Brazilian Journal of Anesthesiology
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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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.


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


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.


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


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