Itagaki Taiga, Akimoto Yusuke, Takashima Takuya, Oto Jun
Department of Emergency and Disaster Medicine, Tokushima University Hospital, 2-50-1 Kuramoto, Tokushima 770-8503, Japan.
Emergency Department, Tokushima Prefectural Miyoshi Hospital, 815-2 Ikedacho Shima, Miyoshi 778-0005, Japan.
Diagnostics (Basel). 2024 Jul 10;14(14):1481. doi: 10.3390/diagnostics14141481.
Mechanical ventilation injures not only the lungs but also the diaphragm, resulting in dysfunction associated with poor outcomes. Diaphragm ultrasonography is a noninvasive, cost-effective, and reproducible diagnostic method used to monitor the condition and function of the diaphragm. With advances in ultrasound technology and the expansion of its clinical applications, diaphragm ultrasonography has become increasingly important as a tool to visualize and quantify diaphragmatic morphology and function across multiple medical specialties, including pulmonology, critical care, and rehabilitation medicine. This comprehensive review aims to provide an in-depth analysis of the role and limitations of ultrasonography in assessing the diaphragm, especially among critically ill patients. Furthermore, we discuss a recently published expert consensus and provide a perspective for the future.
机械通气不仅会损伤肺部，还会损伤膈肌，导致功能障碍并伴有不良预后。膈肌超声检查是一种用于监测膈肌状况和功能的无创、经济高效且可重复的诊断方法。随着超声技术的进步及其临床应用的扩展，膈肌超声检查作为一种可视化和量化膈肌形态及功能的工具，在包括肺病学、重症监护和康复医学在内的多个医学专业中变得越来越重要。这篇综述旨在深入分析超声检查在评估膈肌方面的作用和局限性，尤其是在危重症患者中。此外，我们还讨论了最近发表的专家共识并展望未来。
