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  4. Ultrasound evaluation of diaphragm function in patients with cervical spinal cord injury: case report

Ultrasound evaluation of diaphragm function in patients with cervical spinal cord injury: case report

Brazilian Journal of Anesthesiology, 2024 · DOI: https://doi.org/10.1016/j.bjane.2021.12.005 · Published: December 25, 2021

Spinal Cord InjuryCritical CarePulmonology

Simple Explanation

This case report discusses using ultrasound to check how well the diaphragm works in a patient with a spinal cord injury in their neck. The goal is to see if the patient needs help breathing from a machine. The patient had damage to their spinal cord at the C3 level. An ultrasound showed that the patient's diaphragm was not working well. Because of this, doctors performed a tracheotomy to help the patient breathe. Checking the diaphragm with ultrasound is a simple way to find out if someone with a neck spinal cord injury might have trouble breathing. It gives doctors information quickly so they can decide if the patient needs help with breathing.

Study Duration
Not specified
Participants
One 65-year-old male
Evidence Level
Case Report

Key Findings

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    Ultrasound evaluation revealed diaphragmatic dysfunction in a patient with C3 spinal cord injury.
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    Early tracheotomy and ventilatory support were initiated based on ultrasound findings of diaphragm dysfunction.
  • 3
    Ultrasound is a useful and simple technique for diagnosing respiratory insufficiency in patients with cervical spinal cord injury.

Research Summary

The case report describes the use of ultrasound to evaluate diaphragm function in a patient with a C3 spinal cord injury, leading to the detection of diaphragm dysfunction. Based on the ultrasound findings, a tracheotomy was performed, and early ventilatory support was initiated. The authors conclude that ultrasound evaluation of diaphragm function is a useful, simple, and inexpensive technique for assessing respiratory function in patients with cervical spinal cord injury.

Practical Implications

Early Diagnosis of Respiratory Insufficiency

Ultrasound evaluation can provide fast and reliable data for diagnosing respiratory insufficiency of neuromuscular origin, especially in patients with cervical spinal cord injuries.

Ventilatory Support

The use of ultrasound can help determine the need for early ventilatory support and guide the adaptation of ventilatory support in intensive care units.

Tracheotomy Considerations

The findings support the use of tracheotomy as a proactive measure in patients with cervical spinal cord injury to prevent respiratory complications.

Study Limitations

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