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.
- 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.
Table of Contents
Part I: Introduction
1. Anatomy, Physiology and Dysfunction of the diaphragm
2. Ultrasound basics
Part II: Diaphragm ultrasound: technique
3. Diaphragmatic excursion
4. Diaphragmatic thickness and thickening
Part III: Applications of diaphragm ultrasound
5. Diaphragm ultrasound in respiratory disorders and diaphragm paralysis
Pauliane Vieira Santana, Leticia Zumpano Cardenas and Andre Luis Pereira de Albuquerque
6. Assessment of diaphragmatic dysfunction in mechanically ventilated patients
Quentin Fossé and Martin Dres
7. Diaphragm Ultrasound during weaning from mechanical ventilation
Mark E. Haaksma, Heder J. de Vries, Leo Heunks and Pieter R. Tuinman
8. Diaphragmatic ultrasound after thoracic and abdominal surgery
Luigi Vetrugno, Daniele Orso, Elena Bignami and Gianmaria Cammarota
9. Diaphragm ultrasound in patients with neuromuscular disorders
10. Other applications of diaphragm ultrasound: trauma, malignancies, ultrasound guided procedures
Annia Schreiber, Cristian Deana and Luigi Vetrugno
Part IV: New perspectives
11. Ultrasound assessment of the accessory respiratory muscles
Myrte Wennen, Annemijn H. Jonkman, Zhonghua Shi and Pieter R. Tuinman
12. Tissue Doppler Imaging of the diaphragm
Eleni Soilemezi, Panagiota Sotiriou, Savvoula Savvidou and Matthew Tsagourias
13. Ultrasound of the diaphragm in pediatric patients
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.