Ultrasound assessment of the respiratory system using diaphragm motion-volume indices

被引:2
作者
Boussuges, Alain [1 ,2 ]
Chaumet, Guillaume [3 ]
Boussuges, Martin [4 ]
Menard, Amelie [5 ]
Delliaux, Stephane [1 ,2 ]
Bregeon, Fabienne [2 ,6 ]
机构
[1] Aix Marseille Univ, Fac Med, C2VN ,Ctr Cardiovasc & Nutr Res, INSERM 1263,INRAE 1260, Marseille, France
[2] Hop Nord Marseille, AP HM, Explorat Fonct Resp, Marseille, France
[3] AltraBio, Lyon, France
[4] Aix Marseille Univ, Hop Nord, AP HM, Dept Pneumol, Marseille, France
[5] Hop Nord Marseille, AP HM, Serv Med Interne, Unidad Post COVID, Marseille, France
[6] Aix Marseille Univ, Microbes Evolut Phylogeny & Infect Dept, IHU Mediterranee Infect, AP HM, Marseille, France
关键词
chest ultrasonography; hemidiaphragm; thickening fraction; thickening ratio; diaphragm function; OBSTRUCTIVE PULMONARY-DISEASE; HEMIDIAPHRAGMATIC MOVEMENT; MOBILITY; STANDARDIZATION; PARALYSIS;
D O I
10.3389/fmed.2023.1190891
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Background: Although previous studies have determined limit values of normality for diaphragm excursion and thickening, it would be beneficial to determine the normal diaphragm motion-to-inspired volume ratio that integrates the activity of the diaphragm and the quality of the respiratory system. Methods: To determine the normal values of selected ultrasound diaphragm motion-volume indices, subjects with normal pulmonary function testing were recruited. Ultrasound examination recorded diaphragm excursion on both sides during quiet breathing and deep inspiration. Diaphragm thickness was also measured. The inspired volumes of the corresponding cycles were systematically recorded using a spirometer. The indices were calculated using the ratio excursion, or percentage of thickening, divided by the corresponding breathing volume. From this corhort, normal values and limit values for normality were determined. These measurements were compared to those performed on the healthy side in patients with hemidiaphragm paralysis because an increase in hemidiaphragm activity has been previously demonstated in such circumstances. Results: A total of 122 subjects (51 women, 71 men) with normal pulmonary function were included in the study. Statistical analysis revealed that the ratio of excursion, or percentage of thickening, to inspired volume ratio significantly differed between males and females. When the above-mentioned indices using excursion were normalized by body weight, no gender differences were found. The indices differed between normal respiratory function subjects and patients with hemidiaphragm paralysis (27 women, 41 men). On the paralyzed side, the average ratio of the excursion divided by the inspired volume was zero. On the healthy side, the indices using the excursion and the percentage of thickening during quiet breathing or deep inspiration were significantly increased comparedto patients with normal lung function. According to the logistic regression analysis, the most relevant indice appeared to be the ratio of the excursion measured during quiet breathing to the inspired volume. Conclusion: The normal values of the diaphragm motion-volume indices could be useful to estimate the performance of the respiratory system. Proposed indices appear suitable in a context of hyperactivity.
引用
收藏
页数:12
相关论文
共 38 条
  • [1] Two-dimensional ultrasound imaging of the diaphragm: Quantitative values in normal subjects
    Boon, Andrea J.
    Harper, Caitlin J.
    Ghahfarokhi, Leili Shahgholi
    Strommen, Jeffrey A.
    Watson, James C.
    Sorenson, Eric J.
    [J]. MUSCLE & NERVE, 2013, 47 (06) : 884 - 889
  • [2] Diaphragm dysfunction after severe COVID-19: An ultrasound study
    Boussuges, Alain
    Habert, Paul
    Chaumet, Guillaume
    Rouibah, Rawah
    Delorme, Lea
    Menard, Amelie
    Million, Matthieu
    Bartoli, Axel
    Guedj, Eric
    Gouitaa, Marion
    Zieleskiewicz, Laurent
    Finance, Julie
    Coiffard, Benjamin
    Delliaux, Stephane
    Bregeon, Fabienne
    [J]. FRONTIERS IN MEDICINE, 2022, 9
  • [3] Ultrasound Assessment of Diaphragm Thickness and Thickening: Reference Values and Limits of Normality When in a Seated Position
    Boussuges, Alain
    Rives, Sarah
    Finance, Julie
    Chaumet, Guillaume
    Vallee, Nicolas
    Risso, Jean-Jacques
    Bregeon, Fabienne
    [J]. FRONTIERS IN MEDICINE, 2021, 8
  • [4] Diaphragmatic motion recorded by M-mode ultrasonography: limits of normality
    Boussuges, Alain
    Finance, Julie
    Chaumet, Guillaume
    Bregeon, Fabienne
    [J]. ERJ OPEN RESEARCH, 2021, 7 (01)
  • [5] Assessment of diaphragmatic function by ultrasonography: Current approach and perspectives
    Boussuges, Alain
    Rives, Sarah
    Finance, Julie
    Bregeon, Fabienne
    [J]. WORLD JOURNAL OF CLINICAL CASES, 2020, 8 (12) : 2408 - 2424
  • [6] Characteristics of the paralysed diaphragm studied by M-mode ultrasonography
    Boussuges, Alain
    Bregeon, Fabienne
    Blanc, Philippe
    Gil, Jean-Marie
    Poirette, Laurent
    [J]. CLINICAL PHYSIOLOGY AND FUNCTIONAL IMAGING, 2019, 39 (02) : 143 - 149
  • [7] Diaphragmatic Motion Studied by M-Mode Ultrasonography Methods, Reproducibility, and Normal Values
    Boussuges, Alain
    Gole, Yoann
    Blanc, Philippe
    [J]. CHEST, 2009, 135 (02) : 391 - 400
  • [8] Advanced Point-of-care Bedside Monitoring for Acute Respiratory Failure
    Cammarota, Gianmaria
    Simonte, Rachele
    Longhini, Federico
    Spadaro, Savino
    Vetrugno, Luigi
    De Robertis, Edoardo
    [J]. ANESTHESIOLOGY, 2023, 138 (03) : 317 - 334
  • [9] DIAPHRAGMATIC ULTRASOUND CORRELATES WITH INSPIRATORY MUSCLE STRENGTH AND PULMONARY FUNCTION IN HEALTHY SUBJECTS
    Cardenas, Leticia Zumpano
    Santana, Pauliane Vieira
    Caruso, Pedro
    Ribeiro de Carvalho, Carlos Roberto
    Pereira de Albuquerque, Andre Luis
    [J]. ULTRASOUND IN MEDICINE AND BIOLOGY, 2018, 44 (04) : 786 - 793
  • [10] Standardization of Sonographic Diaphragm Thickness Evaluations in Healthy Volunteers
    Carrillo-Esper, Raul
    Augusto Perez-Calatayud, Angel
    Arch-Tirado, Emilio
    Alejandro Diaz-Carrillo, Manuel
    Garrido-Aguirre, Eduardo
    Tapia-Velazco, Rafael
    Alberto Pena-Perez, Carlos
    Espinoza-de los Monteros, Isis
    Martin Meza-Marquez, Jose
    Ivan Flores-Rivera, Oscar
    Denise Zepeda-Mendoza, Adriana
    de la Torre-Leon, Teresa
    [J]. RESPIRATORY CARE, 2016, 61 (07) : 920 - 924