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European Journal of Applied Physiology

Erschienen in:

09.12.2016 | Original Article

Assessment of gas compression and lung volume during air stacking maneuver

verfasst von: A. Sarmento, V. R. Resqueti, G. A. F. Fregonezi, A. Aliverti

Erschienen in: European Journal of Applied Physiology | Ausgabe 1/2017

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Abstract

Purpose

We reasoned that the application of positive pressure through air stacking (AS) technique could cause gas compression and the absolute lung volumes could be estimated. The aim of this study was to estimate the amount of gas compression (ΔV _comp) during AS in healthy subjects positioned at 45° trunk inclination and verify if the simultaneous measurements of chest wall volume changes (ΔV _CW), by optoelectronic plethysmography, and changes in lung volume (ΔV _ao), by pneumotachograph, combined with pressure variation at the airways opening (ΔP _ao) during AS are able to provide reliable data on absolute lung volumes.

Methods

Twenty healthy subjects (mean age 23.5 ± 3.8 years) were studied during a protocol that included slow vital capacity and AS maneuvers. V _comp was calculated by subtracting ΔV _ao and ΔV _CW occurring during AS and total lung capacity (TLC) was estimated by applying Boyle–Mariote’s law using V _comp and ΔP _ao.

Results

During AS, 0.140 ± 0.050 L of gas was compressed with an average ΔP _ao of 21.78 ± 6.18 cmH₂O. No significant differences between the estimated TLC (−0.03 ± 3.0% difference, p = 0.6020), estimated FRC (−2.0 ± 12.4% difference, p = 0.5172), measured IC (1.2 ± 11.2% difference, p = 0.7627) and predicted values were found.

Conclusion

During AS, a significant gas compression occurs and absolute lung volumes can be estimated by simultaneous measurements of ΔV _CW, ΔV _ao and ΔP _ao.

Aliverti A, Pedotti A (2003) Opto-electronic plethysmography. Monaldi Arch Chest Dis 59(1):12–16PubMed

Aliverti A, Dellaca R, Pelosi P, Chiumello D, Pedotti A, Gattinoni L (2000) Optoelectronic plethysmography in intensive care patients. Am J Respir Crit Care Med 161:1546–1552CrossRefPubMed

Aliverti A, Dellaca R, Pelosi P, Chiumello D, Gatihnoni L, Pedoti A (2001) Compartmental analysis of breathing in the supine and prone positions by optoelectronic plethysmography. Ann Biomed Eng 29:60–70CrossRefPubMed

ATS/ERS (2002) Statement on respiratory muscle testing. Am J Respir Crit Care Med 166(1):518–624

Bach JR, Bianchi C, Vidigal-Lopes M, Turi S, Felisari G (2007) Lung inflation by glossopharyngeal breathing and “air stacking” in Duchenne muscular dystrophy. Am J Phys Med Rehabil 86:295–300CrossRefPubMed

Baydur A, Sassoon CS, Carlson M (1996) Measurement of lung mechanics at different lung volumes and esophageal levels in normal subjects: effect of posture change. Lung 174:139–151CrossRefPubMed

Benito S, Lemaire F (1990) Pulmonary pressure-volume relationship in acute respiratory distress syndrome in adults: role of positive end expiratory pressure. J Crit Care 5:27–34CrossRef

Brito MF, Moreira GA, Pradella-Hallinan M, Tufik S (2009) Air stacking and chest compression increase peak cough flow in patients with Duchenne muscular dystrophy. J Bras Pneumol 35(10):973–979CrossRefPubMed

Burki NK (1977) The effects of changes in functional residual capacity with posture on mouth occlusion pressure and ventilatory pattern. Am Rev Respir Dis 116:895–900PubMed

Cala SJ et al (1996) Chest wall and lung volume estimation by optical reflectance motion analysis. J Appl Physiol 81:2680–2689PubMed

Cliff IJ, Evans AH, Pantin CF, Baldwin DR (1999) Comparison of two new methods for the measurement of lung volumes with two standard methods. Thorax 54:329–333CrossRefPubMedPubMedCentral

Coates AL, Peslin R, Rodenstein D, Stocks J (1997) Measurement of lung volumes by plethysmography. Eur Respir J 10:1415–1427CrossRefPubMed

Cobeel L (1969) Comparison between measurements of functional residual capacity and thoracic gas volume in chronic obstructive pulmonary disease. Prog Respir Resp 4:194–204CrossRef

Criee CP et al (2011) Body plethysmography—its principles and clinical use. Respir Med 105:959–971CrossRefPubMed

Dohna-Schwake C, Ragette R, Teschler H, Voit T, Mellies U (2006) IPPB-assisted coughing in neuromuscular disorders. Pediatr Pulmonol 41:551–557CrossRefPubMed

Eber E, Steinbrugger B, Modl M, Weinhandl E, Zach MS (1994) Lung volume measurements in wheezy infants: comparison of plethysmography and gas dilution. Eur Respir J 7:1988–1994PubMed

Kaltreider NL, Fray WW, Hyde HV (1938) The effect of age on the total pulmonary capacity and its subdivisions. Am Rev Tuberc 37:662

Harris RS (2005) Pressure–volume curves of the respiratory system. Respir care 50:78–98 (discussion 98–79)

Hedenstierna G, Jarnberg PO, Gottlieb I (1981) Thoracic gas volume measured by body plethysmography during anesthesia and muscle paralysis: description and validation of a method. Anesthesiology 55:439–443CrossRefPubMed

Hedenstierna G, Strandberg A, Brismar B, Lundquist H, Svensson L, Tokics L (1985) Functional residual capacity, thoracoabdominal dimensions, and central blood volume during general anesthesia with muscle paralysis and mechanical ventilation. Anesthesiology 62:247–254CrossRefPubMed

Hickling KG (1998) The pressure-volume curve is greatly modified by recruitment. A mathematical model of ARDS lungs. Am J Respir Crit Care Med 158:194–202CrossRefPubMed

Hurtado A, Fray WW, Kaltreider NL, Brooks WD (1934) Studies of total pulmonary capacity and its subdivisions. V. Normal values in female subjects. J Clin Invest 13:169–191CrossRefPubMedPubMedCentral

Iandelli I et al (2002) Determinants of exercise performance in normal men with externally imposed expiratory flow limitation. J Appl Physiol 92:1943–1952CrossRefPubMed

Ibanez J, Raurich JM (1982) Normal values of functional residual capacity in the sitting and supine positions. Intensive Care Med 8:173–177CrossRefPubMed

Ingram RH Jr, Schilder DP (1966) Effect of gas compression on pulmonary pressure, flow, and volume relationship. J Appl Physiol 21:1821–1826PubMed

Jaeger MJ, Otis AB (1964) Effects of compressibility of alveolar gas on dynamics and work of breathing. J Appl Physiol 19:83–91PubMed

Jeong JH, Yoo WG (2015) Effects of air stacking on pulmonary function and peak cough flow in patients with cervical spinal cord injury. J Phys Ther Sci 27:1951–1952CrossRefPubMedPubMedCentral

Kang SW, Bach JR (2000a) Maximum insufflation capacity. Chest 118:61–65CrossRefPubMed

Kang SW, Bach JR (2000b) Maximum insufflation capacity: vital capacity and cough flows in neuromuscular disease. Am J Phys Med Rehabil 79:222–227CrossRefPubMed

Kang SW, Kang YS, Moon JH, Yoo TW (2005) Assisted cough and pulmonary compliance in patients with Duchenne muscular dystrophy. Yonsei Med J 46:233–238CrossRefPubMedPubMedCentral

Kendrick AH (1996) Comparison of methods of measuring static lung volumes. Monaldi Arch Chest Dis 51(5):431–439PubMed

Laval PFJ, Fondarai I, Kleisbauer JP, Poirier R (1971) Variations de la capacite respiratoire fonctionnelle et des resistances des voies aeriennes chez des sujets normaux en position assise puis couché. Bull Physiopathol Respir 7:743–764

Lechtzin N, Shade D, Clawson L, Wiener CM (2006) Supramaximal inflation improves lung compliance in subjects with amyotrophic lateral sclerosis. Chest 129:1322–1329CrossRefPubMed

Marques TB, Neves Jde C, Portes LA, Salge JM, Zanoteli E, Reed UC (2014) Air stacking: effects on pulmonary function in patients with spinal muscular atrophy and in patients with congenital muscular dystrophy. J Bras Pneumol 40(5):528–534CrossRefPubMedPubMedCentral

Meneely GR, Kaltreider NL (1949) The volume of the lung determined by helium dilution. Description of the method and comparison with other procedures. J Clin Invest 28:129–139CrossRefPubMedPubMedCentral

Newth CJ, Enright P, Johnson RL (1997) Multiple-breath nitrogen washout techniques: including measurements with patients on ventilators. Eur Respir J 10:2174–2185CrossRefPubMed

O’Donnell DE, Laveneziana P (2006) Physiology and consequences of lung hyperinflation in COPD. Eur Respir Rev 15:61–67CrossRef

O’Donnell CR, Bankier AA, Stiebellehner L, Reilly JJ, Brown R, Loring SH (2010) Comparison of plethysmographic and helium dilution lung volumes: which is best for COPD? Chest 137:1108–1115CrossRefPubMed

Parot S, Chaudun E, Jacquemin E (1970) The origin of postural variations of human lung volumes as explained by the effects of age. Respiration 27:254–260CrossRefPubMed

Roca J et al (1998) Prediction equations for plethysmographic lung volumes. Respir Med 92:454–460CrossRefPubMed

Romei M, Mauro AL, D’Angelo MG, Turconi AC, Bresolin N, Pedotti A, Aliverti A (2010) Effects of gender and posture on thoraco-abdominal kinematics during quiet breathing in healthy adults. Respir Physiol Neurobiol 172:184–191CrossRefPubMed

Schlesinger AE, White DK, Mallory GB, Hildeboldt CF, Huddleston CB (1995) Estimation of total lung capacity from chest radiography and chest CT in children: comparison with body plethysmography. AJR Am J Roentgenol 165:151–154CrossRefPubMed

Sharafkhaneh A, Officer TM, Goodnight-White S, Rodarte JR, Boriek AM (2004) Novel method for measuring effects of gas compression on expiratory flow. Am J Physiol Regul Integr Comp Physiol 287:R479–R484CrossRefPubMed

Smith JA, Aliverti A, Quaranta M, McGuinness K, Kelsall A, Earis J, Calverley PM (2012) Chest wall dynamics during voluntary and induced cough in healthy volunteers. J Physiol 590:563–574CrossRefPubMed

Torres-Castro R, Vilaro J, Vera-Uribe R, Monge G, Aviles P, Suranyi C (2014) Use of air stacking and abdominal compression for cough assistance in people with complete tetraplegia. Spinal Cord 52:354–357CrossRefPubMed

Toussaint M, Pernet K, Steens M, Haan J, Sheers N (2016) Cough augmentation in subjects with Duchenne muscular dystrophy: comparison of air stacking via a resuscitator bag versus mechanical ventilation. Respir Care 61:61–67CrossRefPubMed

Wanger J et al (2005) Standardisation of the measurement of lung volumes. Eur Respir J 26(3):511–522CrossRefPubMed

Whitfield AG, Waterhouse JA, Arnott WM (1950) The total lung volume and its subdivisions. A study in physiological norms. III. Correlation with other anthropometric data. Br J Soc Med 4(3):113–136

Zysman-Colman Z, Lands LC (2016) Whole body plethysmography: practical considerations. Paediatr Respir Rev 19:39–41PubMed

Titel: Assessment of gas compression and lung volume during air stacking maneuver
verfasst von: A. Sarmento
V. R. Resqueti
G. A. F. Fregonezi
A. Aliverti
Publikationsdatum: 09.12.2016
Verlag: Springer Berlin Heidelberg
Erschienen in: European Journal of Applied Physiology / Ausgabe 1/2017
Print ISSN: 1439-6319
Elektronische ISSN: 1439-6327
DOI: https://doi.org/10.1007/s00421-016-3511-y

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Abstract

Purpose

Methods

Results

Conclusion

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