Prune belly syndrome (PBS) results in a total lack of abdominal musculature. Abdominal muscles have an important function during inspiration and expiration. This puts the patient at risk for respiratory complications since they have a very limited ability to cough up secretions. Patients in an intensive care unit (ICU) with PBS who receive mechanical ventilation are at even greater risk for respiratory complications. We review the function of the abdominal muscles in breathing and delineate why they are important in the ICU. We include an illustrative case of a long-term ventilated patient with PBS and offer respiratory management options.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1016/j.prrv.2020.07.002 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Anatomy of the Ribs, Sternum, and Costal Margin.
J Orthop Trauma
December 2024
Department of Orthopaedics, The Ohio State University, Columbus, OH.
The ribs, sternum, and costal margin provide a rigid, but flexible chest wall that functions to provide protection to the vital cardiothoracic organs, while also allowing for varying levels of respiration based on physiologic need. The latter function is accomplished through various muscular attachments and rib articulations with both the axial spine posteriorly and the sternum anteriorly. The accessory muscles of inspiration rely on the downward slope and outward curve of each rib, which when contracted move the ribs upward and outward, in turn forcing the sternum anterior and increasing the thoracic volume.
View Article and Find Full Text PDFDo transversus abdominis plane (TAP) blocks improve pain after laparoscopic bilateral inguinal hernia repairs beyond the recovery unit? A randomized control trial.
Hernia
January 2025
Department of Surgery, Icahn School of Medicine at Mount Sinai, One Gustave L. Levy Place, Box 1259, New York, NY, 10029, USA.
Purpose: While surgeons agree that perioperative field blocks should be performed for open inguinal hernia surgery, there lacks consensus in the minimally invasive context. Prior small-scale randomized trials study pain scores only up to 24 h postoperatively. Thus, we sought to investigate the analgesic benefits of a bupivacaine transversus abdominis plane (TAP) block in the first 4 postoperative days.
View Article and Find Full Text PDFBackground And Aims: Rectal prolapse (RP) is a debilitating condition and can cause symptoms of fecal incontinence, obstructed defecation, incomplete evacuation of the rectum, and pain. In recent years, there has been increasing evidence that prolapse development is strongly associated with pelvic hiatus (GH) size (normal 4.5 +/- 0.
View Article and Find Full Text PDFAssociation of Pain-Related Anxiety and Abdominal Muscle Thickness during Standing Postural Tasks in Patients with Non-Specific Chronic Low Back Pain.
J Chiropr Med
April 2024
Neuromuscular Rehabilitation Research Center, Semnan University of Medical Sciences, Semnan, Iran.
Objective: The purpose of this study was to evaluate the association of pain-related anxiety on abdominal muscles thickness during standing postural tasks among individuals with chronic low back pain (CLBP).
Methods: We obtained responses to a pain-related anxiety symptoms questionnaire from 50 participants with CLBP. We then separated participants into high (11 men, 14 women) and low pain-related anxiety (13 men, 12 women) groups and compared assessments of their lateral abdominal muscles thickness during standing tasks on a computerized balance assessment device, using one static level and 2 movable levels (levels 6 and 3 are represented easy and difficult tasks respectively).
Effects of abdominal muscle strengthening and pelvic control exercises on trunk control and pelvic movement in children with unilateral cerebral palsy.
J Exerc Rehabil
December 2024
Department of Physical Therapy, College of Health Sciences, Kyungnam University, Changwon, Korea.
Children with unilateral cerebral palsy (CP) exhibit abnormal movements due to atypical pelvic movements and weakness of trunk muscles. We investigated the effects of abdominal muscle strengthening and pelvic control exercises on trunk control, abdominal muscle thickness change rate, and pelvic movement in children with unilateral CP. Fourteen children with unilateral CP were randomly divided into two groups, and abdominal muscle strengthening and pelvic control exercises were applied to the experimental group, and general physical therapy was applied to the control group, 30 min per session, twice a week, for a total of 8 weeks, respectively.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!