Diaphragmatic mobility of cirrhotic patients with ascites after paracentesis
Diaphragmatic mobility of cirrhotic patients with ascites after paracentesis
DOI:
https://doi.org/10.47456/rbps.v24i4.36373Keywords:
Liver Cirrhosis, Paracentesis, DiaphragmAbstract
Introduction:
Ascites can compromise thoracoabdominal mobility and favor the involvement of symptoms and changes in lung function. However, there are few studies related to the investigation of changes in lung mechanics in this population. Objective: To compare the diaphragmatic mobility of cirrhotic patients with that of healthy individuals. Methods: This is a cross-sectional study. Five cirrhotic patients from the hepatology outpatient clinic of the University Hospital Universitário Professor Polydoro Ernani de São Thiago – Universidade Federal de Santa Catarina, and five healthy individuals from the community were recruited. All participants passed the pulmonary function test and evaluation of diaphragmatic mobility by ultrasound. Diaphragmatic mobility of cirrhotic patients was performed only immediately after paracentesis, due to the positioning of the diaphragm as a result of ascites. For this evaluation, the participants were positioned in dorsal decubitus and a 3 MHz convex transducer was used, angled medially and anteriorly to reach the posterior third of the right diaphragm. In the statistical analysis, Shapiro-Wilk and independent t tests were used. The significance level adopted was 5%. Results: There was a statistically significant difference in diaphragmatic mobility between cirrhotic patients and healthy individuals (4.72±1.51 cm vs. 8.14±0.75 cm, p<0.001, respectively). Conclusion: Diaphragmatic mobility is reduced in cirrhotic patients when compared to healthy subjects, even after completion of paracentesis.
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