Document Detail


Effect of posture on lung volume: airway closure and gas exchange in hemidiaphragmatic paralysis.
MedLine Citation:
PMID:  505349     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The effects of posture on lung volume, airway closure, and gas exchange were studied in eight patients with hemidiaphragmatic paralysis. The mean vital capacity in the sitting position was 81% of predicted normal, and in the supine posture fell by a further 19% in right-sided but only 10% in left-sided paralysis. The mean arterial oxygen tension was less than predicted in the sitting posture and fell significantly on lying. Single breath gas transfer factor was normal in all cases whereas the diffusion coefficient was greater than predicted in the sitting posture and rose even further on lying. Closing volume showed no positional change but closing volume as a percentage of vital capacity was higher in the supine position. Regional airways closure was expressed as the relationship expiratory reserve volume minus closing volume. Negative values were found in only two of the subjects in the sitting position but seven had negative values supine, indicating significant airway closure during tidal breathing in this position.
Authors:
H W Clague; D R Hall
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Thorax     Volume:  34     ISSN:  0040-6376     ISO Abbreviation:  Thorax     Publication Date:  1979 Aug 
Date Detail:
Created Date:  1980-01-19     Completed Date:  1980-01-19     Revised Date:  2009-11-18    
Medline Journal Info:
Nlm Unique ID:  0417353     Medline TA:  Thorax     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  523-6     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Carbon Dioxide / blood
Diaphragm / physiopathology*
Dyspnea / physiopathology
Female
Humans
Lung / physiopathology*
Lung Volume Measurements
Male
Middle Aged
Oxygen / blood
Paralysis / physiopathology*
Partial Pressure
Posture*
Chemical
Reg. No./Substance:
124-38-9/Carbon Dioxide; 7782-44-7/Oxygen
Comments/Corrections

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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