Diaphragm ultrasound in children useful in emergency and non-emergency indications. Clinical applications: A systematic review

Silvia Marino , Lidia Marino , Martino Ruggieri , Raffaele Falsaperla
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Abstract

M-mode ultrasonography has been used in the assessment of diaphragm kinetics. The sonographic diaphragmatic parameters can provide valuable information in the assessment and follow-up of patients with diaphragmatic dysfunction, during ventilation, and can potentially help to understand post-operative pulmonary dysfunction or weaning failure from ventilation. We conducted a systematic review of literature concerning the clinical applications of diaphragmatic ultrasound in children. The morphological and functional evaluation of the diaphragm by ultrasound technique is becoming an increasingly widespread practice in intensive, medical and surgery category. Our systematic review shows how diaphragmatic ultrasonography finds indication in different areas. It requires a standardization of parameters and normal measurement values.

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儿童膈肌超声在急诊和非急诊指征中都很有用。临床应用:系统回顾
M 型超声波已被用于评估膈肌动力学。膈肌超声参数可为通气期间膈肌功能障碍患者的评估和随访提供有价值的信息,并有可能帮助了解术后肺功能障碍或通气断奶失败的情况。我们对有关儿童膈肌超声临床应用的文献进行了系统性回顾。通过超声技术对膈肌的形态和功能进行评估正日益成为重症监护、内科和外科的普遍做法。我们的系统回顾显示了膈肌超声检查在不同领域的适应症。这需要对参数和正常测量值进行标准化。
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