Respiratory Physiology & Neurobiology最新文献

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Impaired diffusion at submaximal lung inflation in asthma and copd patients 哮喘和慢性阻塞性肺疾病患者肺部亚充气状态下的弥散功能受损。
IF 1.9 4区 医学
Respiratory Physiology & Neurobiology Pub Date : 2024-08-02 DOI: 10.1016/j.resp.2024.104304
Sylvia Verbanck , Mike Hughes
{"title":"Impaired diffusion at submaximal lung inflation in asthma and copd patients","authors":"Sylvia Verbanck ,&nbsp;Mike Hughes","doi":"10.1016/j.resp.2024.104304","DOIUrl":"10.1016/j.resp.2024.104304","url":null,"abstract":"<div><h3>Introduction</h3><p>Dissolved-phase <sup>129</sup>Xe MRI metrics suggest that gas diffusion may be more compromised at submaximal lung inflation compared to maximal inflation. We hypothesized that this diffusion deficit could be detected by comparing the carbon monoxide transfer coefficient (Kco) at submaximal lung inflation to that measured routinely at total lung capacity (TLC).</p></div><div><h3>Methods</h3><p>Asthma and COPD patients performed carbon monoxide diffusion tests, first at maximal lung inflation for routine Kco and alveolar volume VA and then, at a 30 % reduced inflation (redux; obtaining Kco<sub>redux</sub> and VA<sub>redux</sub>). At both inflations mixing efficiency was determined as VA/TLC and VA<sub>redux</sub>/TLC<sub>redux</sub> to examine a potential effect on Kco<sub>redux</sub>/Kco behavior.</p></div><div><h3>Results</h3><p>In normal subjects (n=36), median Kco<sub>redux</sub>/Kco amounted to 130 [IQR:122–136]% as expected for normal Kco recruitment response. However, 60 % of asthma patients (49/83) and 80 % of COPD patients (44/55) showed reduced Kco recruitment at submaximal inflation (Kco<sub>redux</sub>/Kco&lt;122 %). In the asthma group, with otherwise normal routine Kco, Kco<sub>redux</sub>/Kco was significantly correlated with RV/TLC ratio (r=-0.53;P&lt;0.001), but not with VA/TLC. In COPD patients, all with abnormal routine Kco, abnormal Kco<sub>redux</sub>/Kco response occurred in those patients with lower FEV<sub>1</sub>, higher RV/TLC and lower VA/TLC (P&lt;0.01 for all).</p></div><div><h3>Conclusion</h3><p>Sizeable portions of COPD and asthma patients showed a lack of normal Kco recruitment at submaximal lung inflation, related to high RV/TLC. In asthma, this was the case despite normal Kco at full lung inflation, suggesting that hyperinflation at lung volumes less than TLC affects the carbon monoxide diffusion rate constant by distorting pulmonary capillaries and alveolar–capillary membranes.</p></div>","PeriodicalId":20961,"journal":{"name":"Respiratory Physiology & Neurobiology","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141890048","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Chloride intracellular channel 4 participates in the regulation of lipopolysaccharide-induced inflammatory responses in human bronchial epithelial cells 细胞内氯离子通道 4 参与调节脂多糖诱导的人类支气管上皮细胞炎症反应
IF 1.9 4区 医学
Respiratory Physiology & Neurobiology Pub Date : 2024-07-17 DOI: 10.1016/j.resp.2024.104303
Jinhua Luo , Jia Wang , Huijun Liu , Wang Jiang , Lang Pan , Wenjie Huang , Caixia Liu , Xiangping Qu , Chi Liu , Xiaoqun Qin , Yang Xiang
{"title":"Chloride intracellular channel 4 participates in the regulation of lipopolysaccharide-induced inflammatory responses in human bronchial epithelial cells","authors":"Jinhua Luo ,&nbsp;Jia Wang ,&nbsp;Huijun Liu ,&nbsp;Wang Jiang ,&nbsp;Lang Pan ,&nbsp;Wenjie Huang ,&nbsp;Caixia Liu ,&nbsp;Xiangping Qu ,&nbsp;Chi Liu ,&nbsp;Xiaoqun Qin ,&nbsp;Yang Xiang","doi":"10.1016/j.resp.2024.104303","DOIUrl":"10.1016/j.resp.2024.104303","url":null,"abstract":"<div><p>The airway epithelium is located at the interactional boundary between the external and internal environments of the organism and is often exposed to harmful environmental stimuli. Inflammatory response that occurs after airway epithelial stress is the basis of many lung and systemic diseases. Chloride intracellular channel 4 (CLIC4) is abundantly expressed in epithelial cells. The purpose of this study was to investigate whether CLIC4 is involved in the regulation of lipopolysaccharide (LPS)-induced inflammatory response in airway epithelial cells and to clarify its potential mechanism. Our results showed that LPS induced inflammatory response and decreased CLIC4 levels in vivo and in vitro. CLIC4 silencing aggravated the inflammatory response in epithelial cells, while overexpression of CLIC4 combined with LPS exposure significantly decreased the inflammatory response compared with cells exposed to LPS without CLIC4 overexpression. By labeling intracellular chloride ions with chloride fluorescent probe MQAE, we showed that CLIC4 mediated intracellular chloride ion-regulated LPS-induced cellular inflammatory response.</p></div>","PeriodicalId":20961,"journal":{"name":"Respiratory Physiology & Neurobiology","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141639987","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Advancing cough research: Methodological insights into cough challenge in guinea pig models using double chamber vs whole-body plethysmography 推进咳嗽研究:豚鼠模型咳嗽挑战中使用双腔与全身褶压计的方法论启示
IF 1.9 4区 医学
Respiratory Physiology & Neurobiology Pub Date : 2024-07-16 DOI: 10.1016/j.resp.2024.104302
Jana Plevkova , Janka Jakusova , Mariana Brozmanova , Zuzana Biringerova , Tomas Buday
{"title":"Advancing cough research: Methodological insights into cough challenge in guinea pig models using double chamber vs whole-body plethysmography","authors":"Jana Plevkova ,&nbsp;Janka Jakusova ,&nbsp;Mariana Brozmanova ,&nbsp;Zuzana Biringerova ,&nbsp;Tomas Buday","doi":"10.1016/j.resp.2024.104302","DOIUrl":"10.1016/j.resp.2024.104302","url":null,"abstract":"<div><h3>Objective</h3><p>This study compares two methods of citric acid-induced cough in guinea pigs in whole-body plethysmography (WBP) and double chamber plethysmography (DCP) to evaluate their efficacy.</p></div><div><h3>Methods</h3><p>Sixteen specific pathogen-free (SPF) and sixteen conventionally-bred (CON) animals were exposed to 0.4 M citric acid aerosol. They underwent cough provocation using both DCP and WBP methods. The number of coughs and latency to the first cough were recorded and analysed using statistical methods to determine significant differences between the two techniques.</p></div><div><h3>Results</h3><p>WBP resulted in significantly higher cough counts (WBP vs. DCP: 13±9 vs 2±3 for SPF; 14±8 vs 5±5 for CON; p&lt;0.0001) and shorter latency (WBP vs. DCP: 59±6 s vs 159±14 s for SPF; 77±4 s vs 112±12 s for CON; p&lt;0.0001) compared to DCP in both groups.</p></div><div><h3>Conclusion</h3><p>Methodological differences substantially impact cough responses. WBP provides a more reliable and physiologically relevant methodology for cough assessment, suggesting the need for standardized protocols in cough research to enhance translational relevance.</p></div>","PeriodicalId":20961,"journal":{"name":"Respiratory Physiology & Neurobiology","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141634338","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Cardiorespiratory failure induced by inhalation of aerosolized fentanyl in anesthetized rats 麻醉大鼠吸入芬太尼气雾剂引起的心肺功能衰竭
IF 1.9 4区 医学
Respiratory Physiology & Neurobiology Pub Date : 2024-07-14 DOI: 10.1016/j.resp.2024.104300
Jianguo Zhuang, Shan Shi, Fadi Xu
{"title":"Cardiorespiratory failure induced by inhalation of aerosolized fentanyl in anesthetized rats","authors":"Jianguo Zhuang,&nbsp;Shan Shi,&nbsp;Fadi Xu","doi":"10.1016/j.resp.2024.104300","DOIUrl":"10.1016/j.resp.2024.104300","url":null,"abstract":"<div><p>Intravenous rapid injection of fentanyl causes respiratory depression (severe apneas), leading to sudden death, which constitutes the deadliest drug reaction among overdoses of synthetic opioids. Here we asked whether acute inhalation of overdose fentanyl would also result in similar respiratory failure and death. The anesthetized and spontaneously breathing rats with tracheal cannulation were exposed to aerosolized fentanyl at 100 mg/m<sup>3</sup> (FNT<sub>H</sub>) or 30 mg/m<sup>3</sup> (FNT<sub>L</sub>) for 10 min. Minute ventilation (V<sub>E</sub>), electromyography (EMG) of the internal and external intercostal muscles and thyroarytenoid muscles (EMG<sub>II</sub>, EMG<sub>EI</sub>, and EMG<sub>TA</sub>), heart rate and arterial blood pressure were recorded. During the exposure, FNT<sub>H</sub> and FNT<sub>L</sub> immediately triggered bradypnea (40 % reduction, p &lt; 0.05) with T<sub>E</sub> prolonged and then gradually decreased V<sub>E</sub> by 40 % (P &lt; 0.05) after a brief V<sub>E</sub> recovery. The initial T<sub>E</sub> prolongation (apneas) were characterized by the cessation of EMG<sub>EI</sub> activity with enhanced tonic discharges of EMG<sub>TA</sub> and EMG<sub>II</sub>. After termination of the exposure, the cardiorespiratory responses to FNT<sub>L</sub> returned to the baseline values 30 min later, while those to FNT<sub>H</sub> were greatly exacerbated (P &lt; 0.05), leading to ventilatory and cardiac arrest occurred 16.4 ± 4.7 min and 19.3 ± 4.5 min respectively after the onset of FNT<sub>H</sub>. The ventilatory arrest was featured by cessation of both EMG<sub>EI</sub> and EMG<sub>II</sub> and augmentation of tonic EMG<sub>TA</sub>. Our results suggest that acute exposure to an overdose of fentanyl aerosol leads to death through initially inducing a brief central and upper airway obstructive apnea as well as chest wall rigidity followed by gradual severe hypoventilation, bradycardia and hypotension, and eventual cardiorespiratory arrest in anesthetized rats.</p></div>","PeriodicalId":20961,"journal":{"name":"Respiratory Physiology & Neurobiology","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141620816","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Respiratory physiological exploration during self-induced cognitive trance 自我诱导认知恍惚时的呼吸生理探索。
IF 1.9 4区 医学
Respiratory Physiology & Neurobiology Pub Date : 2024-07-10 DOI: 10.1016/j.resp.2024.104301
{"title":"Respiratory physiological exploration during self-induced cognitive trance","authors":"","doi":"10.1016/j.resp.2024.104301","DOIUrl":"10.1016/j.resp.2024.104301","url":null,"abstract":"<div><h3>Background and methods</h3><p>Little is known about self-induced cognitive trance (SICT) on respiratory function. The aims of this prospective, single-center, non-randomized, open-label study of healthy volunteers, were to characterize spirometry changes during SICT, confirm the safety of this technique, and investigate the potential clinical benefits of SICT.</p></div><div><h3>Results</h3><p>Nine people participated. There were no significant difference in FEV1 FVC or FEF 25–75 before, during, and after SICT. There were significant improvements in grip strength during SICT (+2.2 kg/5.7 %, p&lt;0.05) and in self-efficacy score related to physical activity at the end of the trance. One participant had a significant worsening of FEV1 during SICT in the context of a recent upper airway infection.</p></div><div><h3>Conclusion</h3><p>SICT does not significantly modify spirometry data in healthy volunteers and can improve self-efficacy related to physical activity. SICT should probably be performed with caution during upper airway infections.</p></div>","PeriodicalId":20961,"journal":{"name":"Respiratory Physiology & Neurobiology","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141601454","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Combination of acute intermittent hypoxia and intermittent transcutaneous electrical stimulation in obstructive sleep apnea: a randomized controlled crossover trial 急性间歇性缺氧与间歇性经皮电刺激相结合治疗阻塞性睡眠呼吸暂停:随机对照交叉试验
IF 1.9 4区 医学
Respiratory Physiology & Neurobiology Pub Date : 2024-06-15 DOI: 10.1016/j.resp.2024.104298
Shiqian Zha , Xu Liu , Hao Chen, Yueying Hao, Jingyi Zhang, Qingfeng Zhang, Ke Hu
{"title":"Combination of acute intermittent hypoxia and intermittent transcutaneous electrical stimulation in obstructive sleep apnea: a randomized controlled crossover trial","authors":"Shiqian Zha ,&nbsp;Xu Liu ,&nbsp;Hao Chen,&nbsp;Yueying Hao,&nbsp;Jingyi Zhang,&nbsp;Qingfeng Zhang,&nbsp;Ke Hu","doi":"10.1016/j.resp.2024.104298","DOIUrl":"10.1016/j.resp.2024.104298","url":null,"abstract":"<div><p>Intermittent hypoxia (IH) and intermittent transcutaneous electrical stimulation (ITES) might benefit patients with obstructive sleep apnea (OSA). However, the therapeutic value of combined IH and ITES in OSA is unknown. In this prospective, randomized, controlled crossover study, normoxia (air exposure for 50 min before sleep and sham stimulation for 6 h during sleep), IH (5 repeats of 5 min 10–12 % O<sub>2</sub> alternating with 5 min air for 50 min, and sham stimulation for 6 h), ITES (air exposure for 50 min and 6 repeats of 30 min transcutaneous electrical stimulation alternating with 30 min of sham stimulation for 6 h), and IH&amp;ITES (10–12 % O<sub>2</sub> alternating with air for 50 min and transcutaneous electrical stimulation alternating with sham stimulation for 6 h) were administered to patients with OSA over four single-night sessions. The primary endpoint was difference in OSA severity between the interventions according to apnea-hypopnea index (AHI) and oxygen desaturation index (ODI). The efficacy was response to IH, ITES, IH&amp;ITES defined as a ≥50 % reduction in AHI compared with normoxia. Twenty participants (17 male, 3 female) completed the trial. The median (IQR) AHI decreased from 14.5 (10.8, 17.5) events/h with normoxia to 6.9 (3.9, 14.8) events/h with IH (p=0.020), 5.7 (3.4, 9.1) events/h with ITES (p=0.001), and 3.5 (1.8, 6.4) events/h with IH&amp;ITES (p=0.001). AHI was significantly different between IH and IH&amp;ITES (p=0.042) but not between ITES and IH&amp;ITES (p=0.850). For mild-moderate OSA (n=17), IH, ITES, and IH&amp;ITES had a significant effect on AHI (p=0.013, p=0.001, p=0.001, respectively) compared with normoxia, but there were no differences in post hoc pairwise comparisons between intervention groups. No serious adverse events were observed. In conclusion, IH, ITES, and IH&amp;ITES significantly reduced OSA severity. IH&amp;ITES showed better efficacy in mild-moderate OSA than IH and was comparable to ITES. Our data do not support recommending IH&amp;ITES over ITES for OSA.</p></div>","PeriodicalId":20961,"journal":{"name":"Respiratory Physiology & Neurobiology","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141402904","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Prediction of cough effectiveness in amyotrophic lateral sclerosis patients assessed by ultrasuond of the diaphragm during the cough expiration phase 通过咳嗽呼气阶段的横膈膜超声波评估肌萎缩侧索硬化症患者的咳嗽效果。
IF 1.9 4区 医学
Respiratory Physiology & Neurobiology Pub Date : 2024-06-13 DOI: 10.1016/j.resp.2024.104299
Fausta Viccaro , Altea Lecci , Valentina Baccolini , Antonio Sciurti , Daniel Piamonti , Maurizio Inghilleri , Letizia D’Antoni , Paolo Palange
{"title":"Prediction of cough effectiveness in amyotrophic lateral sclerosis patients assessed by ultrasuond of the diaphragm during the cough expiration phase","authors":"Fausta Viccaro ,&nbsp;Altea Lecci ,&nbsp;Valentina Baccolini ,&nbsp;Antonio Sciurti ,&nbsp;Daniel Piamonti ,&nbsp;Maurizio Inghilleri ,&nbsp;Letizia D’Antoni ,&nbsp;Paolo Palange","doi":"10.1016/j.resp.2024.104299","DOIUrl":"10.1016/j.resp.2024.104299","url":null,"abstract":"<div><p>Assessing cough effectiveness, using Cough Peak Flow, is crucial for patients with Neuromuscular Diseases, such as Amyotrophic Lateral Sclerosis. Impaired cough function can contribute to respiratory decline and failure. The goal of the study is to determine the correlation between diaphragmatic excursion and cough expiratory phase, potentially utilizing ultrasonographic indices to estimate Cough Peak Flow in these patients. Twenty-two patients were enrolled in this study. The upward displacement of the diaphragm was measured with ultrasonography during voluntary cough expiration and Cough Peak Flow was simultaneously measured. A multivariable linear regression model was built to quantify the association between Cough Peak Flow and diaphragm expiratory excursion. There is significative relationship between Cough Peak Flow and diaphragm excursion with a Pearson’s r coefficient of 0.86 observed in the patients group. Multiple linear regression analysis for Cough Peak Flow (Adjusted R<sup>2</sup> = 0.86) revealed significant associations between Cough Peak Flow and expiratory excursion (adjusted <em>β</em>-coefficient: 64.78, 95 %, CI: 51.50–78.07, p&lt;0.001) and sex (adjusted <em>β</em>-coefficient: −69.06; 95 % CI: −109.98 to −28.15, p=0.001). Our results predict the cough effectiveness by using M-mode diaphragmatic sonography with a potentially significant impact on therapeutic choices.</p></div>","PeriodicalId":20961,"journal":{"name":"Respiratory Physiology & Neurobiology","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1569904824000922/pdfft?md5=ca15cc3930a2dd725812018d3a01ad8e&pid=1-s2.0-S1569904824000922-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141327732","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The influence of different spontaneous breathing trials on regional ventilation distribution in patients with prolonged mechanical ventilation 不同的自主呼吸试验对长期机械通气患者区域通气分布的影响。
IF 1.9 4区 医学
Respiratory Physiology & Neurobiology Pub Date : 2024-06-13 DOI: 10.1016/j.resp.2024.104296
Pu Wang , Mei-Yun Chang , Hai-Yen Hsia , Meng Dai , Yifan Liu , Yeong-Long Hsu , Feng Fu , Zhanqi Zhao
{"title":"The influence of different spontaneous breathing trials on regional ventilation distribution in patients with prolonged mechanical ventilation","authors":"Pu Wang ,&nbsp;Mei-Yun Chang ,&nbsp;Hai-Yen Hsia ,&nbsp;Meng Dai ,&nbsp;Yifan Liu ,&nbsp;Yeong-Long Hsu ,&nbsp;Feng Fu ,&nbsp;Zhanqi Zhao","doi":"10.1016/j.resp.2024.104296","DOIUrl":"10.1016/j.resp.2024.104296","url":null,"abstract":"<div><h3>Objective</h3><p>This study aimed to explore the influence of different spontaneous breathing trials (SBTs) on regional ventilation distribution in patients with prolonged mechanical ventilation (PMV).</p></div><div><h3>Methods</h3><p>A total of 24 patients with PMV were analyzed retrospectively. They received three different SBT modes which are automatic tube compensation (ATC), continuous positive airway pressure (CPAP), and T-piece (TP), over three days, and every SBT lasted two hours. Electrical impedance tomography (EIT) was used to monitor the SBT process and five-minute EIT data from five periods (pre-SBT which is t0, at the beginning and the end of the first hour SBT are t1 and t2, at the beginning and the end of the second hour SBT are t3 and t4) were analyzed.</p></div><div><h3>Results</h3><p>In all PMV patients, the temporal skew of aeration (TSA) values at t3 were significantly different in three SBTs (ATC: 18.18±22.97; CPAP: 20.42±17.01; TP:11.26±11.79; p=0.05). In the weaning success group, TSA (t1) values were significantly different too (ATC: 11.11±13.88; CPAP: 19.09±15.77; TP: 9.09±12.74; p=0.04). In the weaning failure group, TSA (t4) values were significantly different in three SBTs (ATC: 36.67±18.46; CPAP: 15.38±11.69; TP: 17.65±17.93; p=0.04). The patient’s inspiratory effort (Global flow index at t1) in patients with weaning failure under CPAP (3.51±4.31) was significantly higher than that in the ATC (1.15±1.47) and TP (0.89±1.28). The SBT mode with the best ventilation uniformity may be the one that activates the respiratory muscles the most which may be the optimal SBT. The SBT mode of most uniform ventilation distribution settings varies from patient to patient.</p></div><div><h3>Conclusion</h3><p>The regional ventilation distribution was different for each individual, making the SBT with the best ventilation distribution of patients need to be personalized. EIT is a tool that can be considered for real-time assessment.</p></div>","PeriodicalId":20961,"journal":{"name":"Respiratory Physiology & Neurobiology","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1569904824000892/pdfft?md5=0902ba6f2c42c3392f8cd3abbb81d5c2&pid=1-s2.0-S1569904824000892-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141327733","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Sex- and age-adjusted reference values for dynamic inspiratory constraints during incremental cycle ergometry 增量式循环测力法动态吸气约束的性别和年龄调整参考值。
IF 1.9 4区 医学
Respiratory Physiology & Neurobiology Pub Date : 2024-06-11 DOI: 10.1016/j.resp.2024.104297
Abed A. Hijleh , Danilo C. Berton , Igor Neder-Serafini , Matthew James , Sandra Vincent , Nicolle Domnik , Devin Phillips , Denis E. O'Donnell , J. Alberto Neder
{"title":"Sex- and age-adjusted reference values for dynamic inspiratory constraints during incremental cycle ergometry","authors":"Abed A. Hijleh ,&nbsp;Danilo C. Berton ,&nbsp;Igor Neder-Serafini ,&nbsp;Matthew James ,&nbsp;Sandra Vincent ,&nbsp;Nicolle Domnik ,&nbsp;Devin Phillips ,&nbsp;Denis E. O'Donnell ,&nbsp;J. Alberto Neder","doi":"10.1016/j.resp.2024.104297","DOIUrl":"10.1016/j.resp.2024.104297","url":null,"abstract":"<div><p>Activity-related dyspnea in chronic lung disease is centrally related to dynamic (<sub>dyn</sub>) inspiratory constraints to tidal volume expansion. Lack of reference values for exertional inspiratory reserve (IR) has limited the yield of cardiopulmonary exercise testing in exposing the underpinnings of this disabling symptom. One hundred fifty apparently healthy subjects (82 males) aged 40–85 underwent incremental cycle ergometry. Based on exercise inspiratory capacity (IC<sub>dyn</sub>), we generated centile-based reference values for the following metrics of IR as a function of absolute ventilation: IR<sub>dyn1</sub> ([1-(tidal volume/IC<sub>dyn</sub>)] x 100) and IR<sub>dyn2</sub> ([1-(end-inspiratory lung volume/total lung capacity] x 100). IR<sub>dyn1</sub> and IR<sub>dyn2</sub> standards were typically lower in females and older subjects (<em>p</em>&lt;0.05 for sex and age versus ventilation interactions). Low IR<sub>dyn1</sub> and IR<sub>dyn2</sub> significantly predicted the burden of exertional dyspnea in both sexes (<em>p</em>&lt;0.01). Using these sex and age-adjusted limits of reference, the clinician can adequately judge the presence and severity of abnormally low inspiratory reserves in dyspneic subjects undergoing cardiopulmonary exercise testing.</p></div>","PeriodicalId":20961,"journal":{"name":"Respiratory Physiology & Neurobiology","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141318113","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Dexamethasone weakens the respiratory effects of pro-inflammatory cytokine TNF-α in rat 地塞米松可减弱促炎细胞因子 TNF-α 对大鼠呼吸系统的影响。
IF 2.3 4区 医学
Respiratory Physiology & Neurobiology Pub Date : 2024-05-31 DOI: 10.1016/j.resp.2024.104284
Nina Pavlovna Aleksandrova, Galina Anatolevna Danilova
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