Document Detail


The maintenance of total ventilatory requirements through a chronic bronchopleural cutaneous fistula.
MedLine Citation:
PMID:  3662224     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
In patient with a chronic post-tuberculous bronchopleural cutaneous fistula (BPCF), minute ventilation, dead space, flow rates, arterial blood gas tensions, and oxygen consumption were measured during mouth breathing and after 30 min of steady-state breathing solely through the BPCF. Despite a 390-ml (18%) decrease in dead space when breathing took place through the BPCF, there were no significant changes in minute ventilation or respiratory rate. BPCF breathing was also associated with an increase in airways resistance as reflected by a 300-ml (35%) decrease in the FEV1 and a 16% decrease in the FEV1/FVC ratio. The increased resistance resulted in a 20 ml/min (18%) increase in oxygen consumption. Arterial blood gas tensions remained constant. We conclude that although ventilatory efficiency was not improved, this patient was able to satisfy his total minute ventilatory requirements, for the 30-min period, solely through BPCF breathing.
Authors:
D J Prezant; T K Aldrich; S C Fell; S Heller; S L Kamholz
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Publication Detail:
Type:  Case Reports; Journal Article; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  The American review of respiratory disease     Volume:  136     ISSN:  0003-0805     ISO Abbreviation:  Am. Rev. Respir. Dis.     Publication Date:  1987 Oct 
Date Detail:
Created Date:  1987-11-06     Completed Date:  1987-11-06     Revised Date:  2007-11-14    
Medline Journal Info:
Nlm Unique ID:  0370523     Medline TA:  Am Rev Respir Dis     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1001-2     Citation Subset:  AIM; IM    
Affiliation:
Department of Pulmonary Medicine, Albert Einstein College of Medicine, Montefiore Medical Center, Bronx, New York 10467.
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MeSH Terms
Descriptor/Qualifier:
Bronchial Fistula / etiology,  physiopathology*
Chronic Disease
Fistula / etiology,  physiopathology*
Humans
Male
Middle Aged
Pleural Diseases / etiology,  physiopathology*
Respiration*
Respiratory Function Tests
Skin Diseases / etiology,  physiopathology*
Time Factors
Tuberculosis, Pulmonary / complications
Grant Support
ID/Acronym/Agency:
42USC28842CFR66/SC/NCI NIH HHS

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


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