Scribd Logo
Upload

Welcome to Scribd!

  • Diaphragm Ultrasound in Weaning From Mechanical Ventilation - Elsevier Enhanced Reader

    Uploaded by

    AniAliciaOrtizCastle
    8 views7 pages

    Original Title

    Diaphragm Ultrasound in Weaning From Mechanical Ventilation _ Elsevier Enhanced Reader

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    Report this Document

    Copyright:

    © All Rights Reserved
    Download as PDF or read online from Scribd
    Flag for inappropriate content
    8 views7 pages

    Diaphragm Ultrasound in Weaning From Mechanical Ventilation - Elsevier Enhanced Reader

    Uploaded by

    AniAliciaOrtizCastle

    Copyright:

    © All Rights Reserved
    Download as PDF or read online from Scribd
    Flag for inappropriate content
    of 7
    [education and ctnical Practice Hon 101) CHEST Diaphragm Ultrasound in Weaning From @.wma Mechanical Ventilation Deer ry, MES; Nova FaneDEND, MO, HY a Canaan Bast, MO, MSCE ‘rea ery val wg nde a BP of 105/70 nH, hart rat 8 Den, ‘eeprtry rate 22 trantha/min apd oxygen turin $53, Hi verlag mere “a On these sting od oe shame am Pano 7 rn He wa long pe onmands a hed mins Wesco secretes. Hes lace oe sperareous rening tl wth 9 spomtaneoue rode of vert and precept of 77 He ‘eubateto GL onygen taal arma, ghee ouster he et war ne have ‘eval! of CO, 20 the ptt wae rotated. AR baton, te ptt 259 ‘ener comfetabe an nina vertetar tng. Chest aarp tere retin Soren now parenchymal pres but an ekvatecen santa. ARera hoon wor, Imes dtorined Bat Gaotrograte weskess waste most al resem fe erry ‘Get 2021; 1543) 1066-172 ev WonoS: itil cre dh: mach vinttin: POC ln ing Mos patie who requte echankal tention re etter rotting of the dering ae of respon fe an fier psig x spotancons beng te Hone. aposimaely 20510 9% of pent apres dey weaning oo the Yeti. Thi ads to pong mechani veto, anger CU enh of sy and poor cia comes Although Ele to wean can Be fe to many reasons one pt tenting cee beng wees eae ‘uo major known cass ext for laphagm weaken enor indice dphegm dncton, why bas teem denied several stain Thi en more cmon sen when mecca ‘ent combina wk pei ach Ay onthe vento has bee sect trith 2 rlocion in daprapmati hikes By an average of 6" THs saat ‘pation at leet one yb shown ‘hat aay a ptt with daphrgmtic ncn was igh 2 9 ‘hon hot” Ardent nhs, ema 0 = pcp nin tae DU igo st pte beg jute fac tet ns a Sn ‘Sete Sine Pusey Pa ‘Gr © 9 tan alge ht Pen iy Size Riedartna! cecteyeiacagei neha [15903 ener wanes 2021 J ‘amir Summary a he rary Sts Used to Asses the Petemance of TF and Daphragm Excursion i tee DIF Satins ation ia ‘surg enna rape | coe pe-sam eta iatig nar arses | conor | er nace tpn, Spomanaus renting 48 ater “me ene econ A SOT ate be rene the abiy detect dlophragmatic dsfincion an bean import puto reiting suse in exttion and it ald the poset for dtemining weaning sna “This are dices bed amen of dng Fanconi puta ae usb We espn he technique of performing» aphmgn utasound (DU), he mesrement to be bed, ha inl relevance in preiting sess in weaning om Advantages of Diaphragm Ultrasound “The hag of U inca the abit be ermal at the bese he cnmon saab of ‘Ss machines in the ICU the ick of oniing radon, nd th eof ing the thn ‘Aeratve modesto ane dphrag fancton, ‘ach ar racy, tandaphrgmate reste joy eprint ‘rasog om archi vreion The cba ight dapegm thickening cn along wth pt ‘Sha retin ner (SBD) prey poved he Tube When cme tags pragmatic ncn est oe way hae erostate ‘pero of DU tational orc poly ‘rene DU roles ath ikeing messes ‘rales qutcation fereniens thre ene nly meanre theater Image Acquistion: Diaphragmatic Thickening and Excursion The aphragm isthe msjor mc of espa. et deahapedsrectre cntiting ow etal tendon ‘nd ppl usc ayer. This pera muse Ieper ther pepe intra cual prin eed cal portion, edo te rg The col mace ers Fe og eter are the lover ob cg ina ‘tunel ston. Theron where the mse zone of ppnton 209). lpg acs ca placement ofthe aria ‘sce and ince bani prose. Diaphragmatic decent isan ave me contest sealing egine inate peso TS ols in thickening of he apap msc ers which eaphvagm Thekness aly he put sal bein he ui oF serirecuntent poston Dh thickness irplacl lng, with the probe maker ong etna a the 208 in theater ally in eee ‘heh an 1h trot pce ota nga ‘mage (ig A, 1B). The caning pres sould be aperla”or" mca depending on aching moc an image anaing wo ib {tnd the nterclpce in Bete We The lupragn appears x echogenic layer ofc and pertoncum minding» hypoechoic yer tween hem (i 18) The dpa en be vain hehe dering prion a hin ot dri ‘pletion Vises) Am atti pragma ‘rode woud appear ab hin hyped ip inhi Pas al bape ane the drag nat {hike rng natin (co 1, Bomode cio sul mage the opr daring sprain and ‘peton sd be eo, Diaphragm thick {orumred ov fea B-mode ge a nlc he ‘eral the mio prone line beteen hich {he dnp andi I pad to stan at Je ther mentrements ich or ption ad [isse3 enear nancn 202i J meeueens isd cea the cheng ction sing te egion en ae, Disphragm Excursion Diagram ccuson the moreno the daphragm fr el daring entrant Ingato. can be meme fn lil est dbp apyech steer suet pan he Peso sb” Auugh the perfomance thse ee ae ot te cy amar the abi ad antec ae bth ache the spe he patent be igor prone. Ae ety phd ‘unio. The ening pest shuld be st 0 Sain” depening oo machine sting. The Saha ve ing the anchoring he Ber plan a acute win (Vso 2) Subpoid Approach The aint laced in the supine osmium postion when posible The ebe poe loth Probe niatorpiting oth sine lck ection (Gp) The pa ang cepa tard the ster ptf the apg In me daphrag ‘Rien ars bgt hyperechic ne sureing the ler ths metho, bth ight ad at does ofthe apr ae oan in ing ae, nd thle ‘exconinn can be ome i ete (0 2 Diaphragm excursion testy mevsuted by srelring M-mode ging the iphrge ore and ering the dance rm nino Wo nd ‘Anterior Subeostal Approach In this method the patient shoud ein the apne o ‘eminent poston when psi For the ight ‘apr the transduce i placed blow the gt ‘al magi inthe gil plane nye been clear and eter ear Ui (Fi). The ‘ital thepnterior at the dag For he Ie oprah probe paced a the bower Intec aesin the agit ane nen he anterior the spe and interes fn Deg yperectn ne 8 toasted by ering M-mode sim othe sabipid spr In thi meth the patent is pit o Glinical Application cron ae he vate tt re teed Sr tn lrasound "DE scalded by obtaining the ‘expeaton and by sabsttuting inthe equation given Ed Ipietory Diaphragm enest 1 DF soul be bined daring sponte ething tra to hep predic sce in weaning om the ‘ent, The performance character of DIF ate eter at owe el a rere sap at more acutely damon the expected pos ‘tation dpa wera In at et one ud, memurerents of DTF abv a prea oppor. (110 werent we Yo pret mening ce ‘When apr dey with RSE, DTP is ore specif for predicting sacl etn” In ‘ning DTF with SBI was shown tobe super to ‘er metod alone” The high spec of DTF Pred are feb can teal be wed 10 [ae high entation bs no tay he Somonsated the my oft ache eens. Sina to DT, daphragnecuion ca be wed to Pret idee eaten, An excsonof rer "han 10 o 14m bas bee shen oped cee itn 789% fo 87.5% and 78% 7% epee Thelma of ecu the neta vetted tien, however are mee ‘gt than DTF, Baa een comply lee daphrga al ave am xc Proporta tog complnce and dig peste I hllenging to ey specie dead dng spots resting tl for lps, Potential Applications Gin he pele and sigscace of diaphragmatic tvphy peas the mos ites potential Slaton foe DU in seting vette parma ‘Athogh ths tet ee ted DU epresets rnecani or understanding thr dierent eat states cae eo es ventatrndaed

    You might also like