Research progress of diaphragmatic dysfunction and diaphragmatic ultrasound evaluation following anesthesia and surgery
10.11855/j.issn.0577-7402.0021.2025.0121
- VernacularTitle:麻醉术后膈肌功能障碍及超声评估研究进展
- Author:
Jun-Jie XIAN
1
;
Wei HU
;
Quan DU
Author Information
1. 重庆医科大学附属第二医院麻醉科,重庆 400010
- Keywords:
respiratory muscle;
diaphragmatic dysfunction;
postoperative pulmonary complications;
diaphragmatic ultrasound;
postoperative residual curarization
- From:
Medical Journal of Chinese People's Liberation Army
2025;50(7):905-910
- CountryChina
- Language:Chinese
-
Abstract:
Diaphragmatic dysfunction(DD)can be caused by various factors,including anesthesia,surgery,and patient-related conditions.It may lead to adverse events such as prolonged postoperative extubation,weaning failure,postoperative pulmonary complications(PPCs),which can eventually result in patients being transferred to the intensive care unit(ICU),having an extended hospital stay and an increased mortality rate.Thus,it is crucial that the function of the diaphragm be timely and accurately assessed,and its status be reasonably protected for the favorable outcomes of patients after anesthesia and surgery.Recently,point-of-care diaphragmatic ultrasound has been applied in the clinic.However,currently,the assessment of DD is mainly concentrated in the ICU,and its application during the perioperative period is relatively restricted.In the review,the mechanisms of postoperative DD after anesthesia and the application progress of ultrasonography evaluation are summarized.The static and dynamic functions of the diaphragm are monitored via various ultrasound examination methods,and the postoperative changes and recovery of diaphragm function in each patient are observed in real time.In this way,the occurrence of PPCs can be predicted,a reasonable anesthesia and surgery plan can be guided to be developed,the protection and even prerehabilitation of the target organ"diaphragm"can be promoted,DD can be ultimately prevented and treated in a timely manner,and postoperative recovery can be improved.
