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Diaphragmatic Ultrasound in Adults: Image Acquisition and Interpretation
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Perioperative Diaphragm Dysfunction.

Jinge Hu1,2, Ruijuan Guo1, Huili Li1

  • 1Department of Anesthesiology, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China.

Journal of Clinical Medicine
|January 23, 2024
PubMed
Summary
This summary is machine-generated.

Diaphragm dysfunction (DD) can cause respiratory failure. This review explores anesthetic strategies to protect the diaphragm during surgery, identifying high-risk patients and procedures to prevent postoperative diaphragm dysfunction.

Keywords:
diagnosisdiaphragmdysfunctionperioperative management

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Area of Science:

  • Respiratory Medicine
  • Anesthesiology
  • Surgical Innovation

Background:

  • Diaphragm dysfunction (DD) is a significant respiratory disorder with varied etiologies, often leading to respiratory failure.
  • Unilateral DD is more prevalent than bilateral DD, both impacting lung and chest wall mechanics and promoting atelectasis.
  • Perioperative diaphragm protection is an emerging area of research crucial for patient outcomes.

Purpose of the Study:

  • To review anesthetic and operative strategies that minimize postoperative diaphragm dysfunction.
  • To identify patients at higher risk for DD and surgical procedures that may cause it.
  • To guide clinicians in recognizing and avoiding interventions that impair diaphragmatic function.

Main Methods:

  • Literature review focusing on perioperative diaphragm protection and DD management.
  • Analysis of diagnostic advancements like dynamic MRI, ultrasound, and esophageal manometry.
  • Examination of therapeutic approaches, including noninvasive and invasive interventions.

Main Results:

  • DD negatively impacts lung mechanics and can lead to atelectasis and respiratory failure.
  • Accurate assessment of diaphragm function is vital for anesthetic planning and perioperative management.
  • Technological advancements have improved DD diagnosis and monitoring.

Conclusions:

  • Optimizing anesthetic and surgical plans is key to preventing postoperative diaphragm dysfunction.
  • Early identification of at-risk patients and avoidance of detrimental interventions are crucial.
  • Further research into perioperative diaphragm protection strategies is warranted.