Assisted mechanical ventilation promotes recovery of diaphragmatic thickness in critically ill patients: a prospective observational study.
Alice GrassiDaniela FerliccaErmes LupieriSerena CalcinatiSilvia FrancesconiVittoria SalaValentina OrmasElena ChiodaroliChiara AbbruzzeseFrancesco CurtoAndrea SannaMassimo ZambonRoberto FumagalliGiuseppe FotiGiacomo BellaniPublished in: Critical care (London, England) (2020)
Mode of ventilation affects diaphragm thickness, and preservation of diaphragmatic contraction, as during assisted modes, can partially reverse the muscle atrophy process. Avoiding a strenuous inspiratory work, as measured by Rapid Shallow Breathing Index and Pressure Muscle Index, may help diaphragm thickness restoration.