The contributions of rib cage and abdominal displacements to the hyperinflation of acute bronchospasm. 1985

S Lennox, and P M Mengeot, and J G Martin

To quantitate the relative contributions of rib cage and abdomen to the hyperinflation of asthma, we examined chest wall movements during histamine-induced bronchospasm in 7 male asthmatic subjects. A reduction in FEV1 of 28.1 +/- 4.5% (mean +/- 1 SE) was associated with an increase in functional residual capacity (FRC) of 0.99 +/- 0.19 L, as measured by spirometer. Similar increases in FRC (0.91 +/- 0.18 L) were obtained using a DC respiratory inductive plethysmograph (RIP). The absolute error of measurement of delta FRC by RIP, compared with that by the spirometer, was 23.0 +/- 1.9%. The delta FRC by RIP was slightly less than by spirometer, as indicated by a net positive error of 7.2 +/- 7.3%. Increase in the volume of the rib cage, measured by RIP, usually accounted for the major change in FRC (75%). Even though the contribution of rib cage displacement to delta FRC ranged from as little as 30% to as much as 100% of the change in individual subjects, it was correlated with the rib cage contribution to the tidal breath prior to bronchoconstriction. We conclude that the relative contributions of rib cage and abdominal displacements to the volume of hyperinflation during mild to moderate acute induced bronchoconstriction are quite variable, but they can be predicted from the relative contributions of these compartments to tidal breathing prior to bronchoconstriction.

UI MeSH Term Description Entries
D008297 Male Males
D010991 Plethysmography Recording of change in the size of a part as modified by the circulation in it. Plethysmographies
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
D001986 Bronchial Spasm Spasmodic contraction of the smooth muscle of the bronchi. Bronchospasm,Bronchial Spasms,Bronchospasms,Spasm, Bronchial,Spasms, Bronchial
D005541 Forced Expiratory Volume Measure of the maximum amount of air that can be expelled in a given number of seconds during a FORCED VITAL CAPACITY determination . It is usually given as FEV followed by a subscript indicating the number of seconds over which the measurement is made, although it is sometimes given as a percentage of forced vital capacity. Forced Vital Capacity, Timed,Timed Vital Capacity,Vital Capacity, Timed,FEVt,Capacities, Timed Vital,Capacity, Timed Vital,Expiratory Volume, Forced,Expiratory Volumes, Forced,Forced Expiratory Volumes,Timed Vital Capacities,Vital Capacities, Timed,Volume, Forced Expiratory,Volumes, Forced Expiratory
D005652 Functional Residual Capacity The volume of air remaining in the LUNGS at the end of a normal, quiet expiration. It is the sum of the RESIDUAL VOLUME and the EXPIRATORY RESERVE VOLUME. Common abbreviation is FRC. Capacities, Functional Residual,Capacity, Functional Residual,Functional Residual Capacities,Residual Capacities, Functional,Residual Capacity, Functional
D006632 Histamine An amine derived by enzymatic decarboxylation of HISTIDINE. It is a powerful stimulant of gastric secretion, a constrictor of bronchial smooth muscle, a vasodilator, and also a centrally acting neurotransmitter. Ceplene,Histamine Dihydrochloride,Histamine Hydrochloride,Peremin
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000005 Abdomen That portion of the body that lies between the THORAX and the PELVIS. Abdomens
D000208 Acute Disease Disease having a short and relatively severe course. Acute Diseases,Disease, Acute,Diseases, Acute

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