the medical or other professional’s own judgement, their knowledge of the patient’s medical history, relevant manufacturer’s instructions and the appropriate best practice guidelines. Because of the rapid advances in medical science, any information or advice on dosages, procedures or diagnoses should be independently verified. The reader is strongly urged to consult the relevant national drug formulary and the drug companies’ and device or material manufacturers’ printed instructions, and their websites, before administering or utilizing any of the drugs, devices or materials mentioned in this book. This book does not indicate whether a particular treatment is appropriate or suitable for a particular individual. Ultimately it is the sole responsibility of the medical professional to make his or her own professional judgements, so as to advise and treat patients appropriately. The authors and publishers have also attempted to trace the copyright holders of all material reproduced in this publication and apologize to copyright holders if permission to publish in this form has not been obtained. If any copyright material has not been acknowledged please write and let us know so we may rectify in any future reprint. Except as permitted under U.S. Copyright Law, no part of this book may be reprinted, reproduced, transmitted, or utilized in any form by any electronic, mechanical, or other means, now known or hereafter invented, including photocopying, microfilming, and recording, or in any information storage or retrieval system, without written permission from the publishers. For permission to photocopy or use material electronically from this work, access www .copyright .com or contact the Copyright Clearance Center, Inc. (CCC), 222 Rosewood Drive, Danvers, MA 01923, 978-750-8400. For works that are not available on CCC please contact mpkbookspermissions @tandf .co .uk Trademark notice: Product or corporate names may be trademarks or registered trademarks and are used only for identification and explanation without intent to infringe. Library of Congress Cataloging‑in‑Publication Data Names: Zambon, Massimo, editor. Title: Ultrasound of the diaphragm and the respiratory muscles / edited by Massimo Zambon. Description: Boca Raton, FL : CRC Press, 2022. | Includes bibliographical references and index. | Summary: “Ultrasound is the most reliable, easily available, fast, non-invasive technique to study diaphragm function, and is an irreplaceable tool to diagnose, monitor and follow-up critical respiratory patients. This essential guide analyzes every aspect of ultrasound of the diaphragm which is vital to provide the most suitable treatment”-- Provided by publisher. Identifiers: LCCN 2021057518 (print) | LCCN 2021057519 (ebook) | ISBN 9780367652777 (hardback) | ISBN 9780367652760 (paperback) | ISBN 9781003128694 (ebook) Subjects: MESH: Diaphragm--diagnostic imaging | Respiratory Tract Diseases--diagnostic imaging | Respiration, Artificial Classification: LCC QP145 (print) | LCC QP145 (ebook) | NLM WF 800 | DDC 611/.26--dc23/eng/20220106 LC record available at https://lccn.loc.gov/2021057518 LC ebook record available at https://lccn.loc.gov/2021057519 ISBN: 9780367652777 (hbk) ISBN: 9780367652760 (pbk) ISBN: 9781003128694 (ebk) DOI: 10.1201/9781003128694 Typeset in Minion by Deanta Global Publishing Services, Chennai, India Access the Support Material: www .routledge .com /9780367652760 To our teachers, colleagues, trainees, who have been a source of knowledge and inspiration. And to all the patients, hoping knowledge will help to improve their care. M.Z. Contents Preface xi Editor xiii List of Contributors xv Part I: Introduction Chapter 1 Anatomy, Physiology, and Dysfunction of the Diaphragm 3 Marco Gemma Anatomy 3 Physiology 6 Dysfunction 8 References 10 Chapter 2 Ultrasound Basics 13 Massimo Zambon Interactions of Sound and Tissues 14 Machine Setting 16 Resources 18 Part II: Diaphragm Ultrasound: Technique Chapter 3 Diaphragmatic Excursion 21 Massimo Zambon Technique 21 Reference Values, Reproducibility, Learning Curves 24 Usefulness 25 Excursion on Ventilated Patients 26 References 27 Chapter 4 Diaphragmatic Thickness and Thickening 29 Massimo Zambon Usefulness 30 How to Measure Thickness 30 How to Measure Thickening 31 Reference Values 34 Meaning of Reduced/Increased 35 References 36 Part III: Applications of Diaphragm Ultrasound Chapter 5 Diaphragm Ultrasound in Respiratory Disorders and Diaphragm Paralysis 41 Pauliane Vieira Santana, Leticia Zumpano Cardenas, and Andre Luis Pereira de Albuquerque Diaphragm Ultrasound in Respiratory Disorders and Diaphragm Paralysis 42 COPD 42 vii Contents Interstitial Lung Diseases (ILD) 47 Asthma Cystic Fibrosis and Non-cystic Fibrosis Bronchiectasis 50 Diaphragm Paralysis and DUS Findings 52 References 56 Chapter 6 Assessment of Diaphragm Dysfunction in Mechanically Ventilated Patients 61 Quentin Fossé and Martin Dres Introduction 61 Diaphragm Dysfunction 62 Conclusion 69 References 70 Chapter 7 Diaphragm Ultrasound during Weaning from Mechanical Ventilation 77 Mark E. Haaksma, Heder J. de Vries, Leo Heunks, and Pieter R. Tuinman Introduction 78 Ultrasound during Mechanical Ventilation 78 Patient–Ventilator Interactions 79 Diaphragm Ultrasound to Track Atrophy 81 Diaphragm Ultrasound to Titrate Ventilator Settings 82 A Comprehensive Ultrasound Approach during Weaning from Mechanical Ventilation: Ultrasound of Diaphragm, Heart, and Lungs 83 Ultrasound to Predict Extubation Success/Failure 84 Chapter Summary 85 References 85 Chapter 8 Diaphragmatic Ultrasound after Thoracic and Abdominal Surgery 89 Luigi Vetrugno, Daniele Orso, Elena Bignami, and Gianmaria Cammarota Introduction 89 Cardiac Surgery 90 Thoracic Surgery 91 Upper Abdominal Surgery 91 Conclusion 94 References 95 Chapter 9 Diaphragm Ultrasound in Patients with Neuromuscular Disorders 99 Abdallah Fayssoil Introduction 99 Diaphragm Ultrasound in Neuromuscular Disorders in a Neuromuscular Centre 101 Conclusion 105 References 105 viii Contents Chapter 10 Other Applications of Diaphragm Ultrasound: Trauma, Malignancies, Ultrasound-Guided Procedures 111 Annia Schreiber, Cristian Deana, Luigi Vetrugno, and Massimo Zambon Trauma 111 References 114 Malignancies 115 References 116 Ultrasound-Guided Procedures 117 References 118 Part IV: New Perspectives Chapter 11 Ultrasound Assessment of the Accessory Respiratory Muscles 123 Myrte Wennen, Annemijn H. Jonkman, Zhonghua Shi, and Pieter R. Tuinman Introduction 123 Ultrasound Techniques 124 Tips, Tricks, and Challenges 127 Potential Clinical Applications 129 Novel Techniques and Future Research Questions 131 Conclusion 132 References 132 Chapter 12 Tissue Doppler Imaging of the Diaphragm 137 Eleni Soilemezi, Panagiota Sotiriou, Savvoula Savvidou, and Matthew Tsagourias Introduction 137 Ultrasound Technique 137 Variables Identified 140 Use and Potential Applications 140 Limitations of the Technique 143 Future Directions 143 References 143 Chapter 13 Ultrasound of the Diaphragm in Paediatric Patients 145 Massimo Zambon References 147 Index 149 ix

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