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E-raamat: Ultrasound of the Diaphragm and the Respiratory Muscles

Edited by (Uboldo Hospital, Cernusco sul Naviglio, Milan, Italy)
  • Formaat: EPUB+DRM
  • Ilmumisaeg: 24-Apr-2022
  • Kirjastus: CRC Press
  • Keel: eng
  • ISBN-13: 9781000537611
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  • Formaat: EPUB+DRM
  • Ilmumisaeg: 24-Apr-2022
  • Kirjastus: CRC Press
  • Keel: eng
  • ISBN-13: 9781000537611
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Ultrasound is the most reliable, easily available, fast, non-invasive technique to study diaphragm function, and is an irreplaceable tool to diagnose, monitor, and follow -up critical respiratory patients. This essential guide analyses every aspect of ultrasound of the diaphragm and respiratory muscles, a reliable assessment whose function is vital to delivering the most suitable treatment. Ultrasound of the Diaphragm and the Respiratory Muscles also provides insight to diagnosing diaphragmatic dysfunction or paralysis following surgery or neuromuscular diseases, to follow the muscular activity and the time-course of atrophy during mechanical ventilation, and to monitor the weaning phase. It is ideal for professionals and trainees practicing ultrasound in a clinical setting.

Key Features











Sets the standard for training and competency of this emerging, yet scientifically approved non-invasive technique of ultrasound with all the essential information on how to perform ultrasound and interpret the images obtained.





Features clear and didactic images demonstrating echo findings in various situations along with videos of diaphragmatic ultrasound offering a unique "window" on mechanically ventilated patients, allowing to take important clinical decisions on ventilatory modes and assistance by pulmonologists, critical care specialists, thoracic surgeons, emergency medicine specialists, as well as trainees.





Includes a chapter on paediatric ultrasound along with ultrasound of other respiratory muscles (i.e., intercostal and abdominal) which is emerging as a useful complementary tool.
Preface xi
Editor xiii
List of Contributors
xv
Part I Introduction
Chapter 1 Anatomy, Physiology, and Dysfunction of the Diaphragm
3(10)
Marco Gemma
Anatomy
3(3)
Physiology
6(2)
Dysfunction
8(2)
References
10(3)
Chapter 2 Ultrasound Basics
13(8)
Massimo Zambon
Interactions of Sound and Tissues
14(2)
Machine Setting
16(2)
Resources
18(3)
Part II Diaphragm Ultrasound: Technique
Chapter 3 Diaphragmatic Excursion
21(8)
Massimo Zambon
Technique
21(3)
Reference Values, Reproducibility, Learning Curves
24(1)
Usefulness
25(1)
Excursion on Ventilated Patients
26(1)
References
27(2)
Chapter 4 Diaphragmatic Thickness and Thickening
29(12)
Massimo Zambon
Usefulness
30(1)
How to Measure Thickness
30(1)
How to Measure Thickening
31(3)
Reference Values
34(1)
Meaning of Reduced/Increased
35(1)
References
36(5)
Part III Applications of Diaphragm Ultrasound
Chapter 5 Diaphragm Ultrasound in Respiratory Disorders and Diaphragm Paralysis
41(20)
Pauliane Vieira Santana
Leticia Zumpano Cardenas
Andre Luis Pereira de Albuquerque
Diaphragm Ultrasound in Respiratory Disorders and Diaphragm Paralysis
42(1)
COPD
42(5)
Interstitial Lung Diseases (ILD)
47(3)
Asthma Cystic Fibrosis and Non-cystic Fibrosis Bronchiectasis
50(2)
Diaphragm Paralysis and DUS Findings
52(4)
References
56(5)
Chapter 6 Assessment of Diaphragm Dysfunction in Mechanically Ventilated Patients
61(16)
Quentin Fosse
Martin Dres
Introduction
61(1)
Diaphragm Dysfunction
62(7)
Conclusion
69(1)
References
70(7)
Chapter 7 Diaphragm Ultrasound during Weaning from Mechanical Ventilation
77(12)
Mark E. Haaksma
Heder J. de Vries
Leo Heunks
Pieter R. Tuinman
Introduction
78(1)
Ultrasound during Mechanical Ventilation
78(1)
Patient-Ventilator Interactions
79(2)
Diaphragm Ultrasound to Track Atrophy
81(1)
Diaphragm Ultrasound to Titrate Ventilator Settings
82(1)
A Comprehensive Ultrasound Approach during Weaning from Mechanical Ventilation: Ultrasound of Diaphragm, Heart, and Lungs
83(1)
Ultrasound to Predict Extubation Success/Failure
84(1)
Chapter Summary
85(1)
References
85(4)
Chapter 8 Diaphragmatic Ultrasound after Thoracic and Abdominal Surgery
89(10)
Luigi Vetrugno
Daniele Orso
Elena Bignami
Gianmaria Cammarota
Introduction
89(1)
Cardiac Surgery
90(1)
Thoracic Surgery
91(1)
Upper Abdominal Surgery
91(3)
Conclusion
94(1)
References
95(4)
Chapter 9 Diaphragm Ultrasound in Patients with Neuromuscular Disorders
99(12)
Abdallah Fayssoil
Introduction
99(2)
Diaphragm Ultrasound in Neuromuscular Disorders in a Neuromuscular Centre
101(4)
Conclusion
105(1)
References
105(6)
Chapter 10 Other Applications of Diaphragm Ultrasound: Trauma, Malignancies, Ultrasound-Guided Procedures
111(12)
Annia Schreiber
Cristian Deana
Luigi Vetrugno
Massimo Zambon
Trauma
111(3)
References
114(1)
Malignancies
115(1)
References
116(1)
Ultrasound-Guided Procedures
117(1)
References
118(5)
Part IV New Perspectives
Chapter 11 Ultrasound Assessment of the Accessory Respiratory Muscles
123(14)
Myrte Wennen
Annemijn H. Jonkman
Zhonghua Shi
Pieter R. Tuinman
Introduction
123(1)
Ultrasound Techniques
124(3)
Tips, Tricks, and Challenges
127(2)
Potential Clinical Applications
129(2)
Novel Techniques and Future Research Questions
131(1)
Conclusion
132(1)
References
132(5)
Chapter 12 Tissue Doppler Imaging of the Diaphragm
137(8)
Eleni Soilemezi
Panagiota Sotiriou
Savvoula Savvidou
Matthew Tsagourias
Introduction
137(1)
Ultrasound Technique
137(3)
Variables Identified
140(1)
Use and Potential Applications
140(3)
Limitations of the Technique
143(1)
Future Directions
143(1)
References
143(2)
Chapter 13 Ultrasound of the Diaphragm in Paediatric Patients
145(4)
Massimo Zambon
References
147(2)
Index 149
Dr Massimo Zambon is a skilled Anesthesiologist and Critical Care specialist, Head of Department of Anesthesia and Intensive Care of the Uboldo Hospital in Cernusco sul Naviglio Milan. He holds wide expertise in intensive care medicine, mainly focusing in the application of ultrasound in critically ill patients. In the last decade, he has started to perform ultrasound of the diaphragm on critically ill patients, an innovative and non-invasive tool that allows to assess respiratory muscle function. He has published more than 20 papers in critical care indexed journals, mostly focused on ultrasound, and a number of abstracts and book chapters.