Brazilian Journal of Anesthesiology
https://bjan-sba.org/article/doi/10.1016/j.bjane.2021.12.005
Brazilian Journal of Anesthesiology
Case Report

Ultrasound evaluation of diaphragm function in patients with cervical spinal cord injury: case report

Avaliação ultrassonográfica da função diafragmática em pacientes com lesão medular cervical: relato de caso

Luisa María Charco-Roca, Elena Simón-Polo, Pablo Crispín Cuesta-Montero

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Abstract

Ultrasound evaluation of diaphragm function allows the detection of diaphragm dysfunction and the adaptation of ventilatory support in patients admitted to intensive care units. The studied patient had a C3 spinal cord injury. Ultrasound evaluation of diaphragm mobility showed that the patient suffered diaphragm dysfunction. A tracheotomy was indicated, and early ventilatory support was initiated. Ultrasound evaluation of diaphragm function in patients with cervical spinal cord injury is a useful and simple technique. It provides fast and reliable data for the diagnosis of respiratory insufficiency of neuromuscular origin.

Keywords

Lung ultrasound; Spinal cord trauma; Diaphragmatic paralysis; Tracheostomy, case report

Resumo

A avaliação ultrassonográfica da função diafragmática permite a detecção da disfunção diafragmática e a adaptação do suporte ventilatório em pacientes internados em unidades de terapia intensiva. O paciente estudado apresentava lesão medular C3. A avaliação ultrassonográfica da mobilidade do diafragma mostrou que o paciente sofria de disfunção diafragmática. Foi indicada traqueotomia e iniciado suporte ventilatório precoce. A avaliação ultrassonográfica da função do diafragma em pacientes com lesão medular cervical é uma técnica útil e simples. Fornece dados rápidos e confiáveis para o diagnóstico de insuficiência respiratória de origem neuromuscular.

Palavras-chave

Ultrassonografia pulmonar; Trauma medular; Paralisia diafragmática; Traqueostomia; Relato de caso

References

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Submitted date:
08/16/2020

Accepted date:
12/11/2021

62169870a9539519a94f4f03 rba Articles
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Braz J Anesthesiol

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