Premium
Detecting Ventilator‐Induced Diaphragmatic Dysfunction Using Point‐of‐Care Ultrasound in Children With Long‐term Mechanical Ventilation
Author(s) -
Kharasch Sigmund J.,
Dumas Helene,
O'Brien Jane,
Shokoohi Hamid,
Al Saud Ahad Alhassan,
Liteplo Andrew,
Schleifer Jessica,
Kharasch Virginia
Publication year - 2021
Publication title -
journal of ultrasound in medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.574
H-Index - 91
eISSN - 1550-9613
pISSN - 0278-4297
DOI - 10.1002/jum.15465
Subject(s) - medicine , diaphragmatic breathing , mechanical ventilation , ventilation (architecture) , weaning , anesthesia , pathology , mechanical engineering , alternative medicine , engineering
Long‐term mechanical ventilation (MV) is defined as the use of MV for more than 6 hours per day for at least 3 weeks. Children requiring long‐term MV include those with neuromuscular disease, central dysregulation, or lung dysfunction. Such children with medical complexity may be at risk for ventilator‐induced diaphragmatic dysfunction. Ventilator‐induced diaphragmatic dysfunction has been described in adult patients requiring acute MV with ultrasound (US). At this time, diaphragmatic US has not been evaluated in the pediatric post–acute care setting or incorporated into weaning strategies. We present 24 cases of children requiring long‐term MV who underwent diaphragmatic US examinations to evaluate for ventilator‐induced diaphragmatic dysfunction.