Evaluación ultrasonográfica del diafragma en el paciente críticamente enfermo

La extubación es un proceso importante en la atención de los pacientes en estado crítico que ya no requiere del apoyo ventilatorio invasivo y su éxito se puede comprometer por múltiples factores. Debemos tener herramientas de facil acceso y operabilidad. La ultrasonografía diafragmática se perfila c...

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Autores:
Laguado Nieto, Marlon Adrián
Tipo de recurso:
Fecha de publicación:
2022
Institución:
Universidad Autónoma de Bucaramanga - UNAB
Repositorio:
Repositorio UNAB
Idioma:
spa
OAI Identifier:
oai:repository.unab.edu.co:20.500.12749/16807
Acceso en línea:
http://hdl.handle.net/20.500.12749/16807
Palabra clave:
Medical sciences
Health sciences
Critical care medicine
Patient monitoring
Mechanic ventilation
Acoustic image
Respiratory system
Ciencias médicas
Cuidados intensivos (Medicina)
Monitoreo de pacientes
Ventilación mecánica
Imagen acústica
Aparato respiratorio
Ciencias de la salud
Diafragma
Ultrasonografía
Respiración artificial
Extubación traqueal
Enfermedad critica
Rights
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http://creativecommons.org/licenses/by-nc-nd/2.5/co/
id UNAB2_dcd89eb4c7c11897e9012d55f2ae8d99
oai_identifier_str oai:repository.unab.edu.co:20.500.12749/16807
network_acronym_str UNAB2
network_name_str Repositorio UNAB
repository_id_str
dc.title.spa.fl_str_mv Evaluación ultrasonográfica del diafragma en el paciente críticamente enfermo
dc.title.translated.spa.fl_str_mv Ultrasonographic evaluation of the diaphragm in the critically ill patient
title Evaluación ultrasonográfica del diafragma en el paciente críticamente enfermo
spellingShingle Evaluación ultrasonográfica del diafragma en el paciente críticamente enfermo
Medical sciences
Health sciences
Critical care medicine
Patient monitoring
Mechanic ventilation
Acoustic image
Respiratory system
Ciencias médicas
Cuidados intensivos (Medicina)
Monitoreo de pacientes
Ventilación mecánica
Imagen acústica
Aparato respiratorio
Ciencias de la salud
Diafragma
Ultrasonografía
Respiración artificial
Extubación traqueal
Enfermedad critica
title_short Evaluación ultrasonográfica del diafragma en el paciente críticamente enfermo
title_full Evaluación ultrasonográfica del diafragma en el paciente críticamente enfermo
title_fullStr Evaluación ultrasonográfica del diafragma en el paciente críticamente enfermo
title_full_unstemmed Evaluación ultrasonográfica del diafragma en el paciente críticamente enfermo
title_sort Evaluación ultrasonográfica del diafragma en el paciente críticamente enfermo
dc.creator.fl_str_mv Laguado Nieto, Marlon Adrián
dc.contributor.advisor.none.fl_str_mv Meléndez Flórez, Héctor Julio
Naranjo Junoy, Francisco Fernando Alberto
dc.contributor.author.none.fl_str_mv Laguado Nieto, Marlon Adrián
dc.contributor.cvlac.spa.fl_str_mv Meléndez Flórez, Héctor Julio [0000320609]
Naranjo Junoy, Francisco Fernando Alberto [0000176095]
Laguado Nieto, Marlon Adrián [0001556095]
dc.contributor.orcid.spa.fl_str_mv Meléndez Flórez, Héctor Julio [0000-0003-1791-8099]
Naranjo Junoy, Francisco Fernando Alberto [0000-0001-8628-8743]
Laguado Nieto, Marlon Adrián [0000-0001-6944-8899]
dc.contributor.researchgate.spa.fl_str_mv Naranjo Junoy, Francisco Fernando Alberto [Francisco-Fernando-Naranjo-Junoy-2128934465]
Laguado Nieto, Marlon Adrián [Marlon-Laguado]
dc.subject.keywords.spa.fl_str_mv Medical sciences
Health sciences
Critical care medicine
Patient monitoring
Mechanic ventilation
Acoustic image
Respiratory system
topic Medical sciences
Health sciences
Critical care medicine
Patient monitoring
Mechanic ventilation
Acoustic image
Respiratory system
Ciencias médicas
Cuidados intensivos (Medicina)
Monitoreo de pacientes
Ventilación mecánica
Imagen acústica
Aparato respiratorio
Ciencias de la salud
Diafragma
Ultrasonografía
Respiración artificial
Extubación traqueal
Enfermedad critica
dc.subject.lemb.spa.fl_str_mv Ciencias médicas
Cuidados intensivos (Medicina)
Monitoreo de pacientes
Ventilación mecánica
Imagen acústica
Aparato respiratorio
dc.subject.proposal.spa.fl_str_mv Ciencias de la salud
Diafragma
Ultrasonografía
Respiración artificial
Extubación traqueal
Enfermedad critica
description La extubación es un proceso importante en la atención de los pacientes en estado crítico que ya no requiere del apoyo ventilatorio invasivo y su éxito se puede comprometer por múltiples factores. Debemos tener herramientas de facil acceso y operabilidad. La ultrasonografía diafragmática se perfila como un método no invasivo y reproducible a la hora de definir la presencia de disfunción del diafragma y puede catalogar el riesgo de fracaso para la extubación.
publishDate 2022
dc.date.accessioned.none.fl_str_mv 2022-06-28T19:12:14Z
dc.date.available.none.fl_str_mv 2022-06-28T19:12:14Z
dc.date.issued.none.fl_str_mv 2022
dc.type.driver.none.fl_str_mv info:eu-repo/semantics/masterThesis
dc.type.local.spa.fl_str_mv Tesis
dc.type.redcol.none.fl_str_mv http://purl.org/redcol/resource_type/TM
dc.identifier.uri.none.fl_str_mv http://hdl.handle.net/20.500.12749/16807
dc.identifier.instname.spa.fl_str_mv instname:Universidad Autónoma de Bucaramanga - UNAB
dc.identifier.reponame.spa.fl_str_mv reponame:Repositorio Institucional UNAB
dc.identifier.repourl.spa.fl_str_mv repourl:https://repository.unab.edu.co
url http://hdl.handle.net/20.500.12749/16807
identifier_str_mv instname:Universidad Autónoma de Bucaramanga - UNAB
reponame:Repositorio Institucional UNAB
repourl:https://repository.unab.edu.co
dc.language.iso.spa.fl_str_mv spa
language spa
dc.relation.references.spa.fl_str_mv 1. Goligher EC et al. Mechanical Ventilation-induced Diaphragm Atrophy Strongly Impacts Clinical Outcomes. Am J Respir Crit Care Med. 2018 Jan 15;197(2):204-213. doi: 10.1164/rccm.201703 0536OC
2. Dot I, Perez-Teran P, Samper MA, Masclan JR. Disfunción diafragmática: una realidad en el paciente ventilado mecánicamente. Arch Bronconeumol. 2017;53(3):150–156.
3. Diaz MG, Ospina Tascon GA, Salazar B. Disfunción muscular respiratoria: una entidad multicausal en el paciente críticamente enfermo sometido a ventilación mecánica. Arch Bronconeumol. 2014;50(2):73–77.
4. Petrof BJ. Diaphragm Weakness in the Critically Ill: Basic Mechanisms Reveal Therapeutic Opportunities.Chest. 2018 Dec;154(6):1395-1403. doi: 10.1016/j.chest.2018.08.1028
5. Berger D, Bloechlinger S, von Haehling S, Doehner W, Takala J, Z'Graggen WJ, Schefold JC. Dysfunction of respiratory muscles in critically ill patients on the intensive care unit. J Cachexia Sarcopenia Muscle. 2016 Sep;7(4):403-12. doi: 10.1002/jcsm.12108.
6. Umbrello M, Formenti P. Ultrasonographic Assessment of Diaphragm Function in Critically Ill Subjects. Respir Care. 2016 Apr;61(4):542 55. doi: 10.4187/respcare.04412
7. Kim WY, Lim CM. Ventilator-Induced Diaphragmatic Dysfunction: Diagnosis and Role of Pharmacological Agents.Respir Care. 2017 Nov; 62(11):1485-1491. doi: 10.4187/respcare.05622.
8. Kim WY, Suh HJ, Hong SB, Koh Y, Lim CM. Diaphragm dysfunction assessed by ultrasonography: influence on weaning from mechanical ventilation. Crit Care Med. 2011 Dec;39(12):2627-30. doi: 10.1097/CCM.0b013e3182266408
9. Turton P, ALAidarous S, Welters I. A narrative review of diaphragm ultrasound to predict weaning from mechanical ventilation: where are we and where are we heading? Ultrasound J. 2019 Feb 28;11(1):2. doi: 10.1186/s13089-019-0117-8.
10. de la Quintana Gordon FB, Nacarino Alcorta B, Fajardo Pérez M. Ultrasound evaluation of diaphragm function and its application in critical patients, mechanical ventilation and brachial plexus block. Rev Esp Anestesiol Reanim. 2017 Nov;64(9):513-521. doi: 10.1016/j.redar.2017.01.001
11. Dres M, Goligher EC, Heunks L, Brochard L. Critical illness associated diaphragm weakness. Intensive Care Med (2017) 43:1441–1452 DOI 10.1007/s00134-017-4928-4.
12. Heunks LM, Doorduin J, van der Hoeven JG. Monitoring and preventing diaphragm injury. Curr Opin Crit Care. 2015 Feb; 21(1):34-41. doi: 10.1097/MCC.0000000000000168.
13. Larsson L, Friedrich O. Critical Illness Myopathy (CIM) and Ventilator Induced Diaphragm Muscle Dysfunction (VIDD): Acquired Myopathies Affecting Contractile Proteins. Compr Physiol. 2016 Dec 6;7(1):105-112. doi: 10.1002/cphy.c150054
14. Powers SK, Kavazis AN, Levine S. Prolonged mechanical ventilation alters diaphragmatic structure and function. Crit Care Med. 2009 Oct;37(10 Suppl): S347-53. doi: 10.1097/CCM.0b013e3181b6e760
15. Levine S et al. Rapid Disuse Atrophy of Diaphragm Fibers in Mechanically Ventilated Humans. N Engl J Med 2008;358:1327-35.
16. Jaber S, Jung B, Matecki S, Petrof BJ. Clinical review: ventilator induced diaphragmatic dysfunction--human studies confirm animal model findings! Crit Care. 2011 Mar 11;15(2):206. doi: 10.1186/cc10023
17. Jubran A. Critical illness and mechanical ventilation: effects on the diaphragm. Respir Care. 2006 Sep;51(9):1054-61; discussion 1062 4.
18. van den Berg M et al. Diaphragm Atrophy and Weakness in the Absence of Mitochondrial Dysfunction in the Critically Ill. Am J Respir Crit Care Med. 2017 Dec 15;196(12):1544-1558. doi: 10.1164/rccm.201703-0501OC
19. Hooijman PE. Diaphragm muscle fiber weakness and ubiquitin proteasome activation in critically ill patients. Am J Respir Crit Care Med. 2015 May 15;191(10):1126-38. doi: 10.1164/rccm.201412 2214OC
20. Supinski GS, Morris PE, Dhar S, Callahan LA. Diaphragm Dysfunction in Critical Illness. Chest. 2018 Apr;153(4):1040-1051. doi: 10.1016/j.chest.2017.08.1157
21. Royse HK, Green C, Botha J, Canty D, Royse C. Interpreting diaphragmatic movement with bedside imaging, review article. J Crit Care. 2016 Aug;34:56-65. doi: 10.1016/j.jcrc.2016.03.006.
22. Palkar A, Mayo P, Koenig S, Narasimhan M, Darabaner R, Greenberg H, Gotttesman E. Serial Diaphragm Ultrasonography to Predict Successful Discontinuation of Mechanical Ventilation. Lung. 2018 Jun;196(3):363-368. doi: 10.1007/s00408-018-0106-x
23. Hayat A, Khan A, Khalil A, Asghar A. Diaphragmatic Excursion: Does it Predict Successful Weaning from Mechanical Ventilation? J Coll Physicians Surg Pak. 2017 Dec;27(12):743-746
24. Matamis D, Soilemezi E, Tsagourias M, Akoumianaki E, Dimassi S, Boroli F, et al. Sonographic evaluation of the diaphragm in critically ill patients. Technique and clinical applications. Intensive Care Med. 2013;39:801-810
25. Haji K, Royse A, Green C, Botha J, Canty D, Royse C. Interpreting diaphragmatic movement with bedside imaging, review article. J Crit Care. 2016;34:56-65. doi:10.1016/j.jcrc.2016.03.006
26. Varón-Vega F, Hernández Á, López M, et al. Usefulness of diaphragmatic ultrasound in predicting extubation success [published online ahead of print, 2019 Dec 20]. Utilidad de la ecografía diafragmática para predecir el éxito en la extubación [published online ahead of print, 2019 Dec 20]. Med Intensiva. 2019;S0210 5691(19)30265-7. doi:10.1016/j.medin.2019.10.007.
27. Gottesman E, McCool FD. Ultrasound evaluation of the paraly- zed diaphragm. Am J Respir Crit Care Med. 1997;155:1570-4.
28. Zambon M, Greco M, Bocchino S, Cabrini L, Beccaria PF, Zangrillo A. Assessment of diaphragmatic dysfunction in the critically ill patient with ultrasound: a systematic review. Intensive Care Med. 2017 Jan;43(1):29-38.
29. Farghaly S, Hasan AA. Diaphragm ultrasound as a new method to predict extubation outcome in mechanically ventilated patients. Aust Crit Care. 2017 Jan;30(1):37-43.
30. Li C, Li X, Han H, Cui H, Wang G, Wang Z. Diaphragmatic ultrasonography for predicting ventilator weaning: A meta-analysis. Medicine (Baltimore). 2018 Jun;97(22):e10968
31. Ferrari G, De Filippi G, Elia F, Panero F, Volpicelli G, Aprà F. Diaphragm ultrasound as a new index of discontinuation from mechanical ventilation. Crit Ultrasound J. 2014 Jun 7;6(1):8.
32. Eltrabili HH, Hasanin AM, Soliman MS, Lotfy AM, Hamimy WI, Mukhtar AM. Evaluation of Diaphragmatic Ultrasound Indices as Predictors of Successful Liberation From Mechanical Ventilation in Subjects With Abdominal Sepsis. Respir Care. 2019 May;64(5):564 569
33. McCool FD, Oyieng'o DO, Koo P. The Utility of Diaphragm Ultrasound in Reducing Time to Extubation. Lung. 2020 Jun;198(3):499-505
34. World Medical Association. World Medical Association Declaration of Helsinki: Ethical Principles for Medical Research Involving Human Subjects. JAMA. 2013;310(20):2191–2194. doi:10.1001/jama.2013.281053.
35. Ministerio de Salud. Resolución No 008430. Por la cual se establecen las normas científicas, técnicas y administrativas para la investigación en salud. Bogotá: Ministerio de Salud; 1993. p. 1- 12.
36. Llamas-Álvarez AM, Tenza-Lozano EM, Latour-Pérez J. Diaphragm and Lung Ultrasound to Predict Weaning Outcome: Systematic Review and Meta-Analysis. Chest. 2017 Dec;152(6):1140-1150
37. DiNino E, Gartman EJ, Sethi JM, McCool FD. Diaphragm ultrasound as a predictor of successful extubation from mechanical ventilation. Thorax. 2014 May;69(5):423-7
38. Ouellette DR, Patel S, Girard TD, Morris PE, Schmidt GA, Truwit JD, Al- Hazzani W, Burns SM, Epstein SK, Esteban A, Fan E, Ferrer M, Fraser GL, Gong M, Hough CL, Mehta S, Nanchal R, Pawlik AJ, Schweickert W, Sessler CN, Strøm T, Kress JP, Liberation from Mechanical Ventilation: An Official American College of Chest Physicians/American Thoracic Society Clinical Practice Guideline, CHEST (2016)
39. Doorduin J, van der Hoeven JG, Heunks LM. The differential diagnosis for failure to wean from mechanical ventilation. Curr Opin Anaesthesiol. 2016 Apr;29(2):150-7
40. Le Neindre A, Philippart F, Luperto M, Wormser J, Morel-Sapene J, Aho SL, Mongodi S, Mojoli F, Bouhemad B. Diagnostic accuracy of diaphragm ultrasound to predict weaning outcome: A systematic review and meta-analysis. Int J Nurs Stud. 2021 May;117:103890.
41. Gok F, Mercan A, Kilicaslan A, Sarkilar G, Yosunkaya A. Diaphragm and Lung Ultrasonography During Weaning From Mechanical Ventilation in Critically Ill Patients. Cureus. 2021 May 16;13(5):e15057
42. Vivier E, Muller M, Putegnat JB, Steyer J, Barrau S, Boissier F, Bourdin G, Mekontso-Dessap A, Levrat A, Pommier C, Thille AW. Inability of Diaphragm Ultrasound to Predict Extubation Failure: A Multicenter Study. Chest. 2019 Jun;155(6):1131-1139.
43. Mayo P, Volpicelli G, Lerolle N, Schreiber A, Doelken P, Vieillard Baron A. Ultrasonography evaluation during the weaning process: the heart, the diaphragm, the pleura and the lung. Intensive Care Med. 2016 Jul;42(7):1107-17
44. McCool FD, Oyieng'o DO, Koo P. The Utility of Diaphragm Ultrasound in Reducing Time to Extubation. Lung. 2020 Jun;198(3):499-505.
45. A.F. Caballero-Lozada, F.E. Pabón Muñoz, J.M. Arias Campo et al. Ultrasonido diafragmático como predictor de extubación en paciente crítico: revisión exploratoria, Acta Colombiana de Cuidado Intensivo. https://doi.org/10.1016/j.acci.2020.10.003
46. Baptistella AR, Mantelli LM, Matte L, Carvalho MEDRU, Fortunatti JA, Costa IZ, Haro FG, Turkot VLO, Baptistella SF, de Carvalho D, Nunes Filho JR. Prediction of extubation outcome in mechanically ventilated patients: Development and validation of the Extubation Predictive Score (ExPreS). PLoS One. 2021 Mar 18;16(3):e0248868.
47. Palkar A, Narasimhan M, Greenberg H, Singh K, Koenig S, Mayo P, Gottesman E. Diaphragm Excursion-Time Index: A New Parameter Using Ultrasonography to Predict Extubation Outcome. Chest. 2018 May;153(5):1213-1220
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dc.publisher.faculty.spa.fl_str_mv Facultad Ciencias de la Salud
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institution Universidad Autónoma de Bucaramanga - UNAB
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spelling Meléndez Flórez, Héctor Julio20cc143a-86c7-44c4-bcab-57fb40719b36Naranjo Junoy, Francisco Fernando Alberto5a307c13-9352-4d86-b903-0177372f5624Laguado Nieto, Marlon Adrián0452dc34-785c-4bac-a433-4642b5461e40Meléndez Flórez, Héctor Julio [0000320609]Naranjo Junoy, Francisco Fernando Alberto [0000176095]Laguado Nieto, Marlon Adrián [0001556095]Meléndez Flórez, Héctor Julio [0000-0003-1791-8099]Naranjo Junoy, Francisco Fernando Alberto [0000-0001-8628-8743]Laguado Nieto, Marlon Adrián [0000-0001-6944-8899]Naranjo Junoy, Francisco Fernando Alberto [Francisco-Fernando-Naranjo-Junoy-2128934465]Laguado Nieto, Marlon Adrián [Marlon-Laguado]Colombia2022-06-28T19:12:14Z2022-06-28T19:12:14Z2022http://hdl.handle.net/20.500.12749/16807instname:Universidad Autónoma de Bucaramanga - UNABreponame:Repositorio Institucional UNABrepourl:https://repository.unab.edu.coLa extubación es un proceso importante en la atención de los pacientes en estado crítico que ya no requiere del apoyo ventilatorio invasivo y su éxito se puede comprometer por múltiples factores. Debemos tener herramientas de facil acceso y operabilidad. La ultrasonografía diafragmática se perfila como un método no invasivo y reproducible a la hora de definir la presencia de disfunción del diafragma y puede catalogar el riesgo de fracaso para la extubación.1.0. Introducción. 2.0. Planteamiento del problema. 3.0. Pregunta de Investigación. 4.0. Hipótesis de trabajo. 5.0. Marco teórico y estado del arte. 6.0. Justificación. 7.0. Objetivo, -7.1. Objetivo general. -7.2. Objetivos específicos. 8.0. Metodología. -8.1. Tipo de estudio. -8.2. Población a estudio. -8.3. Tamaño de la muestra. -8.4. Criterios de inclusión. -8.5. Criterios de exclusión. -8.6. Variables de estudio y de resultado. -8.7. Fuentes y técnicas de recolección de datos. -8.8. Control de sesgos. 9.0 Aspectos éticos y legales. 10. Análisis estadístico y resultados. 11. Discusión. 12. Conclusiones. 13. BibliografíaEspecializaciónExtubation is an important process in the care of critically ill patients that no longer requires invasive ventilatory support and its success can be compromised by multiple factors. Diaphragmatic ultrasonography is emerging as a non-invasive and reproducible method when defining the presence of diaphragm dysfunction and can catalog the risk of failure for extubation.application/pdfspahttp://creativecommons.org/licenses/by-nc-nd/2.5/co/Abierto (Texto Completo)Atribución-NoComercial-SinDerivadas 2.5 Colombiahttp://purl.org/coar/access_right/c_abf2Evaluación ultrasonográfica del diafragma en el paciente críticamente enfermoUltrasonographic evaluation of the diaphragm in the critically ill patientEspecialista en Medicina Crítica y Cuidado Intensivo del AdultoUniversidad Autónoma de Bucaramanga UNABFacultad Ciencias de la SaludEspecialización en Medicina Crítica y Cuidado Intensivo del Adultoinfo:eu-repo/semantics/masterThesisTesishttp://purl.org/redcol/resource_type/TMMedical sciencesHealth sciencesCritical care medicinePatient monitoringMechanic ventilationAcoustic imageRespiratory systemCiencias médicasCuidados intensivos (Medicina)Monitoreo de pacientesVentilación mecánicaImagen acústicaAparato respiratorioCiencias de la saludDiafragmaUltrasonografíaRespiración artificialExtubación traquealEnfermedad critica1. Goligher EC et al. Mechanical Ventilation-induced Diaphragm Atrophy Strongly Impacts Clinical Outcomes. Am J Respir Crit Care Med. 2018 Jan 15;197(2):204-213. doi: 10.1164/rccm.201703 0536OC2. Dot I, Perez-Teran P, Samper MA, Masclan JR. Disfunción diafragmática: una realidad en el paciente ventilado mecánicamente. Arch Bronconeumol. 2017;53(3):150–156.3. Diaz MG, Ospina Tascon GA, Salazar B. Disfunción muscular respiratoria: una entidad multicausal en el paciente críticamente enfermo sometido a ventilación mecánica. Arch Bronconeumol. 2014;50(2):73–77.4. Petrof BJ. Diaphragm Weakness in the Critically Ill: Basic Mechanisms Reveal Therapeutic Opportunities.Chest. 2018 Dec;154(6):1395-1403. doi: 10.1016/j.chest.2018.08.10285. Berger D, Bloechlinger S, von Haehling S, Doehner W, Takala J, Z'Graggen WJ, Schefold JC. Dysfunction of respiratory muscles in critically ill patients on the intensive care unit. J Cachexia Sarcopenia Muscle. 2016 Sep;7(4):403-12. doi: 10.1002/jcsm.12108.6. Umbrello M, Formenti P. Ultrasonographic Assessment of Diaphragm Function in Critically Ill Subjects. Respir Care. 2016 Apr;61(4):542 55. doi: 10.4187/respcare.044127. Kim WY, Lim CM. Ventilator-Induced Diaphragmatic Dysfunction: Diagnosis and Role of Pharmacological Agents.Respir Care. 2017 Nov; 62(11):1485-1491. doi: 10.4187/respcare.05622.8. Kim WY, Suh HJ, Hong SB, Koh Y, Lim CM. Diaphragm dysfunction assessed by ultrasonography: influence on weaning from mechanical ventilation. Crit Care Med. 2011 Dec;39(12):2627-30. doi: 10.1097/CCM.0b013e31822664089. Turton P, ALAidarous S, Welters I. A narrative review of diaphragm ultrasound to predict weaning from mechanical ventilation: where are we and where are we heading? Ultrasound J. 2019 Feb 28;11(1):2. doi: 10.1186/s13089-019-0117-8.10. de la Quintana Gordon FB, Nacarino Alcorta B, Fajardo Pérez M. Ultrasound evaluation of diaphragm function and its application in critical patients, mechanical ventilation and brachial plexus block. 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