Wertigkeit der Sonographie auf der Intensivstation zur Diagnostik von Zwerchfellparesen
ROFO-FORTSCHRITTE AUF DEM GEBIET DER RONTGENSTRAHLEN UND DER BILDGEBENDEN VERFAHREN(1998)
Abstract
Purpose: To assess the value of bedside sonography in the detection of diaphragmatic paralysis in patients in the intensive care unit, Methods: In this study, 100 patients who were admitted to the intensive care unit after thoracic operations were evaluated. Sonography of each hemidiaphragm was performed with coronal scans at the mid-axillary line on both sides with the patient supine. Absent and paradoxical diaphragmatic movement was considered to be indicative of diaphragmatic paralysis. All patients underwent additional fluoroscopy within 5 days. Results: In 13 patients (13%) sonography revealed diaphragmatic paralysis. All these results were confirmed with fluoroscopy resulting in a sensitivity and specificity for sonography of 100%. Conclusion: Bedside sonography of the diaphragm at the intensive care unit is a reliable tool for diagnosing diaphragmatic paralysis.
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Key words
diaphragm,sonography,diaphragm, abnormalities,nerves, phrenic,nerves, abnormalities,paralysis
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