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Intensive Care Medicine

, Volume 41, Issue 3, pp 557–559 | Cite as

Diaphragmatic dysfunction at admission in intensive care unit: the value of diaphragmatic ultrasonography

  • Xavier Valette
  • Amélie Seguin
  • Cédric Daubin
  • Jennifer Brunet
  • Bertrand Sauneuf
  • Nicolas Terzi
  • Damien du Cheyron
Letter

Dear Editor,

Although the diaphragm is the main respiratory muscle, little is known about the epidemiology of diaphragmatic dysfunction (DD) especially upon admission in the intensive care unit (ICU). Using endotracheal pressure variations after bilateral magnetic stimulation of phrenic nerves, Demoule et al. [1] reported a high prevalence of DD at ICU admission. In this study, DD is associated with disease severity, sepsis and poor prognosis, and it appeared as a sepsis-related organ failure. With the development of ultrasound in medicine, DD can now be diagnosed by diaphragmatic ultrasonography (DUS). However, studies related to this topic in the ICU mainly focused on diaphragmatic weakness acquired during ICU stay or post-cardiac surgery DD [2, 3, 4, 5]. Therefore, we report our experience of DD diagnosis using DUS upon admission in our ICU in patients with acute respiratory failure (ARF).

We retrospectively reviewed all subjects hospitalised in our 22-bed medical ICU who were...

Keywords

Intensive Care Unit Intensive Care Unit Admission Intensive Care Unit Stay Acute Respiratory Failure Phrenic Nerve 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Notes

Conflicts of interest

The authors have no potential conflicts of interest.

References

  1. 1.
    Demoule A, Jung B, Prodanovic H, Molinari N, Chanques G, Coirault C, Matecki S, Duguet A, Similowski T, Jaber S (2013) Diaphragm dysfunction on admission to the intensive care unit. Prevalence, risk factors, and prognostic impact—a prospective study. Am J Respir Crit Care Med 188:213–219CrossRefPubMedGoogle Scholar
  2. 2.
    Lerolle N, Guerot E, Dimassi S, Zegdi R, Faisy C, Fagon JY, Diehl JL (2009) Ultrasonographic diagnostic criterion for severe diaphragmatic dysfunction after cardiac surgery. Chest 135:401–407CrossRefPubMedGoogle Scholar
  3. 3.
    Kim WY, Suh HJ, Hong SB, Koh Y, Lim CM (2011) Diaphragm dysfunction assessed by ultrasonography: influence on weaning from mechanical ventilation. Crit Care Med 39:2627–2630CrossRefPubMedGoogle Scholar
  4. 4.
    Vivier E, Mekontso Dessap A, Dimassi S, Vargas F, Lyazidi A, Thille AW, Brochard L (2012) Diaphragm ultrasonography to estimate the work of breathing during non-invasive ventilation. Intensive Care Med 38:796–803CrossRefPubMedGoogle Scholar
  5. 5.
    Matamis D, Soilemezi E, Tsagourias M, Akoumianaki E, Dimassi S, Boroli F, Richard JC, Brochard L (2013) Sonographic evaluation of the diaphragm in critically ill patients. Intensive Care Med 39:801–810CrossRefPubMedGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg and ESICM 2015

Authors and Affiliations

  • Xavier Valette
    • 1
  • Amélie Seguin
    • 1
  • Cédric Daubin
    • 1
  • Jennifer Brunet
    • 1
  • Bertrand Sauneuf
    • 1
  • Nicolas Terzi
    • 1
  • Damien du Cheyron
    • 1
  1. 1.Medical Intensive Care UnitUniversity HospitalCaenFrance

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