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Respiratory System Abnormal Finding II: Palpation and Auscultation01:31

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Author Spotlight: Unraveling the Impact of Mechanical Ventilation on Diaphragm Function and Patient Outcomes
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Detecting Ventilator-Induced Diaphragmatic Dysfunction Using Point-of-Care Ultrasound in Children With Long-term

Sigmund J Kharasch1, Helene Dumas1,2, Jane O'Brien2

  • 1Department of Emergency Medicine, Massachusetts General Hospital, Boston, Massachusetts, USA.

Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine
|September 4, 2020
PubMed
Summary

Pediatric patients on long-term mechanical ventilation (MV) may develop diaphragmatic dysfunction. Diaphragmatic ultrasound (US) was used to evaluate this condition in children requiring prolonged MV support.

Area of Science:

  • Pediatric critical care medicine
  • Pulmonology
  • Medical imaging

Background:

  • Long-term mechanical ventilation (MV) is defined as >6 hours/day for >3 weeks.
Keywords:
diaphragmatic ultrasoundlong-term mechanical ventilationventilator-induced diaphragmatic dysfunction

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  • Children with neuromuscular disease, central dysregulation, or lung dysfunction often require long-term MV.
  • These medically complex children are at risk for ventilator-induced diaphragmatic dysfunction (VIDD).