ReviewFrontiers in medicine2024
Ultrasound assessment of diaphragmatic dysfunction in non-critically ill patients: relevant indicators and update.
Review in Frontiers in medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07332728 (Prospective Observational Evaluation of the Association Between Perioperative Changes in Diaphragmatic Excursion and Postoperative Oxygenation and Hypoxemia in Patients Undergoing Laparoscopic Cholecystectomy), which is not on this map. Cited by 12 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Prospective Observational Evaluation of the Association Between Perioperative Changes in Diaphragmatic Excursion and Postoperative Oxygenation and Hypoxemia in Patients Undergoing Laparoscopic Cholecystectomy
Who cites it
12 citing papers in PubMed.
- Review
- Are right-sided diaphragmatic parameters sufficient to accurately evaluate global diaphragmatic physiological function? Commentary on "diaphragm physiological similarity index (DPSI): a de novo speckle-tracking ultrasound metric for HFNC adjustment in acute respiratory failure".Critical care (London, England) · 2026Article
- Assessment of Changes in Diaphragm Thickness to Predict Extubation Outcomes After Prolonged Upper Abdominal Surgery.Cureus · 2026Article
- Risk factors postoperative diaphragmatic dysfunction in video-assisted thoracic surgery patients: a dynamic digital radiography study.Journal of thoracic disease · 2026Article
- Application of bedside ultrasound assessment of diaphragmatic function in preparing tracheostomised patients for ventilator liberation and decannulation: a narrative review.Journal of thoracic disease · 2026Review
- Nurse-performed diaphragm ultrasound integrated with spontaneous breathing trial criteria for risk stratification of extubation outcomes in neurosurgical critically ill patients: a multicenter prospective cohort study.Frontiers in medicine · 2026Article
- An ultrasound measurement method for assessing diaphragm mobility during maximal respiration.Scientific reports · 2025Article
- Association of Frailty with Ultrasound Parameters of Diaphragm Function in 153 Elderly Individuals.Medical science monitor : international medical journal of experimental and clinical research · 2025Article
- Breathless Strength: Ultrasonographic Insights into Expiratory Muscle Dysfunction in Spinal Cord Injury.Medicina (Kaunas, Lithuania) · 2025Article
- Retrospective Comparison of Extrafascial versus Intrafascial Interscalene Brachial Plexus Block with Reduced Volume: Impact on Hemidiaphragmatic Paralysis and Hemodynamic Effects in Shoulder Surgery Patients.Local and regional anesthesia · 2025Article
- Assessing diaphragm dysfunction in ICU patients with COVID-19 pneumonia: A prospective observational cohort study.Science progressObservational
- Inspiration Time: The Ultrasound Variable Necessary to Study the Diaphragm Functionality. A Cross-Sectional Controlled Study.SAGE open nursingArticle
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Diaphragm dysfunction (DD) can be classified as mild, resulting in diaphragmatic weakness, or severe, resulting in diaphragmatic paralysis. Various factors such as prolonged mechanical ventilation, surgical trauma, and inflammation can cause diaphragmatic injury, leading to negative outcomes for patients, including extended bed rest and increased risk of pulmonary complications. Therefore, it is crucial to protect and monitor diaphragmatic function. Impaired diaphragmatic function directly impacts ventilation, as the diaphragm is the primary muscle involved in inhalation. Even unilateral DD can cause ventilation abnormalities, which in turn lead to impaired gas exchange, this makes weaning from mechanical ventilation challenging and contributes to a higher incidence of ventilator-induced diaphragm dysfunction and prolonged ICU stays. However, there is insufficient research on DD in non-ICU patients, and DD can occur in all phases of the perioperative period. Furthermore, the current literature lacks standardized ultrasound indicators and diagnostic criteria for assessing diaphragmatic dysfunction. As a result, the full potential of diaphragmatic ultrasound parameters in quickly and accurately assessing diaphragmatic function and guiding diagnostic and therapeutic decisions has not been realized.
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Registered trials
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