Ultrasound-assessed diaphragmatic impairment is a predictor of outcomes in patients with acute exacerbation of chronic obstructive pulmonary disease undergoing noninvasive ventilation

Ultrasound (US) evaluation of diaphragmatic dysfunction (DD) has proved to be a reliable technique in critical care. In this single-center prospective study, we investigated the impact of US-assessed DD on non...
Source: Critical Care - Category: Intensive Care Authors: Tags: Research Source Type: research

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Publication date: Available online 24 February 2020Source: Respiratory Medicine Case ReportsAuthor(s): Takayasu Ito, Shotaro Okachi, Tadasuke Ikenouchi, Futoshi Ushijima, Takamasa Ohashi, Masahiro Ogawa, Masato Nagahama, Keiko Wakahara, Naozumi HashimotoAbstractA 65-year-old man with chronic respiratory failure caused by chronic obstructive pulmonary disease, had a pulmonary nodule adjacent to the inlet of right B1 and B3. The patient had undergone a surgery for right renal cell carcinoma and colon cancer 6 years prior. We attempted endobronchial ultrasound-guided transbronchial needle aspiration under non-invasive positiv...
Source: Respiratory Medicine Case Reports - Category: Respiratory Medicine Source Type: research
The objectives of the study were to identify the factors that limit diaphragmatic mobility and evaluate the therapeutic results of the monitoring methods previously used in patients with chronic obstructive pulmonary disease. The PubMed, Web of Science, Scopus, and LILACS databases were used. A gray literature search was conducted with Google scholar. PRISMA was used, and the bias risk analysis adapted from the Cochrane Handbook for clinical trials and, for other studies, the Downs and Black checklist were used. Twenty-five articles were included in the qualitative synthesis analysis on physiotherapeutic techniques and dia...
Source: Clinics - Category: General Medicine Source Type: research
AbstractBackgroundBariatric surgery predisposes patients to cholelithiasis and therefore the need of a subsequent cholecystectomy; however, the incidence of cholecystectomy after bariatric surgery is debated.Aim and MethodsMedical records of 601patients hospitalized for bariatric surgery between January  2010 and July 2018 were reviewed. Our aim was to evaluate the incidence of cholecystectomy following different types of common bariatric procedures. All patients who developed cholelithiasis and a subsequent cholecystectomy were included. Cholelithiasis was diagnosed by clinical criteria and char acteristic ultra...
Source: Obesity Surgery - Category: Surgery Source Type: research
Background: Muscle dysfunction in COPD has been demonstrated. We aimed to evaluate peripheral and respiratory muscle alterations in COPD patients (pts) by ultrasound and their correlation with dyspnea, exacerbation’s frequency and severity of airflow obstruction.Methods: A prospective study including COPD patients. Cross-sectional area (CSA) of the rectus femoris (RF) and biceps and thikness of respiratory muscles (pectoralis major muscle and latissimus dorsi muscle) was measured by B-mode ultrasonography. Clinical profile, BMI and respiratory functional tests were performed.Results: twenty one COPD pts were included...
Source: European Respiratory Journal - Category: Respiratory Medicine Authors: Tags: Monitoring airway disease Source Type: research
Objectives: We aimed to study the association between obstructive sleep apnea (OSA) and nonalcoholic fatty liver disease / steatohepatitis (NAFLD/NASH).Methods: 41 OSA cases, diagnosed by overnight polysomnography with apnea/hypopnea index (AHI)>5 events/hour, and 9 COPD cases as control group were studied. A blood sample was taken for fasting blood glucose, liver enzymes, and arterial blood gases just after awake. Abdominal ultrasound (US) was performed to all patients and ultrasonographic fatty score was calculated ranging 2-8 based on hepatic echogenicity, visualization of the hepatic vessels and diaphragm, posterior...
Source: European Respiratory Journal - Category: Respiratory Medicine Authors: Tags: Sleep and control of breathing Source Type: research
Objective: to study frequency, identify features of CKD in patients with COPD.Material and Methods: examinations of the functional state of kidneys were carried out in 311 COPD patients (GOLD, 2018): group A - 72, B – 159, C – 53, D – 27. The mean age was 64.8±11.2 years, 66% - men. Exclusion criteria: IHD, hypertension II-III degree, diabetes, CHF.Results: according to KDIGO (2012) criteria, CKD was diagnosed in 87 (28%) patients. The average creatinine – 108,9±11,2 mmol/l, creatinine less than 124/133 µmol/l was in one third of patients. There was a significant correlation of s...
Source: European Respiratory Journal - Category: Respiratory Medicine Authors: Tags: Monitoring airway disease Source Type: research
Introduction: Nutritional status change in chronic respiratory diseases (CPD) in terms of fat tissue and skeletal muscles. Overweight pts have better prognosis than cachectic pts. Preserving skeletal muscles is essential for maintaining exercise capacity. First time to ultrasonographically assess peritoneal fat (PF), mid-thigh fat (MTF) and mid-thigh muscles (MTM) in chronic respiratory pts.Objectives: If any correlation between PF, MTF and MTM in a lot of 125 consecutive chronic respiratory pts.Methods: 125 chronic respiratory pts (mean age 63.72; SD 13.87; M 60/48%; F 65/52%; IPF 54/43.2%; COPD 34/27.2%; chronic bronchit...
Source: European Respiratory Journal - Category: Respiratory Medicine Authors: Tags: Clinical Problems Source Type: research
Introduction: Chronic respiratory patients exhibit more dyspnoea in supine vs sitting position. One of the possible contributors is changing in tracheal diameter (TD).Objectives: To find out if changes in TD might be one of the causes of dyspnoea in supine and which antropometric or behavioural factors might intervene.Methods: A group of consecutive 206 pts (M 85/41.3%, F 121/58.7%; mean age 63.50, SD 13.53; IPF 96/46.6%, COPD 46/22.3%, chronic bronchitis 25/12.1%, asthma 10/4.9%; emphysema 10/4.9% and others) was assessed for body mass index (BMI), waist-to-hip ratio (WHR), thyroid disease, smoking and alcohol intake. End...
Source: European Respiratory Journal - Category: Respiratory Medicine Authors: Tags: Clinical Problems Source Type: research
Conclusion: Diaphragm ultrasound by using Tdi-Insp might be a simple and high diagnostic yield for suspecting of early stage of COPD patients.
Source: European Respiratory Journal - Category: Respiratory Medicine Authors: Tags: Ultrasound Source Type: research
Conclusion: NIV application improves endothelial function in patients with AECOPD. Improvement of arterial oxygen saturation and hypoxemia may influence the endothelium response, which should be investigated in future studies.
Source: European Respiratory Journal - Category: Respiratory Medicine Authors: Tags: Physiotherapists Source Type: research
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