[Purpose] The aim of this study was to clarify physical parameters affecting the tidal volume during expiratory abdominal compression in patients with prolonged tracheostomy mechanical ventilation. [Methods] Eighteen patients with prolonged mechanical ventilation were included in this study. Expiratory abdominal compression was performed on patients lying in a supine position. The abdomen above...

A new rehabilitation (New-RH) program including respiratory muscle stretch gymnastics (RMSG) was developed to alleviate post-coronary artery bypass grafting pain (PCP). Effects on respiratory muscle function, pain, activities of daily living (ADL), mood and exercise capacity were investigated. Subjects were 16 consecutive patients undergoing median full sternotomy coronary artery bypass graftin...

Adolescent idiopathic kyphosis causes not only spinal deformities but also rib cage abnormalities that lead to abnormal residual volume and pulmonary capacity revealed in pulmonary function testing (PFT). The objective of this study was to analyze the impact of a physical activity program on respiratory function in surgical patients with kyphosis. From October 2006 to October 2007, a total of 3...

➥ normal inspiration and expiration. In adults it is about 700 ml (10 ml/kg). Expiratory reserve volume (ERV) is the gas volume additionally exhaled during forced expiration and inspiratory reserve volume (IRV) is that after a forced inspiration. The sum of VT and IRV is the inspiratory capacity (IC). Even after a maximum expiratory effort, some air is left in the lung; no lung region normally ...

Noncalibrated respiratory inductance plethysmography has been used to measure respiratory function by calculation of the phase angle and, more recently, by determination of the ratio of each time to reach peak tidal expiratory flow to total expiratory time (TPEF/TE). Since TPEF/TE is known to be decreased in airway obstruction when derived from flow signals obtained by a pneumotachograph, we wa...

Nasal continuous positive airway pressure (nCPAP) improved arterial oxygenation in patients with sleep apnoea as well as those with acute pulmonary processes such as Pneumocystis carinii pneumonia. Despite an expanding pool of clinical information, little if any attempt seems to have been made to see whether nCPAP alters ventilatory patterns. The effect of nCPAP was assessed by respiratory indu...

during the primary survey life-threatening or limb-threatening conditions are identified and management is instituted simultaneously. priorities for the care of adult, pediatrics & pregnancy women are all the same. you should do rapid sequential way to assess the patients in 10 seconds treat as you find life threatening condition and repeat if at any time unstable vital signs should be repeated...

Salome CM, King GG, Berend N. Physiology of obesity and effects on lung function. J Appl Physiol 108: 206–211, 2010. First published October 29, 2009; doi:10.1152/japplphysiol.00694.2009.—In obese people, the presence of adipose tissue around the rib cage and abdomen and in the visceral cavity loads the chest wall and reduces functional residual capacity (FRC). The reduction in FRC and in expir...

During the first half of this century, various syndromes attributed to compression of neural and vascular structures in the anatomic area of the thoracic outlet have been described. These include the cervical rib, scalene anticus, costoclavicular, first dorsal rib, and hyperabduction syndromes. This complex array of subdivisions has engendered some confusion in diagnosis and treatment. Although...

BACKGROUND A study was undertaken to determine the level of recruitment of the muscles used in the generation of respiratory muscle force, and to ascertain whether maximal diaphragmatic force and maximal inspiratory muscle force need to be measured by separate tests. The level of activity of three inspiratory muscles and one expiratory muscle during three maximal respiratory manoeuvres was stud...