DD: Study of Diaphragm Mobility on Tissue Doppler
Study Details
Study Description
Brief Summary
Diaphragm dysfunction is found in 10 to 90% of patients following heart surgery.
In current practice diaphragm dysfunction is evaluated by 2D ultrasonography. Tissue Doppler is a validated technique to study heart contractility. Its use in the analysis of diaphragm function must be evaluated to determine its interest as a diagnostic tool.
Better understanding of diaphragm dysfunction following heart surgery will lead to earlier management of post-operative respiratory complications and the implementation of preventive pre-operative measures.
We intend to look for correlations between the TM (Time-Movement) mode and tissue Doppler in the assessment of diaphragm mobility.
Condition or Disease | Intervention/Treatment | Phase |
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Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Patients
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Other: Diaphragm ultrasonography
Spontaneously breathing patients in the ½ seated position Heart transducer at the medio axillary position, parallel to the axis of the body, last intervertebral spaces
US mode:
2D = Evaluation of the pulmonary parenchyma Time-Movement (TM) = Evaluation of diaphragm muscle shortening in the apposition zone + Evaluation of diaphragm mobility in the posterior 1/3 of the diaphragm dome Tissue Doppler Imaging (TDI) = Evaluation of diaphragm mobility in the diaphragm dome Collection of different daily clinical data
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Healthy volunteers
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Other: Tissue Doppler
Determine the threshold value for diaphragm mobility
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Outcome Measures
Primary Outcome Measures
- Measure diaphragm movement in TM (Time-Movement), in tissue Doppler [At baseline]
Eligibility Criteria
Criteria
Inclusion Criteria:
- Post-operative period following heart surgery
Exclusion Criteria:
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Patients younger than 18 years old
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Existence of a neuro-muscular disease
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Widened surgical approach
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Refusal of the patient
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Impossibility to see diaphragm movement
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | Chu Dijon Bourogne | Dijon | France |
Sponsors and Collaborators
- Centre Hospitalier Universitaire Dijon
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- BOUARD ELLOUZE 2016