Presentation
6 weeks post cervical trauma. Tracheostomy 4 weeks ago. Difficult ventilation. Serial CXR showing elevated right hemidiaphragm? phrenic nerve palsy.
Patient Data
Age: 65 years
Gender: Male
From the case:
Ultrasound diaphragmatic sniff test
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Mechanical ventilation paused during US assessment.
The right diaphragm demonstrates markedly reduced excursion and sniff motion when compared to the left.
The left diaphragm demonstrates normal excursion and sniff responses.
Case Discussion
Bedside US can be used to assess diaphragm motion, especially for critically unwell patients.
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