Current practice on the suspicion of respiratory muscle dysfunction (especially of the diaphragm), outside the intensive care setting. Current practice.

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Current practice on the suspicion of respiratory muscle dysfunction (especially of the diaphragm), outside the intensive care setting. Current practice on the suspicion of respiratory muscle dysfunction (especially of the diaphragm), outside the intensive care setting. The figure describes how a clinician or physiologist suspects and treats respiratory muscle dysfunction (especially unilateral and bilateral diaphragm weakness), outside the intensive care setting. PImax: maximal inspiratory pressure; TF: thickening fraction of the diaphragm; PSG: polysomnography; CPAP: continuous positive airway pressure; NPPV: noninvasive positive pressure ventilation; PaCO2: arterial carbon dioxide tension; SpO2: arterial oxygen saturation measured by pulse oximetry. Please refer to the text for more details. Pierantonio Laveneziana et al. Breathe 2018;14:325-332 ©2018 by European Respiratory Society