Diaphragmatic Dysfunction
Conditions
Keywords
diaphragmatic dysfunction, ultrasonography, respiratory distress, abdominal surgery, Age, gender, biometric, body mass index, ASA score, smoking status, history of respiratory disease
Brief summary
Diaphragmatic dysfunction (DD) is one of the main risk factors for post operative respiratory distress syndrome. Ultrasonography is a diagnosis tool for DD but few studies have been published. The aim of this prospective study is to compare the achievement of diaphragmatic function depending on the type of surgery (abdominal and head and neck surgery).
Interventions
Diaphragmatic amplitude is measured by M Mode ultrasonography the day before and after surgery
Sponsors
Study design
Eligibility
Inclusion criteria
* Age\>18 years * Upper abdominal or head and neck surgery * written consent
Exclusion criteria
* Age \<18 years * Pregnancy * History of neuropathy or myopathy, * History of diaphragm paralysis, thoracic surgery, pneumothorax, pneumomediastinum
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Comparison of diaphragmatic amplitude measured by M-Mode ultrasonography performed the day before and the day after surgery in 3 groups: laparoscopic abdominal surgery, abdominal surgery by laparotomy and head and neck surgery. | two months |
Secondary
| Measure | Time frame |
|---|---|
| All cause morbidity | within the first 28 days after surgery |
Countries
France