Can Diaphragm Dysfunction Be Reliably Evaluated with Pocket-Sized Ultrasound Devices in Intensive Care Unit?
المؤلفون المشاركون
Gursel, Gul
Inci, Kamil
Alasgarova, Zenfira
المصدر
Critical Care Research and Practice
العدد
المجلد 2018، العدد 2018 (31 ديسمبر/كانون الأول 2018)، ص ص. 1-6، 6ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2018-04-01
دولة النشر
مصر
عدد الصفحات
6
التخصصات الرئيسية
الملخص EN
Background.
Diaphragm dysfunction (DD) is frequently seen in critically ill patients, and ultrasound could be a useful tool to detect it and to predict extubation success or failure in mechanically ventilated patients.
Besides, it would also be useful in differential diagnosis of dyspnea and respiratory failure.
The aim of this study is to evaluate usefulness and accuracy of pocket-sized ultrasound devices (PSDs) in assessment of DD in intensive care unit (ICU) patients in comparison with standard ultrasound devices (SD).
Methods.
In this prospective observational study, we compared the performance of PSD and SD in visualization of diaphragm, detection of paradoxical movement, measurement of tidal and maximal thickness, tidal and maximal excursion, and calculation of thickening fraction (TF) of the diaphragm.
We used Bland and Altman test for agreement and bias analysis and intraclass correlation analysis to evaluate interobserver variability.
Results.
Thirty-nine patients were included in the study.
In 93% of the patients, diaphragm was visualized with PSD.
There was very good agreement between the measurements of the devices, and there was no proportional bias in the measurements of tidal inspiratory and expiratory thickness, tidal TF, tidal excursion, and maximal inspiratory thickness.
In interobserver reliability analysis of all measurements for both devices, ICC coefficients were higher than 0.8.
Total diaphragm examination times of the devices were similar (p>0.05).
Conclusion.
These results suggest that PSD can be useful in ICU patients for evaluating DD.
But further studies are required to determine the exact place of these devices in evaluation of DD in ICU patients.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Gursel, Gul& Inci, Kamil& Alasgarova, Zenfira. 2018. Can Diaphragm Dysfunction Be Reliably Evaluated with Pocket-Sized Ultrasound Devices in Intensive Care Unit?. Critical Care Research and Practice،Vol. 2018, no. 2018, pp.1-6.
https://search.emarefa.net/detail/BIM-1130437
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Gursel, Gul…[et al.]. Can Diaphragm Dysfunction Be Reliably Evaluated with Pocket-Sized Ultrasound Devices in Intensive Care Unit?. Critical Care Research and Practice No. 2018 (2018), pp.1-6.
https://search.emarefa.net/detail/BIM-1130437
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Gursel, Gul& Inci, Kamil& Alasgarova, Zenfira. Can Diaphragm Dysfunction Be Reliably Evaluated with Pocket-Sized Ultrasound Devices in Intensive Care Unit?. Critical Care Research and Practice. 2018. Vol. 2018, no. 2018, pp.1-6.
https://search.emarefa.net/detail/BIM-1130437
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1130437
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر