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Research ArticleOriginal Research

Standardization of Sonographic Diaphragm Thickness Evaluations in Healthy Volunteers

Raúl Carrillo-Esper, Ángel Augusto Pérez-Calatayud, Emilio Arch-Tirado, Manuel Alejandro Díaz-Carrillo, Eduardo Garrido-Aguirre, Rafael Tapia-Velazco, Carlos Alberto Peña-Pérez, Isis Espinoza-de los Monteros, José Martín Meza-Márquez, Oscar Iván Flores-Rivera, Adriana Denise Zepeda-Mendoza and Teresa de la Torre-León
Respiratory Care July 2016, 61 (7) 920-924; DOI: https://doi.org/10.4187/respcare.03999
Raúl Carrillo-Esper
Department of Critical Care, Fundación Clinica Médica Sur, Mexico City 14050, Mexico.
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Ángel Augusto Pérez-Calatayud
Department of Critical Care Medicine, Fundación Clinica Médica Sur, Mexico City 14050, Mexico.
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  • For correspondence: [email protected]
Emilio Arch-Tirado
Research in Medical Sciences Neuro-Rehabilitation Laboratory, National Institute of Rehabilitation, Mexico City, Mexico.
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Manuel Alejandro Díaz-Carrillo
Department of Critical Care Medicine, Fundación Clinica Médica Sur, Mexico City 14050, Mexico.
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Eduardo Garrido-Aguirre
Department of Critical Care Medicine, Fundación Clinica Médica Sur, Mexico City 14050, Mexico.
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Rafael Tapia-Velazco
Department of Critical Care Medicine, Fundación Clinica Médica Sur, Mexico City 14050, Mexico.
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Carlos Alberto Peña-Pérez
Department of Critical Care Medicine, Fundación Clinica Médica Sur, Mexico City 14050, Mexico.
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Isis Espinoza-de los Monteros
Department of Critical Care Medicine, Fundación Clinica Médica Sur, Mexico City 14050, Mexico.
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José Martín Meza-Márquez
Department of Critical Care Medicine, Fundación Clinica Médica Sur, Mexico City 14050, Mexico.
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Oscar Iván Flores-Rivera
Department of Critical Care Medicine, Fundación Clinica Médica Sur, Mexico City 14050, Mexico.
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Adriana Denise Zepeda-Mendoza
Department of Critical Care Medicine, Fundación Clinica Médica Sur, Mexico City 14050, Mexico.
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Teresa de la Torre-León
Department of Critical Care Medicine, Fundación Clinica Médica Sur, Mexico City 14050, Mexico.
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    Fig. 1.

    A: The probe position for a B-mode diaphragmatic thickness measurement in the zone of apposition with a 10–15-MHz probe. B: A diaphragm thickness image displaying the following different layers from top to bottom: echogenic diaphragmatic layer (pleural), non-echogenic central layer (diaphragm), and echogenic layer (peritoneal).

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    Fig. 2.

    The mean ± SD values for the diaphragmatic thicknesses were calculated for possible standardization and were separated by men and women.

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    Fig. 3.

    The position of the median was evaluated relative to its quartiles. There was better and more consistent data distribution in men compared with women, in which 5 results protruded from the upper limit of the estimated quartiles. The average diaphragmatic thickness value was 0.19 ± 0.04 cm (95% CI 0.17–0.19 cm) for men and 0.14 ± 0.03 cm (95% CI 0.13–0.15 cm) (P = .001) for women. The upper edge of each box represents the 1st quartile, whereas the bottom edge shows the 3rd quartile. The center lines denote the median.

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Respiratory Care: 61 (7)
Respiratory Care
Vol. 61, Issue 7
1 Jul 2016
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Standardization of Sonographic Diaphragm Thickness Evaluations in Healthy Volunteers
Raúl Carrillo-Esper, Ángel Augusto Pérez-Calatayud, Emilio Arch-Tirado, Manuel Alejandro Díaz-Carrillo, Eduardo Garrido-Aguirre, Rafael Tapia-Velazco, Carlos Alberto Peña-Pérez, Isis Espinoza-de los Monteros, José Martín Meza-Márquez, Oscar Iván Flores-Rivera, Adriana Denise Zepeda-Mendoza, Teresa de la Torre-León
Respiratory Care Jul 2016, 61 (7) 920-924; DOI: 10.4187/respcare.03999

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Standardization of Sonographic Diaphragm Thickness Evaluations in Healthy Volunteers
Raúl Carrillo-Esper, Ángel Augusto Pérez-Calatayud, Emilio Arch-Tirado, Manuel Alejandro Díaz-Carrillo, Eduardo Garrido-Aguirre, Rafael Tapia-Velazco, Carlos Alberto Peña-Pérez, Isis Espinoza-de los Monteros, José Martín Meza-Márquez, Oscar Iván Flores-Rivera, Adriana Denise Zepeda-Mendoza, Teresa de la Torre-León
Respiratory Care Jul 2016, 61 (7) 920-924; DOI: 10.4187/respcare.03999
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