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Review ArticleNarrative Review

Ventilator-Induced Diaphragmatic Dysfunction: Diagnosis and Role of Pharmacological Agents

Won-Young Kim and Chae-Man Lim
Respiratory Care November 2017, 62 (11) 1485-1491; DOI: https://doi.org/10.4187/respcare.05622
Won-Young Kim
Department of Internal Medicine, Pusan National University School of Medicine, Busan, Republic of Korea.
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Chae-Man Lim
Department of Pulmonary and Critical Care Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea.
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    Fig. 1.

    B-mode was used to find the best approach and to select the exploration line of hemidiaphragm. During inspiration, diaphragmatic contraction was recorded by M-mode tracing, and the amplitude of excursion was measured on the vertical axis of the tracing from the baseline to the point of maximum height of inspiration on the graph.

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    Fig. 2.

    B-mode view of diaphragm in the zone of apposition during expiration (A) and inspiration (B). The diaphragm is identified as a 3-layer structure (non-echogenic central layer bordered by two echogenic layers, the diaphragmatic pleurae and the peritoneum). Thickening fraction is defined as ([thickness at B − thickness at A]/thickness at A).

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Respiratory Care: 62 (11)
Respiratory Care
Vol. 62, Issue 11
1 Nov 2017
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Ventilator-Induced Diaphragmatic Dysfunction: Diagnosis and Role of Pharmacological Agents
Won-Young Kim, Chae-Man Lim
Respiratory Care Nov 2017, 62 (11) 1485-1491; DOI: 10.4187/respcare.05622

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Ventilator-Induced Diaphragmatic Dysfunction: Diagnosis and Role of Pharmacological Agents
Won-Young Kim, Chae-Man Lim
Respiratory Care Nov 2017, 62 (11) 1485-1491; DOI: 10.4187/respcare.05622
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Keywords

  • diaphragm
  • diaphragm dysfunction
  • mechanical ventilation
  • ultrasonography
  • theophylline
  • review

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