Investigating the correlation between Pleural Effusion Volume and Diaphragmatic Function using Ultrasound Imaging
Keywords:
Pleural Effusion, Thoracic Ultrasound, Diaphragmatic FunctionsAbstract
Background: The diaphragm is a necessary respiratory muscle, and its abnormal function may be caused by pleural effusion. Thoracic ultrasound is an accurate and simple method of investigating the relationship between diaphragmatic functions and pleural effusion.Objective: To determine the relationship between diaphragm functions and pleural effusion using ultrasound.Methodology: This study was a prospective case-control study conducted at the Department of Medicine, Lahore Medical and Dental College, Lahore, from January 2021 to December 2021. A total of 100 study cases were included in this study. For study purposes, these patients were divided into 2 groups, case (GI) and control (GII). Both groups comprise 50 study cases. The GI group comprised 50 patients with pleural effusion, whereas the GII group comprised 50 patients without pleural effusion. In both groups, diaphragmatic functions were also assessed through ultrasound.Results: Significant changes in diaphragm function, such as end-inspiratory thickness, fractional diaphragm thickening, and a shift in the amount of pleural effusion during deep breathing and quiet breathing, were observed during gastrointestinal thoracic ultrasound. When ultrasounds from the GI and GII groups were assessed, significant changes were observed in end-inspiratory thickness, end-expiratory thickness, fractional diaphragm thickening, excursion during quiet breathing, and deep breathing. The amount of pleural fluid is directly related to these changes.Conclusion: Thoracic ultrasonography has shown that various amounts of pleural effusion have a negative impact on diaphragmatic functioning.References
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