Click here to learn how to do a full respiratory examination and here for other medical examsClick here for medical student OSCE and PACES exam questions about the respiratory examinationThe expiratory flow rate depends on both air leaving the central airways during dynamic collapse as a result of the high intrathoracic pressure and the effect of high alveolar pressure, increased during the compressive phase and maintained at a high level by the contraction of the expiratory muscles. From: Murray and Nadel's Textbook of Respiratory Medicine (Sixth Edition), 2016 1. Rabe KF, Hurd S, Anzueto A, et al. Global strategy for the diagnosis, management, and prevention of chronic obstructive pulmonary disease: GOLD executive summary. Am J Respir Crit Care Med. 2007;176(6):532–555. [PubMed] [Google Scholar] 2. Oostveen E, MacLeod D, Lorino H, et al. The forced oscillation technique in clinical practice: methodology, recommendations and future developments. Eur Respir J. 2003;22(6):1026–1041. [PubMed] [Google Scholar] 3. LaPrad AS, Lutchen KR. Respiratory impedance measurements for assessment of lung mechanics: focus on asthma. Respir Physiol Neurobiol. 2008;163(1–3):64–73. [PMC free article] [PubMed] [Google Scholar] 4. Goldman MD. Clinical application of forced oscillation. Pulm Pharmacol Ther. 2001;14(5):341–350. [PubMed] [Google Scholar] 5. Grimby G, Takishima T, Graham W, Macklem P, Mead J. Frequency dependence of flow resistance in patients with obstructive lung disease. J Clin Invest. 1968;47(6):1455–1465. [PMC free article] [PubMed] [Google Scholar] 6. Di Mango AM, Lopes AJ, Jansen JM, Melo PL. Changes in respiratory mechanics with increasing degrees of airway obstruction in COPD: detection by forced oscillation technique. Respir Med. 2006;100(3):399–410. [PubMed] [Google Scholar] 7. Ohishi J, Kurosawa H, Ogawa H, Irokawa T, Hida W, Kohzuki M. Application of impulse oscillometry for within-breath analysis in patients with chronic obstructive pulmonary disease: pilot study. BMJ Open. 2011;1(2):e000184. [PMC free article] [PubMed] [Google Scholar] 8. Paredi P, Goldman M, Alamen A, et al. Comparison of inspiratory and expiratory resistance and reactance in patients with asthma and chronic obstructive pulmonary disease. Thorax. 2010;65(3):263–267. [PubMed] [Google Scholar] 9. Kubota M, Shirai G, Nakamori T, Kokubo K, Masuda N, Kobayashi H. Low frequency oscillometry parameters in COPD patients are less variable during inspiration than during expiration. Respir Physiol Neurobiol. 2009;166(2):73–79. [PubMed] [Google Scholar] 10. Kurosawa H, Kohzuki M. Images in clinical medicine. Dynamic airway narrowing. N Engl J Med. 2004;350(10):1036. [PubMed] [Google Scholar] 11. Japanese Respiratory Society. Predicted values of spirometry and arterial blood gas analysis. Nihon Kokyuki Gakkai Zasshi. 2001;39:1–17. Japanese. [Google Scholar] 12. Commey JO, Levison H. Physical signs in childhood asthma. Pediatrics. 1976;58(4):537–541. [PubMed] [Google Scholar] 13. Kanda S, Fujimoto K, Komatsu Y, Yasuo M, Hanaoka M, Kubo K. Evaluation of respiratory impedance in asthma and COPD by an impulse oscillation system. Intern Med. 2010;49(1):23–30. [PubMed] [Google Scholar] 14. Farre R, Peslin R, Rotger M, Barbera JA, Navajas D. Forced oscillation total respiratory resistance and spontaneous breathing lung resistance in COPD patients. Eur Respir J. 1999;14(1):172–178. [PubMed] [Google Scholar] 15. Officer TM, Pellegrino R, Brusasco V, Rodarte JR. Measurement of pulmonary resistance and dynamic compliance with airway obstruction. J Appl Physiol. 1998;85(5):1982–1988. [PubMed] [Google Scholar] 16. Peslin R, Duvivier C, Jardin P. Upper airway walls impedance measured with head plethysmograph. J Appl Physiol. 1984;57(2):596–600. [PubMed] [Google Scholar] 17. Cauberghs M, Van de Woestijne KP. Effect of upper airway shunt and series properties on respiratory impedance measurements. J Appl Physiol. 1989;66(5):2274–2279. [PubMed] [Google Scholar] 18. Iwatsubo Y, Lorino H, Hubert C, et al. Measurement of respiratory impedance by forced oscillation: comparison of the standard and head generator methods. Eur Respir J. 1994;7(5):901–906. [PubMed] [Google Scholar] 19. Kolsum U, Borrill Z, Roy K, et al. Impulse oscillometry in COPD: identification of measurements related to airway obstruction, airway conductance and lung volumes. Respir Med. 2009;103(1):136–143. [PubMed] [Google Scholar] 20. Dellaca RL, Santus P, Aliverti A, et al. Detection of expiratory flow limitation in COPD using the forced oscillation technique. Eur Respir J. 2004;23(2):232–240. [PubMed] [Google Scholar] Page 2Clinical characteristics of the patients with chronic obstructive pulmonary disease
|