KOAH’ta diyafragm kalınlığının ultrasonografi ile değerlendirilmesi

Canan Cimsit; Canan Cımsıt; Melahat Bekir; Sait Karakurt; Sait Karakurt; Emel Eryuksel; Emel Eryuksel

doi:10.5472/MMJoa.2901.02

KOAH’ta diyafragm kalınlığının ultrasonografi ile değerlendirilmesi

Year 2016, Volume: 29 Issue: 1, 8 - 13, 04.03.2016

Canan Cimsit Canan Cımsıt Melahat Bekir Sait Karakurt Sait Karakurt Emel Eryuksel Emel Eryuksel

https://doi.org/10.5472/MMJoa.2901.02

Cited By: 9

Abstract

Amaç: Kronik obstruktive akciğer hastalığı (KOAH) olan
hastaların, diyafram kalınlıklarını ultrasonografi ile ölçerek
solunum fonksiyon testleri ve semptom skorları ile ilişkisinin
araştırılmasıdır.
Gereç ve Yöntem: KOAH nedeniyle takip edilmekte olan,
son iki aydır klinik olarak stabil seyirli 53 hasta çalışmamıza
dahil edildi. Bronkodilatör sonrası FEV1 değerlerinde %12 artış,
çalışmada uygulanan testlerden herhangi birine uyumsuzluk,
oksijen bağımlılığı, abdominal ya da torasik cerrahi geçirme
hikayeleri çalışmadan dışlanma kriterleri olarak belirlendi.
KOAH düzeyi spirometri ölçümlerine ve GOLD kriterlerine göre
sınıflandırıldı.
Hayat kalitesi değerlendirmesi için mMRC ve CAT semptom
skorları testleri ile kompozit KOAH skor ölçümü hesaplanması
için alevlenme sayıları sorularak kaydedildi.
Bulgular: KOAH düzeyi hafif olan hastalarda FEV1 %
ile diyafram kalınlığı arasında anlamlı ilişki bulundu (r=0.62,
p=0,017

Keywords

Diyafram, Ultrasonografi, Kronik obstrüktif akciğer hastalığı, Kalınlık

References

1. Ferrari G, De Filippi G, Elia F, et al. Diaphragm ultrasound as a new index of discontinuation from mechanical ventilation. Crit Ultrasound J 2014;6:8. doi: 10.1186/2036-7902-6-8
2. DiNino E, Gartman EJ, Sethi JM, McCool FD. Diaphragm ultrasound as a predictor of successful extubation from mechanical ventilation. Thorax 2014 ;69: 423-7. doi: 10.1136/thoraxjnl-2013-204111
3. Kang HW, Kim TO, Lee BR, et al. Influence of diaphragmatic mobility on hypercapnia in patients with chronic obstructive pulmonary disease. J Korean Med Sci 2011;26: 1209-13. doi:10.3346/jkms.2011.26.9.1209
4. Baria MR, Shahgholi L, Sorenson EJ, et al. B-Mode Ultrasound Assessment of Diaphragm Structure and Function in Patients With COPD. Chest 2014; 146: 680-5. doi: 10.1378/ chest.13-2306
5. Paulin E, Yamaguti WP, Chammas MC, et al. Influence of diaphragmatic mobility on exercise tolerance and dyspnea in patients with COPD. Respir Med 2007;101: 2113-8.
6. Gorman RB, McKenzie DK, Butler JE, Tolman JF, Gandevia SC. Diaphragm length and neural drive after lung volume reduction surgery. Am J Respir Crit Care Med 2005;172: 1259-66.
7. Smargiassi A, Inchingolo R, Tagliaboschi L, Di Marco Berardino A, Valente S, Corbo GM. Ultrasonographic assessment of the diaphragm in chronic obstructive pulmonary disease patients: relationships with pulmonary function and the influence of body composition - a pilot study. Respiration 2014;87: 364-71. doi: 10.1159/000358564
8. Dos Santos Yamaguti WP, Paulin E, Shibao S, Chammas MC, et al. Air trapping: The major factor limiting diaphragm mobility in chronic obstructive pulmonary disease patients. Respirology 2008;13: 138-44.
9. Qaseem A, Wilt TJ, Weinberger SE, et al; American College of Physicians; American College of Chest Physicians; American Thoracic Society; European Respiratory Society. Diagnosis and management of stable chronic obstructive pulmonary disease: a clinical practice guideline update from the American College of Physicians, American College of Chest Physicians, American Thoracic Society, and European Respiratory Society. Ann Intern Med 2011 2;155: 179-91. doi: 10.7326/0003-4819-155-3-201108020-00008.
10. Cohn D, Benditt JO, Eveloff S, McCool FD. Diaphragm thickening during inspiration. J Appl Physiol 1997;83: 291-6.
11. Wait JL, Nahormek PA, Yost WT, Rochester DP. Diaphragmatic thickness-lung volume relationship in vivo. J Appl Physiol 1989;67: 1560-8.
12. Boon AJ, Harper CJ, Ghahfarokhi LS, Strommen JA, Watson JC, Sorenson EJ. Two-dimensional ultrasound imaging of the diaphragm: quantitative values in normal subjects. Muscle Nerve 2013;47: 884-9. doi: 10.1002/mus.23702
13. McCool FD, Tzelepis GE. Dysfunction of the diaphragm. N Engl J Med 2012; 366: 932-42. Review. doi: 10.1056 NEJMra1007236
14. Miller SG, Brook MM, Tacy TA. Reliability of two- dimensional echocardiography in the assessment of clinically significant abnormal hemidiaphragm motion in pediatric cardiothoracic patients: Comparison with fluoroscopy. Pediatr Crit Care Med 2006;7: 441-4.
15. Vivier E, Mekontso Dessap A, Dimassi S, et al. Diaphragm ultrasonography to estimate the work of breathing during non-invasive ventilation. Intensive Care Med 2012;38: 796-803. doi: 10.1007/s00134-012-2547-7
16. Gupta SS, Gothi D, Narula G, Sircar J.Correlation of BMI and oxygen saturation in stable COPD in Northern India. Lung India 2014;31: 29-34. doi: 10.4103/0970-2113.125891
17. Summerhill EM, El-Sameed YA, Glidden TJ, McCool FD. Monitoring recovery from diaphragm paralysis with ultrasound. Chest 2008;133: 737-43. doi: 10.1378/ chest.07-2200
18. Sarwal A, Walker FO, Cartwright MS. Neuromuscular ultrasound for evaluation of the diaphragm. Muscle Nerve 2013;47: 319-29. doi: 10.1002/mus.23671

Year 2016, Volume: 29 Issue: 1, 8 - 13, 04.03.2016

Canan Cimsit Canan Cımsıt Melahat Bekir Sait Karakurt Sait Karakurt Emel Eryuksel Emel Eryuksel

https://doi.org/10.5472/MMJoa.2901.02

Cited By: 9

Abstract

References

1. Ferrari G, De Filippi G, Elia F, et al. Diaphragm ultrasound as a new index of discontinuation from mechanical ventilation. Crit Ultrasound J 2014;6:8. doi: 10.1186/2036-7902-6-8
2. DiNino E, Gartman EJ, Sethi JM, McCool FD. Diaphragm ultrasound as a predictor of successful extubation from mechanical ventilation. Thorax 2014 ;69: 423-7. doi: 10.1136/thoraxjnl-2013-204111
3. Kang HW, Kim TO, Lee BR, et al. Influence of diaphragmatic mobility on hypercapnia in patients with chronic obstructive pulmonary disease. J Korean Med Sci 2011;26: 1209-13. doi:10.3346/jkms.2011.26.9.1209
4. Baria MR, Shahgholi L, Sorenson EJ, et al. B-Mode Ultrasound Assessment of Diaphragm Structure and Function in Patients With COPD. Chest 2014; 146: 680-5. doi: 10.1378/ chest.13-2306
5. Paulin E, Yamaguti WP, Chammas MC, et al. Influence of diaphragmatic mobility on exercise tolerance and dyspnea in patients with COPD. Respir Med 2007;101: 2113-8.
6. Gorman RB, McKenzie DK, Butler JE, Tolman JF, Gandevia SC. Diaphragm length and neural drive after lung volume reduction surgery. Am J Respir Crit Care Med 2005;172: 1259-66.
7. Smargiassi A, Inchingolo R, Tagliaboschi L, Di Marco Berardino A, Valente S, Corbo GM. Ultrasonographic assessment of the diaphragm in chronic obstructive pulmonary disease patients: relationships with pulmonary function and the influence of body composition - a pilot study. Respiration 2014;87: 364-71. doi: 10.1159/000358564
8. Dos Santos Yamaguti WP, Paulin E, Shibao S, Chammas MC, et al. Air trapping: The major factor limiting diaphragm mobility in chronic obstructive pulmonary disease patients. Respirology 2008;13: 138-44.
9. Qaseem A, Wilt TJ, Weinberger SE, et al; American College of Physicians; American College of Chest Physicians; American Thoracic Society; European Respiratory Society. Diagnosis and management of stable chronic obstructive pulmonary disease: a clinical practice guideline update from the American College of Physicians, American College of Chest Physicians, American Thoracic Society, and European Respiratory Society. Ann Intern Med 2011 2;155: 179-91. doi: 10.7326/0003-4819-155-3-201108020-00008.
10. Cohn D, Benditt JO, Eveloff S, McCool FD. Diaphragm thickening during inspiration. J Appl Physiol 1997;83: 291-6.
11. Wait JL, Nahormek PA, Yost WT, Rochester DP. Diaphragmatic thickness-lung volume relationship in vivo. J Appl Physiol 1989;67: 1560-8.
12. Boon AJ, Harper CJ, Ghahfarokhi LS, Strommen JA, Watson JC, Sorenson EJ. Two-dimensional ultrasound imaging of the diaphragm: quantitative values in normal subjects. Muscle Nerve 2013;47: 884-9. doi: 10.1002/mus.23702
13. McCool FD, Tzelepis GE. Dysfunction of the diaphragm. N Engl J Med 2012; 366: 932-42. Review. doi: 10.1056 NEJMra1007236
14. Miller SG, Brook MM, Tacy TA. Reliability of two- dimensional echocardiography in the assessment of clinically significant abnormal hemidiaphragm motion in pediatric cardiothoracic patients: Comparison with fluoroscopy. Pediatr Crit Care Med 2006;7: 441-4.
15. Vivier E, Mekontso Dessap A, Dimassi S, et al. Diaphragm ultrasonography to estimate the work of breathing during non-invasive ventilation. Intensive Care Med 2012;38: 796-803. doi: 10.1007/s00134-012-2547-7
16. Gupta SS, Gothi D, Narula G, Sircar J.Correlation of BMI and oxygen saturation in stable COPD in Northern India. Lung India 2014;31: 29-34. doi: 10.4103/0970-2113.125891
17. Summerhill EM, El-Sameed YA, Glidden TJ, McCool FD. Monitoring recovery from diaphragm paralysis with ultrasound. Chest 2008;133: 737-43. doi: 10.1378/ chest.07-2200
18. Sarwal A, Walker FO, Cartwright MS. Neuromuscular ultrasound for evaluation of the diaphragm. Muscle Nerve 2013;47: 319-29. doi: 10.1002/mus.23671

There are 18 citations in total.

Details

Primary Language	English
Journal Section	Articles
Authors	Canan Cimsit This is me Canan Cımsıt This is me Melahat Bekir This is me Sait Karakurt This is me Sait Karakurt This is me Emel Eryuksel This is me Emel Eryuksel This is me
Publication Date	March 4, 2016
Published in Issue	Year 2016 Volume: 29 Issue: 1

Cite

APA	Cimsit, C., Cımsıt, C., Bekir, M., Karakurt, S., et al. (2016). KOAH’ta diyafragm kalınlığının ultrasonografi ile değerlendirilmesi. Marmara Medical Journal, 29(1), 8-13. https://doi.org/10.5472/MMJoa.2901.02
AMA	Cimsit C, Cımsıt C, Bekir M, Karakurt S, Karakurt S, Eryuksel E, Eryuksel E. KOAH’ta diyafragm kalınlığının ultrasonografi ile değerlendirilmesi. Marmara Med J. March 2016;29(1):8-13. doi:10.5472/MMJoa.2901.02
Chicago	Cimsit, Canan, Canan Cımsıt, Melahat Bekir, Sait Karakurt, Sait Karakurt, Emel Eryuksel, and Emel Eryuksel. “KOAH’ta Diyafragm kalınlığının Ultrasonografi Ile değerlendirilmesi”. Marmara Medical Journal 29, no. 1 (March 2016): 8-13. https://doi.org/10.5472/MMJoa.2901.02.
EndNote	Cimsit C, Cımsıt C, Bekir M, Karakurt S, Karakurt S, Eryuksel E, Eryuksel E (March 1, 2016) KOAH’ta diyafragm kalınlığının ultrasonografi ile değerlendirilmesi. Marmara Medical Journal 29 1 8–13.
IEEE	C. Cimsit, C. Cımsıt, M. Bekir, S. Karakurt, S. Karakurt, E. Eryuksel, and E. Eryuksel, “KOAH’ta diyafragm kalınlığının ultrasonografi ile değerlendirilmesi”, Marmara Med J, vol. 29, no. 1, pp. 8–13, 2016, doi: 10.5472/MMJoa.2901.02.
ISNAD	Cimsit, Canan et al. “KOAH’ta Diyafragm kalınlığının Ultrasonografi Ile değerlendirilmesi”. Marmara Medical Journal 29/1 (March 2016), 8-13. https://doi.org/10.5472/MMJoa.2901.02.
JAMA	Cimsit C, Cımsıt C, Bekir M, Karakurt S, Karakurt S, Eryuksel E, Eryuksel E. KOAH’ta diyafragm kalınlığının ultrasonografi ile değerlendirilmesi. Marmara Med J. 2016;29:8–13.
MLA	Cimsit, Canan et al. “KOAH’ta Diyafragm kalınlığının Ultrasonografi Ile değerlendirilmesi”. Marmara Medical Journal, vol. 29, no. 1, 2016, pp. 8-13, doi:10.5472/MMJoa.2901.02.
Vancouver	Cimsit C, Cımsıt C, Bekir M, Karakurt S, Karakurt S, Eryuksel E, Eryuksel E. KOAH’ta diyafragm kalınlığının ultrasonografi ile değerlendirilmesi. Marmara Med J. 2016;29(1):8-13.