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Functional Residual Capacity in Patients with Pulmonary Emphysema

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1962

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Article1 July 1962Functional Residual Capacity in Patients with Pulmonary EmphysemaA Comparative Study Using Gas Dilution and Plethysmographic Techniques for MeasurementJOSEPH C. ROSS, M.D., DAVID E. COPHER, B.S., JOHN D. TEAYS, M.D., THOMAS J. LORD, M.D.JOSEPH C. ROSS, M.D.Search for more papers by this author, DAVID E. COPHER, B.S.Search for more papers by this author, JOHN D. TEAYS, M.D.Search for more papers by this author, THOMAS J. LORD, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-57-1-18 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptMany methods have been used to measure the functional residual capacity of the lung (FRC), some simple, others complicated and elaborate. Nevertheless, an accurate measurement of functional residual capacity in patients with pulmonary emphysema has been more difficult than expected and, as time has passed, it has become apparent that the functional residual capacity in patients with emphysema is larger than previously thought.In 1940, Darling, Cournand, and Richards (1) described the open circuit nitrogen (7-minute washout) method, now widely used, for estimating functional residual capacity, but pointed out that imperfect gas mixing in the lung could impair the accuracy...References1. DARLINGCOURNANDRICHARDS RCADW: Studies on the intrapulmonary mixture of gases. III. An open circuit method for measuring residual air. J. Clin. Invest. 19: 609, 1940. CrossrefMedlineGoogle Scholar2. HICKAMBLAIRFRAYSER JBER: An open circuit helium method for measuring functional residual capacity and defective intrapulmonary gas mixing. J. Clin. Invest. 33: 1277, 1954. CrossrefMedlineGoogle Scholar3. HICKAMFRAYSER JBR: A comparative study of intrapulmonary gas mixing and functional residual capacity in pulmonary emphysema, using helium and nitrogen as the test gases. J. Clin. Invest. 37: 567, 1958. CrossrefMedlineGoogle Scholar4. DU BOISBOTELHOBEDELLMARSHALLCOMROE ABSYGNRJH: A rapid plethysmographic method for measuring thoracic gas volume: a comparison with the nitrogen washout method for measuring functional residual capacity in normal subjects. J. Clin. Invest. 35: 322, 1956. CrossrefMedlineGoogle Scholar5. BEDELLMARSHALLDU BOISCOMROE GNRABJH: Plethysmographic determination of the volume of gas trapped in the lungs. J. Clin. Invest. 35: 664, 1956. CrossrefMedlineGoogle Scholar6. TIERNEYNADELCOMROE DFJAJH: Total ("plethysmographic") and communicating ("washout") lung volumes in patients with emphysema. Clin. Res. 9: 76, 1961. Google Scholar7. EMMANUELBRISCOECOURNAND GWAA: A method for the determination of the volume of air in the lungs: measurements in chronic pulmonary emphysema. J. Clin. Invest. 40: 329, 1961. CrossrefMedlineGoogle Scholar8. DU BOISBOTELHOCOMROE ABSYJH: A new method for measuring airway resistance in man using a body plethysmograph: values in normal subjects and in patients with respiratory disease. J. Clin. Invest. 35: 327, 1956. CrossrefMedlineGoogle Scholar9. COURNANDBALDWINDARLINGRICHARDS AEDRCDW: Studies on intrapulmonary mixture of gases. IV. The significance of the pulmonary emptying rate and a simplified open circuit measurement of residual air. J. Clin. Invest. 20: 681, 1941. CrossrefMedlineGoogle Scholar10. BEHNKEWILLMON ARTL: Gaseous nitrogen and helium elimination from the body during rest and exercise. Amer. J. Physiol. 131: 619, 1941. CrossrefGoogle Scholar11. COMROEBOTELHODU BOIS JHSYAB: Design of a body plethysmograph for studying cardiopulmonary physiology. J. Appl. Physiol. 14: 439, 1959. CrossrefMedlineGoogle Scholar12. FOWLER WS: Specific tests of pulmonary function. A. Lung volumes, in Methods in Medical Research, vol. 2, ed. by Comroe, J. H., Jr., Year Book Publishers, Inc., Chicago, 1950, p. 181. Google Scholar13. SNEDECOR GW: Statistical Methods Applied to Experiments in Agriculture and Biology, Iowa State College Press, Ames, Iowa, 1940. Google Scholar14. FOWLER WS: Lung function studies. III. Uneven pulmonary ventilation in normal subjects and in patients with pulmonary disease. J. Appl. Physiol. 2: 283, 1949-50. CrossrefMedlineGoogle Scholar15. FOWLERCORNISHKETY WSERSS: Measurement of alveolar ventilatory components. Amer. J. Med. Sci. n.s. 220: 112, 1950. Google Scholar16. BRISCOECOURNAND WAA: Uneven ventilation of normal and diseased lungs studied by an open-circuit method. J. Appl. Physiol. 14: 284, 1959. CrossrefMedlineGoogle Scholar17. BATEMANBOOTHBYHELMHOLTZ JBWMHF: Studies of lung volumes and intrapulmonary mixing: notes on open-circuit methods, including use of a new pivoted type gasometer for lung clearance studies. J. Clin. Invest. 28: 679, 1949. CrossrefMedlineGoogle Scholar18. BATESCHRISTIE DVRV: Intrapulmonary mixing of helium in health and in emphysema. Clin. Sci. 9: 17, 1950. Google Scholar19. ROBERTSONSIRIJONES JSWEHB: Lung ventilation patterns determined by analysis of nitrogen elimination rates; use of the mass spectrometer as a continuous gas analyzer. J. Clin. Invest. 29: 577, 1950. CrossrefMedlineGoogle Scholar20. BRISCOE WA: Further studies on the intra-pulmonary mixing of helium in normal and emphysematous subjects. Clin. Sci. 11: 45, 1952. MedlineGoogle Scholar21. FOWLERCORNISHKETY WSERSS: Lung function studies. VIII. Analysis of alveolar ventilation by pulmonary N2 clearance curves. J. Clin. Invest. 31: 40, 1952. CrossrefMedlineGoogle Scholar22. BLAIRHICKAM EJB: Quantitative study of intrapulmonary gas mixing in emphysema. Amer. J. Med. 18: 519, 1955. CrossrefMedlineGoogle Scholar23. GILSONHUGH-JONES JCP: The measurement of the total lung volume and breathing capacity. Clin. Sci. 7: 185, 1948-49. Google Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Indianapolis, IndianaFrom the Department of Medicine, Indiana University Medical Center, Indianapolis, Indiana.This work was supported in part by research grant H-4080 and in part by research grant H-6228, and with facilities provided by Cardiovascular Clinical Research Center Grant H-6308, all from the National Heart Institute, National Institutes of Health.Requests for reprints should be addressed to Joseph C. Ross, M.D., Department of Medicine, Indiana University Medical Center, 1100 West Michigan Street, Indianapolis 7, Indiana. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited ByLong-term exposure to cigarette smoke impairs lung function and increases HMGB-1 expression in miceComparison of Plethysmographic and Helium Dilution Lung VolumesHow Accurate Is Spirometry at Predicting Restrictive Pulmonary Impairment?An analysis of the relationship between airway resistance and spontaneous thoracic gas volume in asthmatic childrenRoentgenologic, physiologic and structural estimations of the total lung capacity in normal and emphysematous subjectsAirway responsiveness in chronic obstructive pulmonary diseaseDie GanzkörperplethysmographieCardiopulmonary Function in Young Smokers A Comparison of Pulmonary Function Measurements and Some Cardiopulmonary Responses to Exercise Between a Group of Young Smokers and a Comparable Group of NonsmokersRICHARD A. KRUMHOLZ, M.D., ROBERT B. CHEVALIER, M.D., JOSEPH C. ROSS, M.D. 1 July 1962Volume 57, Issue 1Page: 18-28KeywordsEmphysemaHeartLungsResearch grants Issue Published: 1 July 1962 PDF DownloadLoading ...

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