Every organ causes disease. The diaphragm is a vital pump just as important as the heart, yet little is known about it. So, the question is why (and how) did modern medicine miss this? Sadly, this is why the SIDS mystery was a mystery. I am qualified to state this based on over 15 years' experience as a ER doctor as well as holding a Pathology Master's degree and two years of SIDS research (with three co-authored, peer-reviewed articles published). Sudden unexpected respiratory arrest from acute diaphragm failure appears to be a cause of SIDS. It is precipitated by a ventilatory workload surge on a critically fatigued diaphragm, typically from a roll to prone sleeping position or REM sleep onset (CNS inhibition of accessory respiratory muscles).
Diaphragm plays a vital role in respiratory mechanism Improves FRC during Inspiration while decreasing FRC during Expiration un spontaneous breathing patients . Newer mode of Ventilator are based on diaphragm sensing
Diaphragm is a motor of drive,separating huge cavities but most attention is given due either the lung parenchyma or upper respiratory tract.It can easily be irritated and drive things...
Newer mode of Ventilation like NAVA is solely based on diaphragm sensing via phrenic nerve . Provide excellent Patient and ventillator synchrony avoiding overinflation of alveoli
The diaphragm has not been completely ignored by modern medicine, but it has historically been overlooked compared to more visible organs like the heart, brain, and liver. Its internal location made it harder to study, leading to less attention. However, in recent years, interest in the diaphragm has increased, particularly in respiratory therapy, physical therapy, and neurology. New research highlights its crucial role in overall health, including its impact on autonomic functions, posture, and its connection to conditions like anxiety and chronic pain.
Diaphragm can’t be ignored . Newer ventilatory mode innovated on diaphragm sensing ability like NAVA. prediction of weaning from ventilator based on diaphragmatic excursion meaurement . Many diagnosis based on seeing the diaphragm movement
I think we've missed a tremendous amount of diaphragm pathology. Primarily because, yes, it's hard to measure, especially in spontaneously breathing individuals. I think spontaneous diaphragm spasms occur in younger babies leading to apneas, forced expirations and hypopneas. Hiccups too. It's also hard measuring that because extra contractions look like electrical noise on electromyography studies. I've been researching this for over 2 years now, and there is evidence supporting this hypothesis. Any ideas on how to capture (measure) spontaneous diaphragm spasms?
We cant ignore diaphragm role in clinical practice and experimental stud as well
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