• Main page
• About the journal
• Editorial board
• Subscription
• Information for contributors
• Editorial and Peer Review
• Issues archive
• Authors
• Articles
  • By alphabet
  • By category
• Blogs and comments

The journal is included into The list of leading scientific periodicals.

The journal is included into VINITI database and is registered in Electronic scientific library.

The journal is indexed by SCOPUS, Ulrich's International Periodicals Directory.

EBSCO

https://doi.org/10.14300/mnnc.2022.17079

Dysfunction of the diaphragm

[Lecture. Clinical decisions support]
Oleg Uryasev; Sergey Ivanovich Glotov; Ponomareva Irina Borisovna; Elena Viktorovna Almazova; Zhukova Lidiya A.; Elena Anatolyevna Alekseeva;

Diaphragm dysfunction refers to the rare causes of respiratory disorders, the severity of which ranges from moderate, in cases of its weakness, to severe – with paralysis of the diaphragm. Difficulties in diagnosing of diaphragm dysfunction are determined by a variety of etiological factors, unusual clinical manifestations – from subclinical respiratory disorders to severe respiratory failure, frequent prevalence of general symptoms – drowsiness, irritability, fatigue. With paralysis of the diaphragm, there are pronounced thoracoabdominal disorders. Physical and instrumental methods of diagnostics are considered in detail. Both conservative and surgical methods (plication of the diaphragm) are used in the treatment.

Download

References:
1. Babaev M. A., Bykov D. B., Birg Т. M., Vyzhigina M. А., Eremenko A. A. Ventilator-induced diaphragm dysfunction (review). Obshhaja reanimatologija. – General Reanimatology. 2018;14(3):82-103. (In Russ.). https://doi.org/10.15360/1813-9779-2018-3-82-103
2. Petrov V. S. Pulmonary hypertension in patients with chronic rheumatic heart disease. Nauka molodyh (Eruditio Juvenium). – Science of the Young (Eruditio Juvenium). 2019;7(3):400-407. (In Russ.). https://doi.org/10.23888/HMJ201973400-407
3. Ricoy J., Rodríguez-Núñez N., Álvarez-Dobaño J. M., Toubes M. E., Riveiro V., Valdés L. Diaphragmatic dysfunction. Pulmonology. 2019;25(4):223-235. https://doi.org/10.1016/j.pulmoe.2018.10.008
4. Bruells C. S., Marx G. Diaphragmale dysfunktion-Facts for clinicians. Med. Klin. Intensivmed. Notfmed. 2018;113(7):526-532. https://doi.org/10.1007/s00063-016-0226-0
5. Dres M., Demoule A. Monitoring diaphragm function in the ICU. Curr. Opin. Crit. Care. 2020;26(1):18-25. https://doi.org/10.1097/MCC.0000000000000682
6. Kocjan J., Gzik-Zroska B., Nowakowska K., Burkacki M., Suchoń S. [et al.]. Diaphragm dysfunction: A comprehensive review from diagnosis to management. Intern. Med. J. 2021;16. https://doi.org/10.1111/imj.15491
7. Pinto S., Alves P., Pimentel B., Swash M., de Carvalho M. Ultrasound for assessment of diaphragm in ALS. Clin. Neurophysiol. 2016;127(1):892-897. https://doi.org/10.1016/j.clinph.2015.03.024
8. Kinugasa Y., Miyagi M., Sota T., Yamada K., Ishisugi T. [et al.]. Dynapenia and diaphragm muscle dysfunction in patients with heart failure. Europ. J. Prevent. Cardiol. 2018;25(16):1785-1786. https://doi.org/10.1016/j.cardfail.2017.12.004
9. Liu Q., Duan H., Lian A., Zhuang M., Zhao X., Liu X. Rehabilitation Effects of Acupuncture on the Diaphragm Dysfunction in Chronic Obstructive Pulmonary Disease: A Systematic Review. Int. J. Chron. Obstruct. Pulmon. Dis. 2021;16:2023-2037. https://doi.org/10.2147/COPD.S313439
10. Liu Y. Y., Li L. F. Ventilator-induced diaphragm dysfunction in critical illness. Exp. Biol. Med. 2018;24317-18):1331-1339. https://doi.org/10.1177/1535370218811950
11. Loehr J. A., Wang S., Cully T. R., Pal R., Larina I. V. [et al.]. NADPH oxidase mediates microtubule alterations and diaphragm dysfunction in dystrophic mice. eLife. 2018;7:e31732. https://doi.org/10.7554/eLife.31732
12. Spiesshoefer J., Henke C., Kabitz H., Randerath W., Young P. [et al.]. Inspiratory muscle dysfunction relates to clinical disease severity in patients with type I myotonic dystrophy. Europ. Resp. J. 2019;Sep. 28. https://doi.org/10.1183/13993003.congress-2019.PA3930
13. Supinski G. S., Morris P. E., Dhar S., Callahan L. A. Diaphragm Dysfunction in Critical Illness. Chest. 2018;153(4):1040-1051. https://doi.org/10.1016/j.chest.2017.08.1157
14. Walton D., Bonello M., Steiger M. Diaphragmatic flutter. Pract. Neurol. 2018;18(3):224-226. https://doi.org/10.1136/practneurol-2017-001830
15. Fayssoil A., Behin A., Ogna A., Mompoint D., Amthor H. [et al.]. Diaphragm: Pathophysiology and Ultrasound Imaging in Neuromuscular Disorders. J. Neuromusc. Dis. 2018;5(1):1-10. https://doi.org/10.3233/JND-170276
16. McCool F. D., Manzoor K., Minami T. Disorders of the Diaphragm. Clin. Chest. Med. 2018;39(2):345-360. https://doi.org/10.1016/j.ccm.2018.01.012
17. Monserrat J. M., Picado C., Agustí-Vidal A. Arnold-Chiari: malformation and paralysis of the diaphragm. Respiration.1988;53:128-131. https://doi.org/10.1159/000195404
18. Laghlam D., Lê M. P., Srour A., Monsonego R., Estagnasié P. [et al.]. Diaphragm dysfunction after cardiac surgery:reappraisal. J. Cardiothor. Vasc. Anesth. 2021;35(11):3241-3247. https://doi.org/10.1053/j.jvca.2021.02.023
19. Fayssoil A. J. Diaphragm dysfunction after cardiac surgery: a global approach. Clin. Monit. Comput. 2020;34(3):615. https://doi.org/10.1007/s10877-019-00424-7
20. Rochester D. F. Energy expenditure of the diaphragm or «he thinks the diaphragm is the heart». Am. J. Respir. Crit. Care Med. 2001;164(12):2145-2146. https://doi.org/10.1164/ajrccm.164.12.2109050
21. Bordoni B., Escher A. R. Functional evaluation of the diaphragm with a noninvasive test. J. Osteopath. Med. 2021;121(11):835-842. https://doi.org/10.1515/jom-2021-0101
22. American Thoracic Society. ATS/ERS statement on respiratory muscle testing. Am. J. Respir. Crit. Care Med. 2002;166(4):518-624. https://doi.org/10.1164/rccm.166.4.518
23. Coiffard B., Riegler S., Sklar M. C., Dres M., Vorona S. [et al.]. Diaphragm echodensity in mechanically ventilated patients: a description of technique and outcomes. Crit. Care. 2021;25(1):64. https://doi.org/10.1186/s13054-021-03494-9
24. Kocyigit H., Gunalp M., Genc S., Oguz A. B., Koca A., Polat O. Diaphragm dysfunction detected with ultrasound to predict noninvasive mechanical ventilation failure: A prospective cohort study. Am. J. Emerg. Med. 2021;45:202-207. https://doi.org/10.1016/j.ajem.2020.08.014
25. Laghi F. A. Jr., Saad M., Shaikh H. Ultrasound and nonultrasound imaging techniques in the assessment of diaphragmatic dysfunction. BMC Pulm. Med. 2021;21(1):85. https://doi.org/10.1186/s12890-021-01441-6
26. Kilaru D., Panebianco N., Baston C. Diaphragm Ultrasound in Weaning From Mechanical Ventilation. Chest. 2021;159(3):1166-1172. https://doi.org/10.1016/j.chest.2020.12.003
27. Vetrugno L., Guadagnin G. M., Barbariol F., Langiano N., Zangrillo A., Bove T. J. Ultrasound Imaging for Diaphragm Dysfunction: A Narrative Literature Review. Cardiothorac. Vasc. Anesth. 2019;33(9):2525-2536. https://doi.org/10.1053/j.jvca.2019.01.003
28. Kocjan J., Gzik-Zroska B., Nowakowska K., Burkacki M., Suchoń S. [et al.]. Impact of diaphragm function parameters on balance maintenance. PLoS One. 2018;28;13(12):e0208697. https://doi.org/10.1371/journal.pone.0208697
29. Spiesshoefer J., Henke C., Herkenrath S.-D., Randerath W., Young P., Boentert M. Transdiapragmatic pressure and contractile properties of the human diaphragm following standardized magnetic stimulation. ERJ Open Research. 2019;5:P67. https://doi.org/10.1183/23120541
30. Schepens T., Fard S., Goligher E. C. Assessing Diaphragmatic Function. Respir. Care. 2020;65(6):807-819. https://doi.org/10.4187/respcare.07410
31. Elshafie G., Acosta J., Aliverti A., Bradley A., Kumar P. [et al.]. Chest wall mechanics before and after diaphragm plication. J. Cardiothorac. Surg. 2016;11:25. https://doi.org/10.1186/s13019-016-0419-x
32. DiMarco A. F. Diaphragm Pacing. Clin. Chest Med. 2018;39(2):459-471. https://doi.org/10.1016/j.ccm.2018.01.008
33. Dres M., Goligher E. C., Heunks L. M. A., Brochard L. Critical illness-associated diaphragm weakness. J. Intensive Care Med. 2017;43(10):1441-1452. https://doi.org/10.1007/s00134-017-4928-4
34. González-Bermejo J., Morélot-Panzini C., Tanguy M. L., Meininger V., Pradat P. F., Lenglet T. Early diaphragm pacing in patients with amyotrophic lateral sclerosis (RespiStimALS): a randomised controlled triple-blind trial. Lancet Neurol. 2016;15:1217-1227. https://doi.org/10.1016/s1474-4422(16)30233-2
35. Kaufman M. R., Bauer T., Onders R. P., Brown D. P., Chang E. I. [et al.]. Interact Treatment for bilateral diaphragmatic dysfunction using phrenic nerve reconstruction and diaphragm pacemakers. Cardiovasc. Thorac. Surg. 2021;32(5):753-760. https://doi.org/10.1093/icvts/ivaa324
36. Le Pimpec-Barthes F., Legras A., Arame A., Pricopi C., Boucherie J. C., Badia A. Diaphragm pacing: the state of the art. J. Thorac. Dis. 2016;8(Suppl. 4):S376-S386. https://doi.org/10.21037/jtd.2016.03.97
37. Schepens T., Dianti J. Diaphragm protection: what should we target? Curr. Opin. Crit. Care. 2020;26(1):35-40. https://doi.org/10.1097/MCC.0000000000000683
38. Schepens T., Dres M., Heunks L, Goligher E. Diaphragmprotective mechanical ventilation. Curr. Opin. Crit. Care.2019;25(1):77-85. https://doi.org/10.1097/MCC.0000000000000578
39. Vaporidi K. NAVA and PAV+ for lung and diaphragm protection. Curr. Opin. Crit. Care. 2020;26(1):41-46. https://doi.org/10.1097/MCC.0000000000000684
40. Yoshihara T., Deminice R., Hyatt H. W., Ozdemir M., Nguyen B. L., Powers S. K. Angiotensin 1–7 protects against ventilator-induced diaphragm dysfunction. Clin. Transl. Sci. 2021;14(4):1512-1523. https://doi.org/10.1111/cts.13015

Keywords: diaphragm dysfunction, shortness of breath, bilateral diaphragm paralysis, plication of the diaphragm