Inflection point on transpulmonary pressure-volume curves and closing volume. 1975

M Demedts, and J Clément, and D C Stănescu, and K P van de Woestijne

In 20 healthy subjects and 18 patients with bronchial obstruction, closing volume (CV) on single-breath nitrogen washout curves and inflection point (IP) on transpulmonary pressure-volume curves were recorded simultaneously during slow expiratory vital capacity maneuvers. IP and CV did not occur at identical lung volumes, IP being systematically larger than CV for small CV values. This discrepancy could not be attributed to an esophageal or mediastinal artifact. It is suggested that, though CV and IP both express "airway closure," their sensitivity to closure may differ: CV underestimates closure because of a dead space effect; the latter may vary individually. On the other hand, IP may not reflect the true beginning of closure, particularly when it occurs at higher lung volumes.

UI MeSH Term Description Entries
D008170 Lung Compliance The capability of the LUNGS to distend under pressure as measured by pulmonary volume change per unit pressure change. While not a complete description of the pressure-volume properties of the lung, it is nevertheless useful in practice as a measure of the comparative stiffness of the lung. (From Best & Taylor's Physiological Basis of Medical Practice, 12th ed, p562) Compliance, Lung,Compliances, Lung,Lung Compliances
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D009584 Nitrogen An element with the atomic symbol N, atomic number 7, and atomic weight [14.00643; 14.00728]. Nitrogen exists as a diatomic gas and makes up about 78% of the earth's atmosphere by volume. It is a constituent of proteins and nucleic acids and found in all living cells.
D012119 Respiration The act of breathing with the LUNGS, consisting of INHALATION, or the taking into the lungs of the ambient air, and of EXHALATION, or the expelling of the modified air which contains more CARBON DIOXIDE than the air taken in (Blakiston's Gould Medical Dictionary, 4th ed.). This does not include tissue respiration ( Breathing
D012129 Respiratory Function Tests Measurement of the various processes involved in the act of respiration: inspiration, expiration, oxygen and carbon dioxide exchange, lung volume and compliance, etc. Lung Function Tests,Pulmonary Function Tests,Function Test, Pulmonary,Function Tests, Pulmonary,Pulmonary Function Test,Test, Pulmonary Function,Tests, Pulmonary Function,Function Test, Lung,Function Test, Respiratory,Function Tests, Lung,Function Tests, Respiratory,Lung Function Test,Respiratory Function Test,Test, Lung Function,Test, Respiratory Function,Tests, Lung Function,Tests, Respiratory Function
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults
D000402 Airway Obstruction Any hindrance to the passage of air into and out of the lungs. Choking,Airway Obstructions,Obstruction, Airway,Obstructions, Airway
D014797 Vital Capacity The volume of air that is exhaled by a maximal expiration following a maximal inspiration. Forced Vital Capacity,Capacities, Forced Vital,Capacities, Vital,Capacity, Forced Vital,Capacity, Vital,Forced Vital Capacities,Vital Capacities,Vital Capacities, Forced,Vital Capacity, Forced

Related Publications

M Demedts, and J Clément, and D C Stănescu, and K P van de Woestijne
January 1974, Scandinavian journal of respiratory diseases. Supplementum,
M Demedts, and J Clément, and D C Stănescu, and K P van de Woestijne
April 1999, American journal of respiratory and critical care medicine,
M Demedts, and J Clément, and D C Stănescu, and K P van de Woestijne
February 1974, Journal of applied physiology,
M Demedts, and J Clément, and D C Stănescu, and K P van de Woestijne
November 1979, Journal of applied physiology: respiratory, environmental and exercise physiology,
M Demedts, and J Clément, and D C Stănescu, and K P van de Woestijne
June 1998, The Journal of trauma,
M Demedts, and J Clément, and D C Stănescu, and K P van de Woestijne
April 2019, Critical care (London, England),
M Demedts, and J Clément, and D C Stănescu, and K P van de Woestijne
November 1998, Journal of applied physiology (Bethesda, Md. : 1985),
M Demedts, and J Clément, and D C Stănescu, and K P van de Woestijne
January 1990, Intensive care medicine,
M Demedts, and J Clément, and D C Stănescu, and K P van de Woestijne
July 2002, Intensive care medicine,
Copied contents to your clipboard!