Ultrasound evaluation of diaphragm function in patients with cervical spinal cord injury: case report
Luisa María Charco-Roca, Elena Simón-Polo, Pablo Crispín Cuesta-Montero
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
References
1. Velmahos GC, Toutouzas K, Chan L, et al. Intubation after cervical spinal cord injury: to be done selectively or routinely? Am Surg. 2003;69:891−4.
2. Gerscovich EO, Cronan M, McGahan JP, Jain K, Jones CD, McDonald C. Ultrasonographic evaluation of diaphragmatic motion. J Ultrasound Med. 2001;20:597−604.
3. Dot I, Perez-Teran P, Samper MA, Masclans JR. Diaphragm dysfunction in mechanically ventilated patients. Arch Bronconeumol. 2017;53:150−6.
4. Menaker J, Kufera JA, Glaser J, Stein DM, Scalea TM. Admission ASIA motor score predicting the need for tracheostomy after cervical spinal cord injury. J Trauma Acute Care Surg. 2013;75:629−34.
5. Huang YH, Ou CY. Magnetic resonance imaging predictors for respiratory failure after cervical spinal cord injury. Clin Neurol Neurosurg. 2014;126:30−4.
6. Zambon M, Greco M, Bocchino S, Cabrini L, Beccaria PF, Zangrillo A. Assessment of diaphragmatic dysfunction in the critically ill patient with ultrasound: a systematic review. Intensive Care Med. 2017;43:29−38.
7. McCool FD, Tzelepis GE. Dysfunction of the diaphragm. N Engl J Med. 2012;366:932−42.
8. Goligher EC, Laghi F, Detsky ME, Farias P, Murray A, Brace D, et al. Measuring diaphragm thickness with ultrasound in mechanically ventilated patients: feasibility, reproducibility, and validity. Intensive Care Med. 2015;41:642−9.
Submitted date:
08/16/2020
Accepted date:
12/11/2021