Diaphragm Ultrasound in Cardiac Surgery: State of the Art

Abdallah Fayssoil; Nicolas Mansencal; Lee S Nguyen; David Orlikowski; Hélène Prigent; Jean Bergounioux; Djillali Annane; Frédéric Lofaso

doi:10.3390/medicines9010005

Diaphragm Ultrasound in Cardiac Surgery: State of the Art

Medicines (Basel). 2022 Jan 11;9(1):5. doi: 10.3390/medicines9010005.

Authors

Abdallah Fayssoil^{1

2

3

4}, Nicolas Mansencal^{4

5}, Lee S Nguyen^{6

7}, David Orlikowski^{8

9}, Hélène Prigent^{2

3

10}, Jean Bergounioux¹¹, Djillali Annane¹², Frédéric Lofaso^{2

3

10}

Affiliations

¹ Echo Lab, CHU de Raymond-Poincaré, AP-HP, Boulevard Raymond Poincaré, 92380 Garches, France.
² INSERM U1179, END-ICAP, Université de Versailles-Saint Quentin, University of Paris-Saclay, 78180 Montigny-le-Bretonneux, France.
³ Raymond Poincaré Hospital, AP-HP, Boulevard Raymond Poincaré, 92380 Garches, France.
⁴ Centre de Référence des Cardiomyopathies et des Troubles du Rythme Cardiaque Héréditaires ou Rares, Department of Cardiology, Ambroise Paré Hospital, Assistance Publique-Hôpitaux de Paris, AP-HP, Université de Versailles-Saint Quentin, 92100 Boulogne, France.
⁵ INSERM U-1018, CESP, Épidémiologie Clinique, 94807 Villejuif, France.
⁶ Service de Médecine Intensive-Réanimation, Hôpital Cochin, AP-HP, Centre, 27 rue du Faubourg Saint-Jacques, 75014 Paris, France.
⁷ France Research and Innovation Department, CMC Ambroise Paré, RICAP, 27 bd Victor Hugo, 92200 Neuilly-sur-Seine, France.
⁸ Service de Réanimation Médicale, CHU Raymond Poincaré, AP-HP, Université de Versailles Saint Quentin en Yvelines, 92380 Garches, France.
⁹ Centre d'Investigation Clinique et Innovation Technologique CIC 14.29, INSERM, 92380 Garches, France.
¹⁰ Service de Physiologie et Explorations Fonctionnelles, GH Paris Ile de France Ouest-Site Raymond Poincaré-AP-HP, 92380 Garches, France.
¹¹ Pediatric Neurology and ICU, Assistance Publique-Hôpitaux de Paris, Hôpital Raymond-Poincaré, 92380 Garches, France.
¹² Laboratory Infection and Inflammation, Department of Critical Care, Raymond Poincaré Hospital (AP-HP), U1173, Faculty of Health Science Simone Veil, Université de Versailles-Saint Quentin, University Paris Saclay, INSERM, FHU SEPSIS, RHU RECORDS, 78180 Montigny-le-Bretonneux, France.

Abstract

In cardiac surgery, patients are at risk of phrenic nerve injury, which leads to diaphragm dysfunction and acute respiratory failure. Diaphragm dysfunction (DD) is relatively frequent in cardiac surgery and particularly affects patients after coronary artery bypass graft. The onset of DD affects patients' prognosis in term of weaning from mechanical ventilation and hospital length of stay. The authors present a narrative review about diaphragm physiology, techniques used to assess diaphragm function, and the clinical application of diaphragm ultrasound in patients undergoing cardiac surgery.

Keywords: cardiac ICU; cardiac surgery; diaphragm ultrasound; phrenic nerve.

Publication types

Review