scholarly journals Analysis of lung volume restriction in patients with respiratory muscle weakness.

Thorax ◽  
1980 ◽  
Vol 35 (8) ◽  
pp. 603-610 ◽  
Author(s):  
A De Troyer ◽  
S Borenstein ◽  
R Cordier
Keyword(s):  
Muscle Weakness ◽  
Lung Volume ◽  
Respiratory Muscle ◽  
Respiratory Muscle Weakness

scholarly journals Lung volume restriction in patients with chronic respiratory muscle weakness: the role of microatelectasis.

Thorax ◽  
1993 ◽  
Vol 48 (7) ◽  
pp. 698-701 ◽  
Author(s):  
M Estenne ◽  
P A Gevenois ◽  
W Kinnear ◽  
P Soudon ◽  
A Heilporn ◽  
...  
Keyword(s):  
Muscle Weakness ◽  
Lung Volume ◽  
Respiratory Muscle ◽  
Respiratory Muscle Weakness

scholarly journals Lung volume recruitment acutely increases respiratory system compliance in individuals with severe respiratory muscle weakness

2017 ◽  
Vol 3 (1) ◽  
pp. 00135-2016 ◽  
Author(s):  
Yannick Molgat-Seon ◽  
Liam M. Hannan ◽  
Paolo B. Dominelli ◽  
Carli M. Peters ◽  
Renee J. Fougere ◽  
...  
Keyword(s):  
Mean Arterial Pressure ◽  
Arterial Pressure ◽  
Pulmonary Function ◽  
Muscle Weakness ◽  
Respiratory System ◽  
Lung Volume ◽  
Respiratory Muscle ◽  
Respiratory System Compliance ◽  
Respiratory Muscle Weakness ◽  
Lung Volume Recruitment

The aim of the present study was to determine whether lung volume recruitment (LVR) acutely increases respiratory system compliance (Crs) in individuals with severe respiratory muscle weakness (RMW).Individuals with RMW resulting from neuromuscular disease or quadriplegia (n=12) and healthy controls (n=12) underwent pulmonary function testing and the measurement ofCrsat baseline, immediately after, 1 h after and 2 h after a single standardised session of LVR. The LVR session involved 10 consecutive supramaximal lung inflations with a manual resuscitation bag to the highest tolerable mouth pressure or a maximum of 50 cmH2O. Each LVR inflation was followed by brief breath-hold and a maximal expiration to residual volume.At baseline, individuals with RMW had lowerCrsthan controls (37±5 cmH2Oversus109±10 mL·cmH2O−1, p<0.001). Immediately after LVR,Crsincreased by 39.5±9.8% to 50±7 mL·cmH2O−1in individuals with RMW (p<0.05), while no significant change occurred in controls (p=0.23). At 1 h and 2 h post-treatment, there were no within-group differences inCrscompared to baseline (all p>0.05). LVR had no significant effect on measures of pulmonary function at any time point in either group (all p>0.05). During inflations, mean arterial pressure decreased significantly relative to baseline by 10.4±2.8 mmHg and 17.3±3.0 mmHg in individuals with RMW and controls, respectively (both p<0.05).LVR acutely increasesCrsin individuals with RMW. However, the high airway pressures during inflations cause reductions in mean arterial pressure that should be considered when applying this technique.

scholarly journals Respiratory Muscle Weakness as a Risk Factor for Pneumonia in Older People

Gerontology ◽  
2021 ◽  
pp. 1-10
Author(s):  
Tatsuma Okazaki ◽  
Yoshimi Suzukamo ◽  
Midori Miyatake ◽  
Riyo Komatsu ◽  
Masahiro Yaekashiwa ◽  
...  
Keyword(s):  
Risk Factor ◽  
Muscle Strength ◽  
Older People ◽  
Serum Albumin ◽  
Muscle Mass ◽  
Muscle Weakness ◽  
Fat Mass ◽  
Respiratory Muscle ◽  
Respiratory Muscle Strength ◽  
Respiratory Muscle Weakness

Introduction: The respiratory muscle strength regulates the effectiveness of coughing, which clears the airways and protects people from pneumonia. Sarcopenia is an aging-related loss of muscle mass and function, the worsening of which is associated with malnutrition. The loss of respiratory and swallowing muscle strength occurs with aging, but its effect on pneumonia is unclear. This study aimed to determine the risks of respiratory muscle weakness on the onset and relapse of pneumonia in older people in conjunction with other muscle-related factors such as malnutrition. Methods: We conducted a longitudinal study with 47 pneumonia inpatients and 35 non-pneumonia controls aged 70 years and older. We evaluated the strength of respiratory and swallowing muscles, muscle mass, and malnutrition (assessed by serum albumin levels and somatic fat) during admission and confirmed pneumonia relapse within 6 months. The maximal inspiratory and expiratory pressures determined the respiratory muscle strength. Swallowing muscle strength was evaluated by tongue pressure. Bioelectrical impedance analysis was used to evaluate the muscle and fat mass. Results: The respiratory muscle strength, body trunk muscle mass, serum albumin level, somatic fat mass, and tongue pressure were significantly lower in pneumonia patients than in controls. Risk factors for the onset of pneumonia were low inspiratory respiratory muscle strength (odds ratio [OR], 6.85; 95% confidence interval [CI], 1.56–30.11), low body trunk muscle mass divided by height2 (OR, 6.86; 95% CI, 1.49–31.65), and low serum albumin level (OR, 5.46; 95% CI, 1.51–19.79). For the relapse of pneumonia, low somatic fat mass divided by height2 was a risk factor (OR, 20.10; 95% CI, 2.10–192.42). Discussion/Conclusions: Respiratory muscle weakness, lower body trunk muscle mass, and malnutrition were risk factors for the onset of pneumonia in older people. For the relapse of pneumonia, malnutrition was a risk factor.

Lambert Eaton Syndrome: A Unique Presentation of the Disease With Isolated Respiratory Muscle Weakness

CHEST Journal ◽  
2013 ◽  
Vol 144 (4) ◽  
pp. 326A
Author(s):  
Urooj Fatima ◽  
Tasneem Shah ◽  
Paras Dedhia ◽  
Muhammad Ebrahim Khan ◽  
Sean Devine
Keyword(s):  
Muscle Weakness ◽  
Respiratory Muscle ◽  
Respiratory Muscle Weakness

Respiratory Muscle Weakness in Patients with Heart Failure with Preserved Ejection Fraction

2014 ◽  
Vol 20 (10) ◽  
pp. S136
Author(s):  
Yoshiharu Kinugasa ◽  
Kensaku Yamada ◽  
Takeshi Sota ◽  
Mari Miyaki ◽  
Shinobu Sugihara ◽  
...  
Keyword(s):  
Heart Failure ◽  
Ejection Fraction ◽  
Muscle Weakness ◽  
Respiratory Muscle ◽  
Preserved Ejection Fraction ◽  
Respiratory Muscle Weakness ◽  
Patients With Heart Failure

Intermittent Positive Pressure Breathing in Patients with Respiratory Muscle Weakness

CHEST Journal ◽  
1986 ◽  
Vol 90 (4) ◽  
pp. 546-552 ◽  
Author(s):  
F. Dennis McCool ◽  
Raymond F. Mayewski ◽  
David S. Shayne ◽  
Charles J. Gibson ◽  
Robert C. Griggs ◽  
...  
Keyword(s):  
Muscle Weakness ◽  
Respiratory Muscle ◽  
Positive Pressure ◽  
Respiratory Muscle Weakness ◽  
Intermittent Positive Pressure Breathing

Respiratory muscle weakness and inefficient ventilation in heart failure due to light-chain amyloidosis

Amyloid ◽  
2008 ◽  
Vol 15 (2) ◽  
pp. 129-136
Author(s):  
Arnt V. Kristen ◽  
Thomas J. Dengler ◽  
J. H. Kristen ◽  
Stefan O. Schonland ◽  
Ute Hegenbart ◽  
...  
Keyword(s):  
Heart Failure ◽  
Muscle Weakness ◽  
Light Chain ◽  
Respiratory Muscle ◽  
Respiratory Muscle Weakness ◽  
Light Chain Amyloidosis

Respiratory problems in neuromuscular disease

2007 ◽  
pp. 237-240
Keyword(s):  
Muscle Weakness ◽  
Neuromuscular Disease ◽  
Respiratory Muscle ◽  
Neuromuscular Disorders ◽  
Respiratory Muscle Weakness ◽  
Respiratory Problems ◽  
Alveolar Hypoventilation ◽  
Ventilatory Failure ◽  
End Stage

Introduction 238 Assessment 239 Treatment 240 A variety of neuromuscular disorders may affect the ventilatory pump at different sites (Table 37.1). Most of these disorders result in respiratory muscle weakness, which results in alveolar hypoventilation and impaired cough. Patients with known neuromuscular disease may present acutely with a presentation related to their underlying neuromuscular disease (such as infection) or occasionally in end-stage ventilatory failure....

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