Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Warning: imagejpeg(C:\Inetpub\vhosts\kidney.de\httpdocs\phplern\26392767
.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Int+J+Chron+Obstruct+Pulmon+Dis
2015 ; 10
(ä): 1925-30
Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
Sonographic evaluation of diaphragmatic dysfunction in COPD patients
#MMPMID26392767
Scheibe N
; Sosnowski N
; Pinkhasik A
; Vonderbank S
; Bastian A
Int J Chron Obstruct Pulmon Dis
2015[]; 10
(ä): 1925-30
PMID26392767
show ga
BACKGROUND: Diaphragmatic dysfunction is an important reason for dyspnea in COPD
patients. But diaphragmatic dysfunction is difficult to evaluate. Ultrasound is
an option. We measure sonographically the up- and downward movement of the lung
silhouette on both hemidiaphragms. The aim of this prospective investigation was
to compare this method with another sonographic method that visualizes the right
hemidiaphragm directly and to compare the sonographic results with lung function
parameters. METHODS AND PATIENTS: Eighty participants - 20 healthy persons and 60
COPD patients - three groups each with 20 patients with COPD GOLD II, III, and IV
- were investigated. The sonographic measurements of the diaphragms were
performed. Lung function parameters, blood gases, and 6-minute walk test were
also collected and compared to the sonographic results. RESULTS: The sonographic
measurement of the lung silhouette was easy to perform in all study participants.
The correlation between the sonographic methods measuring the right
hemidiaphragmatic movement was strong (r=0.85). There was also a strong
correlation between the demonstrated sonographic measurement of the up- and
downward movement of the lung silhouette and the forced expiratory volume in the
first second (r=0.83). CONCLUSION: We demonstrated that the sonographic
measurement of the movement of the lung silhouette is an easy way to establish
diaphragmatic dysfunction in COPD patients; it can be done in all patients with
reliable results for the right and the left hemidiaphragm.