Study of diaphragmatic mobility by chest ultrasound and echocardiographic changes in chronic obstructive pulmonary disease patients on different modes of mechanical ventilation
Objective This study aimed to assess diaphragmatic mobility by chest ultrasonography and echocardiographic changes in mechanically ventilated chronic obstructive pulmonary disease patients on different modes of mechanical ventilation. Patients and methods The present study was carried out on 50 mech...
Gespeichert in:
| Veröffentlicht in: | Egyptian Journal of Bronchology 2018-10, Vol.12 (4), p.399-404 |
|---|---|
| Hauptverfasser: | , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 404 |
|---|---|
| container_issue | 4 |
| container_start_page | 399 |
| container_title | Egyptian Journal of Bronchology |
| container_volume | 12 |
| creator | Saeed, Adel M. Elshahed, Ghada S. Osman, Nehad M. Gomaa, Ashraf A. Fahyim, Samir M. |
| description | Objective
This study aimed to assess diaphragmatic mobility by chest ultrasonography and echocardiographic changes in mechanically ventilated chronic obstructive pulmonary disease patients on different modes of mechanical ventilation.
Patients and methods
The present study was carried out on 50 mechanically ventilated chronic obstructive pulmonary disease patients. Chest ultrasonography for the assessment of diaphragmatic mobility in addition to echocardiography was performed on different modes of mechanical ventilation in the same session at any time since mechanical ventilation.
Results
There was a highly statistically significant relation between diaphragmatic excursion and different modes of mechanical ventilation, where excursion increased significantly, with its peak at pressure-support ventilation (PSV). In terms of diaphragmatic thickness, the thickness of diaphragm decreased significantly at PSV. No significant correlation was detected between echocardiography in Ejection fraction, right ventricular systolic pressure, tricuspid annular plane systolic excursion, and different modes of mechanical ventilation.
Conclusion
The best diaphragmatic mobility was on PSV, which improved lung volumes and ventilation, and may accelerate the weaning process. In addition, we concluded that the echocardiographic finding was not affected by different modes of mechanical ventilation. |
| doi_str_mv | 10.4103/ejb.ejb_52_18 |
| format | Article |
| fullrecord | <record><control><sourceid>gale_proqu</sourceid><recordid>TN_cdi_proquest_journals_2785254038</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A565583304</galeid><sourcerecordid>A565583304</sourcerecordid><originalsourceid>FETCH-LOGICAL-c351g-d28b09e38bed1b8712887b9fb7b0fd1d87043dd943efbeebf976f736493f736c3</originalsourceid><addsrcrecordid>eNptUk2P0zAUjBBIVGWP3C0hcUuJ43w4x9UKWKSVOABnyx_PjXcdu9jJVv1X-xN5pUBZqbIs288zb5zJFMVbWm0aWrEPcK82OEVbC8pfFKua0abkbUtfFiva8b7kTd29Lq5ydqpquo52Tc9XxdO3eTEHEi0xTu7GJLeTnJ0mU1TOu_lA1IHoEfJMFj8nmeMSDJE4QY9Ry2Rc3CYkIkWPMmwhExdwm2LAUlR5Toue3SOQ3eKnGGQ6oFIGmbGCShDmTGLAmrWQ8ITKBpvggyY4dnRaevKIF84jPIY3xSsrfYarP-u6-PHp4_eb2_Lu6-cvN9d3pWYt3Zam5qoagHEFhire05rzXg1W9aqyhhreVw0zZmgYWAWg7NB3tmddM7Djotm6eHfqu0vx54IGiPu4pICSou55W7dNxfgZtZUehAs2okl6clmL67ZrW84Y6qyLzQUUDgOT0zGAdVh_Rnj_H2EE6ecxR78cDcjPgeUJqFPMOYEVu-QmNFnQShxzIY6Z-JcLxN-e8PvoZ0j5wS97SGIC8xDi_jJJsGEQv2MiohV_Y3L-qIyS-OPT2aDL2r8AMKvaOg</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2785254038</pqid></control><display><type>article</type><title>Study of diaphragmatic mobility by chest ultrasound and echocardiographic changes in chronic obstructive pulmonary disease patients on different modes of mechanical ventilation</title><source>DOAJ Directory of Open Access Journals</source><source>Springer Nature OA Free Journals</source><source>EZB-FREE-00999 freely available EZB journals</source><creator>Saeed, Adel M. ; Elshahed, Ghada S. ; Osman, Nehad M. ; Gomaa, Ashraf A. ; Fahyim, Samir M.</creator><creatorcontrib>Saeed, Adel M. ; Elshahed, Ghada S. ; Osman, Nehad M. ; Gomaa, Ashraf A. ; Fahyim, Samir M.</creatorcontrib><description>Objective
This study aimed to assess diaphragmatic mobility by chest ultrasonography and echocardiographic changes in mechanically ventilated chronic obstructive pulmonary disease patients on different modes of mechanical ventilation.
Patients and methods
The present study was carried out on 50 mechanically ventilated chronic obstructive pulmonary disease patients. Chest ultrasonography for the assessment of diaphragmatic mobility in addition to echocardiography was performed on different modes of mechanical ventilation in the same session at any time since mechanical ventilation.
Results
There was a highly statistically significant relation between diaphragmatic excursion and different modes of mechanical ventilation, where excursion increased significantly, with its peak at pressure-support ventilation (PSV). In terms of diaphragmatic thickness, the thickness of diaphragm decreased significantly at PSV. No significant correlation was detected between echocardiography in Ejection fraction, right ventricular systolic pressure, tricuspid annular plane systolic excursion, and different modes of mechanical ventilation.
Conclusion
The best diaphragmatic mobility was on PSV, which improved lung volumes and ventilation, and may accelerate the weaning process. In addition, we concluded that the echocardiographic finding was not affected by different modes of mechanical ventilation.</description><identifier>ISSN: 1687-8426</identifier><identifier>EISSN: 2314-8551</identifier><identifier>DOI: 10.4103/ejb.ejb_52_18</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Chronic obstructive lung disease ; Chronic obstructive pulmonary disease ; Diagnosis ; Diagnostic imaging ; Echocardiography ; Lung diseases ; Medical research ; Medicine & Public Health ; Original Article ; Respiratory tract diseases ; Ultrasonic imaging ; Ultrasound imaging ; Ventilation</subject><ispartof>Egyptian Journal of Bronchology, 2018-10, Vol.12 (4), p.399-404</ispartof><rights>Egyptian Journal of Bronchology 2018</rights><rights>COPYRIGHT 2018 Medknow Publications and Media Pvt. Ltd.</rights><rights>Egyptian Journal of Bronchology 2018. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c351g-d28b09e38bed1b8712887b9fb7b0fd1d87043dd943efbeebf976f736493f736c3</citedby><cites>FETCH-LOGICAL-c351g-d28b09e38bed1b8712887b9fb7b0fd1d87043dd943efbeebf976f736493f736c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.4103/ejb.ejb_52_18$$EPDF$$P50$$Gspringer$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://doi.org/10.4103/ejb.ejb_52_18$$EHTML$$P50$$Gspringer$$Hfree_for_read</linktohtml><link.rule.ids>314,780,784,864,27924,27925,41120,42189,51576</link.rule.ids></links><search><creatorcontrib>Saeed, Adel M.</creatorcontrib><creatorcontrib>Elshahed, Ghada S.</creatorcontrib><creatorcontrib>Osman, Nehad M.</creatorcontrib><creatorcontrib>Gomaa, Ashraf A.</creatorcontrib><creatorcontrib>Fahyim, Samir M.</creatorcontrib><title>Study of diaphragmatic mobility by chest ultrasound and echocardiographic changes in chronic obstructive pulmonary disease patients on different modes of mechanical ventilation</title><title>Egyptian Journal of Bronchology</title><addtitle>Egypt J Bronchol</addtitle><description>Objective
This study aimed to assess diaphragmatic mobility by chest ultrasonography and echocardiographic changes in mechanically ventilated chronic obstructive pulmonary disease patients on different modes of mechanical ventilation.
Patients and methods
The present study was carried out on 50 mechanically ventilated chronic obstructive pulmonary disease patients. Chest ultrasonography for the assessment of diaphragmatic mobility in addition to echocardiography was performed on different modes of mechanical ventilation in the same session at any time since mechanical ventilation.
Results
There was a highly statistically significant relation between diaphragmatic excursion and different modes of mechanical ventilation, where excursion increased significantly, with its peak at pressure-support ventilation (PSV). In terms of diaphragmatic thickness, the thickness of diaphragm decreased significantly at PSV. No significant correlation was detected between echocardiography in Ejection fraction, right ventricular systolic pressure, tricuspid annular plane systolic excursion, and different modes of mechanical ventilation.
Conclusion
The best diaphragmatic mobility was on PSV, which improved lung volumes and ventilation, and may accelerate the weaning process. In addition, we concluded that the echocardiographic finding was not affected by different modes of mechanical ventilation.</description><subject>Chronic obstructive lung disease</subject><subject>Chronic obstructive pulmonary disease</subject><subject>Diagnosis</subject><subject>Diagnostic imaging</subject><subject>Echocardiography</subject><subject>Lung diseases</subject><subject>Medical research</subject><subject>Medicine & Public Health</subject><subject>Original Article</subject><subject>Respiratory tract diseases</subject><subject>Ultrasonic imaging</subject><subject>Ultrasound imaging</subject><subject>Ventilation</subject><issn>1687-8426</issn><issn>2314-8551</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>C6C</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNptUk2P0zAUjBBIVGWP3C0hcUuJ43w4x9UKWKSVOABnyx_PjXcdu9jJVv1X-xN5pUBZqbIs288zb5zJFMVbWm0aWrEPcK82OEVbC8pfFKua0abkbUtfFiva8b7kTd29Lq5ydqpquo52Tc9XxdO3eTEHEi0xTu7GJLeTnJ0mU1TOu_lA1IHoEfJMFj8nmeMSDJE4QY9Ry2Rc3CYkIkWPMmwhExdwm2LAUlR5Toue3SOQ3eKnGGQ6oFIGmbGCShDmTGLAmrWQ8ITKBpvggyY4dnRaevKIF84jPIY3xSsrfYarP-u6-PHp4_eb2_Lu6-cvN9d3pWYt3Zam5qoagHEFhire05rzXg1W9aqyhhreVw0zZmgYWAWg7NB3tmddM7Djotm6eHfqu0vx54IGiPu4pICSou55W7dNxfgZtZUehAs2okl6clmL67ZrW84Y6qyLzQUUDgOT0zGAdVh_Rnj_H2EE6ecxR78cDcjPgeUJqFPMOYEVu-QmNFnQShxzIY6Z-JcLxN-e8PvoZ0j5wS97SGIC8xDi_jJJsGEQv2MiohV_Y3L-qIyS-OPT2aDL2r8AMKvaOg</recordid><startdate>20181001</startdate><enddate>20181001</enddate><creator>Saeed, Adel M.</creator><creator>Elshahed, Ghada S.</creator><creator>Osman, Nehad M.</creator><creator>Gomaa, Ashraf A.</creator><creator>Fahyim, Samir M.</creator><general>Springer Berlin Heidelberg</general><general>Wolters Kluwer India Pvt. Ltd</general><general>Medknow Publications and Media Pvt. Ltd</general><general>Springer Nature B.V</general><scope>C6C</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope></search><sort><creationdate>20181001</creationdate><title>Study of diaphragmatic mobility by chest ultrasound and echocardiographic changes in chronic obstructive pulmonary disease patients on different modes of mechanical ventilation</title><author>Saeed, Adel M. ; Elshahed, Ghada S. ; Osman, Nehad M. ; Gomaa, Ashraf A. ; Fahyim, Samir M.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c351g-d28b09e38bed1b8712887b9fb7b0fd1d87043dd943efbeebf976f736493f736c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Chronic obstructive lung disease</topic><topic>Chronic obstructive pulmonary disease</topic><topic>Diagnosis</topic><topic>Diagnostic imaging</topic><topic>Echocardiography</topic><topic>Lung diseases</topic><topic>Medical research</topic><topic>Medicine & Public Health</topic><topic>Original Article</topic><topic>Respiratory tract diseases</topic><topic>Ultrasonic imaging</topic><topic>Ultrasound imaging</topic><topic>Ventilation</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Saeed, Adel M.</creatorcontrib><creatorcontrib>Elshahed, Ghada S.</creatorcontrib><creatorcontrib>Osman, Nehad M.</creatorcontrib><creatorcontrib>Gomaa, Ashraf A.</creatorcontrib><creatorcontrib>Fahyim, Samir M.</creatorcontrib><collection>Springer Nature OA Free Journals</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><jtitle>Egyptian Journal of Bronchology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Saeed, Adel M.</au><au>Elshahed, Ghada S.</au><au>Osman, Nehad M.</au><au>Gomaa, Ashraf A.</au><au>Fahyim, Samir M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Study of diaphragmatic mobility by chest ultrasound and echocardiographic changes in chronic obstructive pulmonary disease patients on different modes of mechanical ventilation</atitle><jtitle>Egyptian Journal of Bronchology</jtitle><stitle>Egypt J Bronchol</stitle><date>2018-10-01</date><risdate>2018</risdate><volume>12</volume><issue>4</issue><spage>399</spage><epage>404</epage><pages>399-404</pages><issn>1687-8426</issn><eissn>2314-8551</eissn><abstract>Objective
This study aimed to assess diaphragmatic mobility by chest ultrasonography and echocardiographic changes in mechanically ventilated chronic obstructive pulmonary disease patients on different modes of mechanical ventilation.
Patients and methods
The present study was carried out on 50 mechanically ventilated chronic obstructive pulmonary disease patients. Chest ultrasonography for the assessment of diaphragmatic mobility in addition to echocardiography was performed on different modes of mechanical ventilation in the same session at any time since mechanical ventilation.
Results
There was a highly statistically significant relation between diaphragmatic excursion and different modes of mechanical ventilation, where excursion increased significantly, with its peak at pressure-support ventilation (PSV). In terms of diaphragmatic thickness, the thickness of diaphragm decreased significantly at PSV. No significant correlation was detected between echocardiography in Ejection fraction, right ventricular systolic pressure, tricuspid annular plane systolic excursion, and different modes of mechanical ventilation.
Conclusion
The best diaphragmatic mobility was on PSV, which improved lung volumes and ventilation, and may accelerate the weaning process. In addition, we concluded that the echocardiographic finding was not affected by different modes of mechanical ventilation.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><doi>10.4103/ejb.ejb_52_18</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1687-8426 |
| ispartof | Egyptian Journal of Bronchology, 2018-10, Vol.12 (4), p.399-404 |
| issn | 1687-8426 2314-8551 |
| language | eng |
| recordid | cdi_proquest_journals_2785254038 |
| source | DOAJ Directory of Open Access Journals; Springer Nature OA Free Journals; EZB-FREE-00999 freely available EZB journals |
| subjects | Chronic obstructive lung disease Chronic obstructive pulmonary disease Diagnosis Diagnostic imaging Echocardiography Lung diseases Medical research Medicine & Public Health Original Article Respiratory tract diseases Ultrasonic imaging Ultrasound imaging Ventilation |
| title | Study of diaphragmatic mobility by chest ultrasound and echocardiographic changes in chronic obstructive pulmonary disease patients on different modes of mechanical ventilation |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-27T05%3A50%3A14IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_proqu&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Study%20of%20diaphragmatic%20mobility%20by%20chest%20ultrasound%20and%20echocardiographic%20changes%20in%20chronic%20obstructive%20pulmonary%20disease%20patients%20on%20different%20modes%20of%20mechanical%20ventilation&rft.jtitle=Egyptian%20Journal%20of%20Bronchology&rft.au=Saeed,%20Adel%20M.&rft.date=2018-10-01&rft.volume=12&rft.issue=4&rft.spage=399&rft.epage=404&rft.pages=399-404&rft.issn=1687-8426&rft.eissn=2314-8551&rft_id=info:doi/10.4103/ejb.ejb_52_18&rft_dat=%3Cgale_proqu%3EA565583304%3C/gale_proqu%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2785254038&rft_id=info:pmid/&rft_galeid=A565583304&rfr_iscdi=true |