Volume 115, Issue 6, Pages (June 1999)

Slides:

Advertisements

Similar presentations

Volume 32, Issue 1, Pages (July 1957)

Advertisements

Volume 32, Issue 1, Pages (July 1957)

Noninvasive Nasal Mask Ventilation for Acute Respiratory Failure

Goldberg Linn , M.D., Elliot Diane L. , M.D., Kuehl Kerry S. , M.S.

Tell-tale Telangiectasias

Colloquium on Therapy of Right Heart Failure

Volume 90, Issue 5, Pages (November 1986)

Volume 77, Issue 5, Pages (May 1980)

Assessment of Bronchodilator Efficacy in Symptomatic COPD

Effects of One-Legged Exercise Training of Patients With COPD

An Unusual Cause of Stridor and Progressive Shortness of Breath

Volume 105, Issue 4, Pages (April 1994)

When to Be Rash About a Fever and Headache

Right-Sided Chest Pain with Progressive Dyspnea

Diagnosis of Emphysema

Diaphragm Fatigue and the Strategy of Breathing in COPD

Effects of Medroxyprogesterone Acetate in Obstructive Sleep Apnea

Is pH Paper an Acceptable, Low-Cost Alternative to the Blood Gas Analyzer for Determining Pleural Fluid pH? Emil P. Lesho, DO, Bernard J. Roth, MD CHEST

Volume 105, Issue 1, Pages (January 1994)

Blood Pressure Variability at Normal and High Blood Pressure

Hyperbaric Oxygenation in Cardiac and Pulmonary Disease

Volume 98, Issue 4, Pages (October 1990)

Prospective Study of Controlled Oxygen Therapy

Volume 121, Issue 4, Pages (April 2002)

Volume 122, Issue 2, Pages (August 2002)

Air Pollution and Chest Disease

Navin K. Jain, MD, Thiam H. Lie, MD, FCCP CHEST

Effects of PEEP on Respiratory Mechanics after Open Heart Surgery

Clinical and Personality Profiles and Survival in Patients With COPD

Mechanism of Inspiratory and Expiratory Crackles

Volume 55, Issue 1, Pages (January 1969)

Effects of Prostaglandin E1 on Oxygen Delivery and Consumption in Patients with the Adult Respiratory Distress Syndrome Henry J. Silverman, M.D., F.C.C.P.

Oxygen Therapy Titrated to Raise Mixed Venous Oxygen Content in COPD

Copyright © American Speech-Language-Hearing Association

Frank W. Ewald, MD, FCCP, Albert H. Scherff, MD CHEST

Volume 84, Issue 2, Pages (August 1983)

Measurement of the Ventilatory Response to Hypoxia

Prevalence of Pulmonary Embolism in Acute Exacerbations of COPD

COUNTERPOINT: Is the Apnea-Hypopnea Index the Best Way to Quantify the Severity of Sleep-Disordered Breathing? No Naresh M. Punjabi, MD, PhD, FCCP CHEST

Flow Volume Loop CHEST Volume 97, Issue 5, Pages (May 1990)

Posthyperventilation Apnea Associated with Severe Hypoxemia

Handedness and Sleep Apnea

Effects of airway occlusion on breathing muscle electromyogram signals, during isoflurane anaesthesia, with and without the effects of fentanyl and hypercapnia

Counterpoint: Adherence to Early Goal-Directed Therapy

Global Physiology and Pathophysiology of Cough

Airway Stenting for Patients With Benign Airway Disease and the Food and Drug Administration Advisory Lund Mark E. , MD, FCCP, Force Seth , MD, FCCP

PEEP, Auto-PEEP, and Waterfalls

Volume 104, Issue 1, Pages 1-2 (July 1993)

Imaging for the Management of Community-Acquired Pneumonia

Ventilator-imposed Work of Breathing

Evolution in Reimbursement for Sleep Studies and Sleep Centers

Bedside Calibration Of Pulmonary Artery Catheters

Invasive Pulmonary Aspergillosis

Pulmonary Manifestations in a Case of Multiple Myeloma

Effects of Beta-Adrenergic Agents on Hypokalemia

A Single Nasal Prong for Continuous Oxygen Therapy

Myocardial Sarcoidosis Unresponsive to Steroids

Nasal Airflow in Sleep-Disordered Breathing

Volume 42, Issue 2, Pages (August 1962)

Counterpoint: Should Paralytic Agents Be Routinely Used in Severe ARDS

Craig Fryman, MD, Sahar Ahmad, MD CHEST

Volume 140, Issue 1, Pages (July 2011)

Volume 72, Issue 5, Pages (November 1977)

Counterpoint: Should Medicare Allow Respiratory Therapists to Independently Practice and Bill for Educational Activities Related to COPD? No Katherine.

Volume 154, Issue 3, Pages e83-e86 (September 2018)

Digitalis and Angina Pectoris

Exercise Testing in Variant Angina

Hyperventilation Syndrome

New Members of the Editorial Board

John Reid, MD, Donald Cockcroft, MD CHEST

Presentation transcript:

Volume 115, Issue 6, Pages 1553-1562 (June 1999) Respiratory Muscle Function and Hypoxic Ventilatory Control in Patients With Type I Diabetes Mancini Marco , MD, Filippelli Mario , MD, Seghieri Giuseppe , MD, Iandelli Iacopo , MD, Innocenti Fabio , MD, Duranti Roberto , MD, Scano Giorgio , MD, FCCP CHEST Volume 115, Issue 6, Pages 1553-1562 (June 1999) DOI: 10.1378/chest.115.6.1553 Copyright © 1999 The American College of Chest Physicians Terms and Conditions

Figure 1 Maximal Pessn and Pdisn in the eight diabetic patients. CHEST 1999 115, 1553-1562DOI: (10.1378/chest.115.6.1553) Copyright © 1999 The American College of Chest Physicians Terms and Conditions

Figure 2 Average breathing pattern of patients and control subjects. Ascendant limb is the ratio of Vt to Ti. Descendant limb is the ratio of expiratory Vt to Te. Ti + Te = Ttot; 1/Ttot × 60 = Rf. Dashed line represents control subjects; continuous line, diabetic patients. CHEST 1999 115, 1553-1562DOI: (10.1378/chest.115.6.1553) Copyright © 1999 The American College of Chest Physicians Terms and Conditions

Figure 3 Relationships of e and Pessw(%Pessn) vs Sao2 during progressive hypoxia. Individual regression lines for both patients and normal subjects are shown. CHEST 1999 115, 1553-1562DOI: (10.1378/chest.115.6.1553) Copyright © 1999 The American College of Chest Physicians Terms and Conditions

Figure 4 Plot of Pessw vs Vt during hypoxic rebreathing. Area depicts the range of the response in the normal control group. Individual regression lines for patients are shown. CHEST 1999 115, 1553-1562DOI: (10.1378/chest.115.6.1553) Copyright © 1999 The American College of Chest Physicians Terms and Conditions

Figure 5 Plot of swings in Pes vs swings in Pg during progressive hypoxia in patients. Open symbols represent values at end expiration; closed symbols, values at end inspiration. Circles indicate 95% Sao2; squares, 80%; triangles, 72%. At 95% Sao2, the increase in inspiratory Pes was associated with an increase in Pg such that the line joining the end-expiratory point to the end-inspiratory point had a positive slope representing the combined action of the diaphragm and the rib cage inspiratory muscles. During progressive hypoxic stimulation, the end-expiratory point shifted to a greater Pg, indicating expiratory muscle recruitment. CHEST 1999 115, 1553-1562DOI: (10.1378/chest.115.6.1553) Copyright © 1999 The American College of Chest Physicians Terms and Conditions

Figure 6 Plot of swings in Pes vs swings in Pg during progressive hypoxia in control subjects. Average data are shown. See Figure 5 legend for explanation of the figure and the symbols used. CHEST 1999 115, 1553-1562DOI: (10.1378/chest.115.6.1553) Copyright © 1999 The American College of Chest Physicians Terms and Conditions