Ultrasound assessment of the relation between the quantity of pleural effusion and diaphragmatic functions

Background Diaphragm is a necessary respiratory muscle. In cases with pleural effusion, abnormal diaphragmatic functions may be observed. Thoracic ultrasound is a simple, accurate, and noninvasive method to investigate the relation between the quantity of pleural effusion and diaphragmatic functions...

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Main Authors: Nourane Azab, Mahmoud El-Habashy, Rana El-Helbawy, Rehab Habib, Sally A.E. Rezk
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2023-01-01
Series:Egyptian Journal of Chest Disease and Tuberculosis
Subjects:
Online Access:http://www.ejcdt.eg.net/article.asp?issn=0422-7638;year=2023;volume=72;issue=1;spage=80;epage=85;aulast=Azab
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author Nourane Azab
Mahmoud El-Habashy
Rana El-Helbawy
Rehab Habib
Sally A.E. Rezk
author_facet Nourane Azab
Mahmoud El-Habashy
Rana El-Helbawy
Rehab Habib
Sally A.E. Rezk
author_sort Nourane Azab
collection DOAJ
description Background Diaphragm is a necessary respiratory muscle. In cases with pleural effusion, abnormal diaphragmatic functions may be observed. Thoracic ultrasound is a simple, accurate, and noninvasive method to investigate the relation between the quantity of pleural effusion and diaphragmatic functions. Aim The work was done to clarify the relation between the quantity of pleural effusion and diaphragmatic functions using ultrasound. Patients and methods A prospective case–control study, where patients were divided into two groups: GI (cases), 20 patients with pleural effusion for ultrasound evaluation of the relation between the quantity of pleural effusion and diaphragmatic functions, and GII, (controls) 20 healthy volunteers without pleural effusion for ultrasound assessment of diaphragmatic functions. Between 2019 and 2020, clinical assessment, routine investigations, and demographic and radiological data were reviewed for the two groups. Results Thoracic ultrasound for GI at different quantities of pleural effusions revealed significant differences in diaphragmatic functions such as thickness at the end of inspiration, diaphragm thickening fraction, excursion at deep breathing, and excursion at quiet breathing. The statistical comparison of sonographic findings between GI and GII showed significant differences in the thickness at the end of expiration, thickness at the end of inspiration, diaphragmatic thickening fraction, excursion at quiet breathing, and excursion at deep breathing. These changes are proportionate to the quantity of pleural effusion. Conclusion There is an adverse effect of pleural effusion at different quantities on diaphragmatic functions as observed by thoracic ultrasound.
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spelling doaj.art-7eeb9363289a45beae3cf7b22f9863c62023-02-16T12:15:27ZengWolters Kluwer Medknow PublicationsEgyptian Journal of Chest Disease and Tuberculosis0422-76382090-99502023-01-01721808510.4103/ecdt.ecdt_26_22Ultrasound assessment of the relation between the quantity of pleural effusion and diaphragmatic functionsNourane AzabMahmoud El-HabashyRana El-HelbawyRehab HabibSally A.E. RezkBackground Diaphragm is a necessary respiratory muscle. In cases with pleural effusion, abnormal diaphragmatic functions may be observed. Thoracic ultrasound is a simple, accurate, and noninvasive method to investigate the relation between the quantity of pleural effusion and diaphragmatic functions. Aim The work was done to clarify the relation between the quantity of pleural effusion and diaphragmatic functions using ultrasound. Patients and methods A prospective case–control study, where patients were divided into two groups: GI (cases), 20 patients with pleural effusion for ultrasound evaluation of the relation between the quantity of pleural effusion and diaphragmatic functions, and GII, (controls) 20 healthy volunteers without pleural effusion for ultrasound assessment of diaphragmatic functions. Between 2019 and 2020, clinical assessment, routine investigations, and demographic and radiological data were reviewed for the two groups. Results Thoracic ultrasound for GI at different quantities of pleural effusions revealed significant differences in diaphragmatic functions such as thickness at the end of inspiration, diaphragm thickening fraction, excursion at deep breathing, and excursion at quiet breathing. The statistical comparison of sonographic findings between GI and GII showed significant differences in the thickness at the end of expiration, thickness at the end of inspiration, diaphragmatic thickening fraction, excursion at quiet breathing, and excursion at deep breathing. These changes are proportionate to the quantity of pleural effusion. Conclusion There is an adverse effect of pleural effusion at different quantities on diaphragmatic functions as observed by thoracic ultrasound.http://www.ejcdt.eg.net/article.asp?issn=0422-7638;year=2023;volume=72;issue=1;spage=80;epage=85;aulast=Azabassessmentpleural effusion and diaphragmatic functionsthoracic ultrasound
spellingShingle Nourane Azab
Mahmoud El-Habashy
Rana El-Helbawy
Rehab Habib
Sally A.E. Rezk
Ultrasound assessment of the relation between the quantity of pleural effusion and diaphragmatic functions
Egyptian Journal of Chest Disease and Tuberculosis
assessment
pleural effusion and diaphragmatic functions
thoracic ultrasound
title Ultrasound assessment of the relation between the quantity of pleural effusion and diaphragmatic functions
title_full Ultrasound assessment of the relation between the quantity of pleural effusion and diaphragmatic functions
title_fullStr Ultrasound assessment of the relation between the quantity of pleural effusion and diaphragmatic functions
title_full_unstemmed Ultrasound assessment of the relation between the quantity of pleural effusion and diaphragmatic functions
title_short Ultrasound assessment of the relation between the quantity of pleural effusion and diaphragmatic functions
title_sort ultrasound assessment of the relation between the quantity of pleural effusion and diaphragmatic functions
topic assessment
pleural effusion and diaphragmatic functions
thoracic ultrasound
url http://www.ejcdt.eg.net/article.asp?issn=0422-7638;year=2023;volume=72;issue=1;spage=80;epage=85;aulast=Azab
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AT ranaelhelbawy ultrasoundassessmentoftherelationbetweenthequantityofpleuraleffusionanddiaphragmaticfunctions
AT rehabhabib ultrasoundassessmentoftherelationbetweenthequantityofpleuraleffusionanddiaphragmaticfunctions
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