Ultrasound of the Diaphragm and the Respiratory Muscles

by Massimo Zambon (Editor)

Overview

Ultrasound is the most reliable, easily available, fast, non-invasive technique to study diaphragm function, and is an irreplaceable tool to diagnose, monitor, and follow -up critical respiratory patients. This essential guide analyses every aspect of ultrasound of the diaphragm and respiratory muscles, a reliable assessment whose function is vital to delivering the most suitable treatment. Ultrasound of the Diaphragm and the Respiratory Muscles also provides insight to diagnosing diaphragmatic dysfunction or paralysis following surgery or neuromuscular diseases, to follow the muscular activity and the time-course of atrophy during mechanical ventilation, and to monitor the weaning phase. It is ideal for professionals and trainees practicing ultrasound in a clinical setting.

Key Features

• Sets the standard for training and competency of this emerging, yet scientifically approved non-invasive technique of ultrasound with all the essential information on how to perform ultrasound and interpret the images obtained.
• Features clear and didactic images demonstrating echo findings in various situations along with videos of diaphragmatic ultrasound offering a unique "window" on mechanically ventilated patients, allowing to take important clinical decisions on ventilatory modes and assistance by pulmonologists, critical care specialists, thoracic surgeons, emergency medicine specialists, as well as trainees.
• Includes a chapter on paediatric ultrasound along with ultrasound of other respiratory muscles (i.e., intercostal and abdominal) which is emerging as a useful complementary tool.

Product Details

ISBN-13:	9781000537611
Publisher:	CRC Press
Publication date:	04/24/2022
Sold by:	Barnes & Noble
Format:	eBook
Pages:	152
File size:	5 MB

About the Author

Dr Massimo Zambon is a skilled Anesthesiologist and Critical Care specialist, Head of Department of Anesthesia and Intensive Care of the Uboldo Hospital in Cernusco sul Naviglio – Milan. He holds wide expertise in intensive care medicine, mainly focusing in the application of ultrasound in critically ill patients. In the last decade, he has started to perform ultrasound of the diaphragm on critically ill patients, an innovative and non-invasive tool that allows to assess respiratory muscle function. He has published more than 20 papers in critical care indexed journals, mostly focused on ultrasound, and a number of abstracts and book chapters.

Table of Contents

Part I: Introduction

1. Anatomy, Physiology and Dysfunction of the diaphragm
Marco Gemma

2. Ultrasound basics
Massimo Zambon

Part II: Diaphragm ultrasound: technique

3. Diaphragmatic excursion
Massimo Zambon

4. Diaphragmatic thickness and thickening
Massimo Zambon

Part III: Applications of diaphragm ultrasound

5. Diaphragm ultrasound in respiratory disorders and diaphragm paralysis
Pauliane Vieira Santana, Leticia Zumpano Cardenas and Andre Luis Pereira de Albuquerque

6. Assessment of diaphragmatic dysfunction in mechanically ventilated patients
Quentin Fossé and Martin Dres

7. Diaphragm Ultrasound during weaning from mechanical ventilation
Mark E. Haaksma, Heder J. de Vries, Leo Heunks and Pieter R. Tuinman

8. Diaphragmatic ultrasound after thoracic and abdominal surgery
Luigi Vetrugno, Daniele Orso, Elena Bignami and Gianmaria Cammarota

9. Diaphragm ultrasound in patients with neuromuscular disorders
Abdallah Fayssoil

10. Other applications of diaphragm ultrasound: trauma, malignancies, ultrasound guided procedures
Annia Schreiber, Cristian Deana and Luigi Vetrugno

Part IV: New perspectives

11. Ultrasound assessment of the accessory respiratory muscles
Myrte Wennen, Annemijn H. Jonkman, Zhonghua Shi and Pieter R. Tuinman

12. Tissue Doppler Imaging of the diaphragm
Eleni Soilemezi, Panagiota Sotiriou, Savvoula Savvidou and Matthew Tsagourias

13. Ultrasound of the diaphragm in pediatric patients
Massimo Zambon

Editorial Reviews

Reviewer: David James Dries, MSE, MD (Regions Hospital)
Description: This is the first edition of an attractive, pocket-sized monograph describing applications of ultrasound technology in evaluation of diaphragmatic and intercostal muscle response to various disease states and, most importantly, mechanical ventilation.
Purpose: Edited by senior intensivists from northern Italy, the book gives a readable introduction that highlights important clinical problems for which ultrasound applications are helpful in management of various forms of thoracic disease.
Audience: Trainees and more senior providers seeking a rapid and effective introduction to the use of ultrasound in chest assessment will find this book useful. The authors come from relevant disciplines, including surgical intensivists, emergency medicine providers, and pulmonologists.
Features: The book's initial chapters describe essentials of ultrasound function and the physiology and anatomy of the diaphragm and other thoracic muscles. Particular points of emphasis in diaphragm function are identification of patterns of excursion and thickening. Changes in diaphragm dimensions and performance are then discussed in the context of lung disease and acute and chronic mechanical ventilation. A particular point of emphasis is diaphragm response to separation of the patient from mechanical ventilation. Later chapters describe surgical applications including trauma, thoracic, and abdominal surgery and evaluation of malignancy. Concluding presentations offer specific perspectives on the pediatric patient, utilization of tissue, Doppler imaging technology, and relevant evaluation of accessory respiratory muscles. The chapters are concise and well illustrated. Effective illustration is important as sample ultrasound images are helpful to support the content of this work. Tables also provide standard ultrasound findings, device settings in various applications, and a review of key learning points with each chapter. The table of contents lists chapters by type of content and attributes authorship, while a concise subject index provides adequate access to content.
Assessment: This book gives an effective introduction to this invaluable bedside noninvasive technology. As the impact of mechanical ventilation on the respiratory muscles is better appreciated, the utility of this diagnostic modality will increase.

Doody's Review Service