Diaphragm Ultrasound in Cardiac Surgery: State of the Art.
Abdallah FayssoilNicolas MansencalLee S NguyenDavid OrlikowskiHélène PrigentJean BergouniouxDjillali AnnaneFrédéric LofasoPublished in: Medicines (Basel, Switzerland) (2022)
In cardiac surgery, patients are at risk of phrenic nerve injury, which leads to diaphragm dysfunction and acute respiratory failure. Diaphragm dysfunction (DD) is relatively frequent in cardiac surgery and particularly affects patients after coronary artery bypass graft. The onset of DD affects patients' prognosis in term of weaning from mechanical ventilation and hospital length of stay. The authors present a narrative review about diaphragm physiology, techniques used to assess diaphragm function, and the clinical application of diaphragm ultrasound in patients undergoing cardiac surgery.
Keyphrases
- mechanical ventilation
- cardiac surgery
- respiratory failure
- end stage renal disease
- acute respiratory distress syndrome
- intensive care unit
- ejection fraction
- acute kidney injury
- patients undergoing
- newly diagnosed
- peritoneal dialysis
- prognostic factors
- magnetic resonance imaging
- emergency department
- extracorporeal membrane oxygenation
- oxidative stress
- acute coronary syndrome
- computed tomography
- ultrasound guided
- electronic health record