Guiding significance of diaphragm function evaluation in ventilation weaning

VernacularTitle:膈肌功能评估在撤机中的指导意义
Author: Jieying LUO ¹ ; Xiaotong HAN ; Maiying FAN ; Hui WEN ; Jing XU ; Yanfang PEI ; Ying HUANG
Author Information

1. 湖南省人民医院(湖南师范大学第一附属医院)急诊科
Keywords: Diaphragm dysfunction; Mechanical ventilation; Weaning; Predictor
From: Chinese Critical Care Medicine 2017;29(11):1035-1038
CountryChina
Language:Chinese
Abstract: Diaphragm dysfunction is common in clinical work, which is a frequently important cause of ventilation weaning failure ignored by clinicians. Assessing diaphragmatic function while weaning helps early detection and prevention of weaning failure, so as to improve the clinical outcome of patients on mechanical ventilation (MV). Reviewing studies of diaphragmatic function evaluation in weaning, we can find that assessing diaphragmatic function during weaning can help guide weaning. Weaning predictors including pressure index, electrophysiological index and morphological index, among which bedside ultrasound as a morphological index is widely used in intensive care unit (ICU), which is simple, non-invasive, and easy to operate. It is also accurate in the assessment of diaphragmatic function and guidance on weaning, which is worthy of promotion and application.