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Author Spotlight: Unraveling the Impact of Mechanical Ventilation on Diaphragm Function and Patient Outcomes
Published on: November 3, 2023
Physiology in Medicine: physiological basis of diaphragmatic dysfunction with abdominal hernias-implications for
Patrick Koo1, Eric J Gartman1, Jigme M Sethi1
1Division of Pulmonary, Critical Care, and Sleep, Memorial Hospital of Rhode Island, Alpert Medical School of Brown University, Pawtucket, Rhode Island.
Abstract:
An incisional hernia is a common complication after abdominal surgery. Complaints of dyspnea in this population may be attributed to cardiopulmonary dysfunction or deconditioning. Large abdominal incisional hernias, however, may cause diaphragm dysfunction and result in dyspnea, which is more pronounced when standing (platypnea). The use of an abdominal binder may alleviate platypnea in this population. We discuss the link between diaphragm dysfunction and the lack of abdominal wall integrity and how abdominal wall support partially restores diaphragm function.
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