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Detecting Ventilator-Induced Diaphragmatic Dysfunction Using Point-of-Care Ultrasound in Children With Long-term Mechanical Ventilation.
Kharasch, Sigmund J; Dumas, Helene; O'Brien, Jane; Shokoohi, Hamid; Al Saud, Ahad Alhassan; Liteplo, Andrew; Schleifer, Jessica; Kharasch, Virginia.
Afiliación
  • Kharasch SJ; Department of Emergency Medicine, Massachusetts General Hospital, Boston, Massachusetts, USA.
  • Dumas H; Department of Emergency Medicine, Massachusetts General Hospital, Boston, Massachusetts, USA.
  • O'Brien J; Franciscan Hospital for Children, Boston, Massachusetts, USA.
  • Shokoohi H; Franciscan Hospital for Children, Boston, Massachusetts, USA.
  • Al Saud AA; Department of Emergency Medicine, Massachusetts General Hospital, Boston, Massachusetts, USA.
  • Liteplo A; Department of Emergency Medicine, Massachusetts General Hospital, Boston, Massachusetts, USA.
  • Schleifer J; Department of Emergency Medicine, Massachusetts General Hospital, Boston, Massachusetts, USA.
  • Kharasch V; University Hospital Bonn, Bonn, Germany.
J Ultrasound Med ; 40(4): 845-852, 2021 Apr.
Article en En | MEDLINE | ID: mdl-32881067
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.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Respiración Artificial / Sistemas de Atención de Punto Límite: Child / Humans Idioma: En Revista: J Ultrasound Med Año: 2021 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Respiración Artificial / Sistemas de Atención de Punto Límite: Child / Humans Idioma: En Revista: J Ultrasound Med Año: 2021 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido