Comparison of ISO work of breathing and NIOSH breathing resistance measurements for air-purifying respirators

2021 ◽  
pp. 1-9
Author(s):  
Susan Shuhong Xu ◽  
William P. King ◽  
Caitlin McClain ◽  
Ziging Zhuang ◽  
Dana R. Rottach
Keyword(s):  
Work Of Breathing ◽  
Breathing Resistance

IMPORTANCE OF MOTIVATION IN TOLERABILITY OF INCREASED BREATHING RESISTANCE

2019 ◽  
pp. 72-79
Author(s):  
Yu.Yu. Byalovskiy ◽  
I.S. Rakitina
Keyword(s):  
Functional State ◽  
Maximum Level ◽  
Technological Environment ◽  
Breathing Control ◽  
Aerodynamic Loads ◽  
Breathing Resistance ◽  
Resistive Breathing ◽  
Resistive Loads ◽  
Intraoral Pressure

Cortical mechanisms play an important role in breathing control under increased breathing resistance (resistive loads). Cortical mechanisms determine the level of voluntary motivation, which significantly affects the tolerance of resistive breathing loads. The purpose of the paper is to determine the effect of voluntary motivation on the tolerance of additional breathing resistance. Materials and Methods. The authors formed procedural motivation by means of moral encouragement or financial rewards of the subjects. Simulation of increased breathing resistance was performed using in-creasing values of thresholdless inspiratory aerodynamic loads: 40, 60, 70, and 80 % from the maximum intraoral pressure. Results. The maximum level of tolerance of additional breathing resistance was observed in volunteers with a material and subsidiary procedural motivation of activity. Under respiratory loads, these subjects demonstrated the greatest deviations of the functional state indicators. Undefined motivation based on the mobilization of goal-oriented resources with moral stimulation showed less efficiency. Lack of specially formed procedural motivation led to minimal tolerance of resistive loads. Conclusion. Procedural motivation, aimed at overcoming additional breathing resistance, significantly increases the tolerance of individual protective means of respiratory organs, which maintains health of workers in a polluted technological environment. Keywords: motivation, tolerance, increased breathing resistance. Большую роль в регуляции дыхания при увеличенном сопротивлении дыханию (резистивных нагрузках) играют кортикальные механизмы. Корковые механизмы определяют уровень произвольной мотивации, которая существенно влияет на переносимость резистивных дыхательных нагрузок. Цель исследования – определение влияния произвольной мотивации на переносимость дополнительного респираторного сопротивления. Материалы и методы. Процессуальную мотивацию формировали методом морального или материального поощрения испытуемых. Моделирование увеличенного сопротивления дыханию проводили с помощью предъявления возрастающих значений беспороговых инспираторных аэродинамических нагрузок: 40, 60, 70 и 80 % от максимального внутриротового давления. Результаты. Максимальный уровень переносимости дополнительного респираторного сопротивления наблюдался у добровольцев, у которых была сформирована материально-субсидивная процессуальная мотивация деятельности; у этой категории испытуемых во время действия дыхательных нагрузок отмечались наибольшие отклонения показателей функционального состояния. Произвольная мотивация на основе мобилизации волевых ресурсов при моральном стимулировании характеризовалась меньшей эффективностью, а отсутствие специально сформированной процессуальной мотивации сопровождалось минимальной переносимостью резистивных нагрузок. Выводы. Процессуальная мотивация, сформированная для преодоления дополнительного респираторного сопротивления, существенно повышает переносимость средств индивидуальной защиты органов дыхания, что имеет большое значение для сохранения здоровья работающих в условиях загрязненной производственной среды. Ключевые слова: мотивация, переносимость, увеличенное сопротивление дыханию.

Imposed Work of Breathing of Airway Adjuncts

2004 ◽  
Author(s):  
Joseph C. Skinner ◽  
Gilmer Jr. ◽  
Molloy William D. ◽  
Wells Brian A. ◽  
Austin Gary A. ◽  
...  
Keyword(s):  
Work Of Breathing

Diaphragmatic perfusion heterogeneity during exercise with inspiratory resistive breathing

1990 ◽  
Vol 68 (5) ◽  
pp. 2177-2181 ◽  
Author(s):  
M. Manohar
Keyword(s):  
Blood Flow ◽  
Exercise Capacity ◽  
Vascular Resistance ◽  
Maximal Exercise ◽  
Perfusion Pressure ◽  
Work Of Breathing ◽  
Regional Distribution ◽  
Resistive Breathing ◽  
Exercise Induced

Regional distribution of diaphragmatic blood flow (Q; 15-microns-diam radionuclide-labeled microspheres) was studied in normal (n = 7) and laryngeal hemiplegic (LH; n = 7) ponies to determine whether the added stress of inspiratory resistive breathing during maximal exercise may cause 1) redistribution of diaphragmatic Q and 2) crural diaphragmatic Q to exceed that in maximally exercising normal ponies. LH-induced augmentation of already high exertional work of breathing resulted in diminished locomotor exercise capacity so that maximal exercise in LH ponies occurred at 25 km/h compared with 32 km/h for normal ponies. The costal and crural regions received similar Q in both groups at rest. However, exercise-induced increments in perfusion were significantly greater in the costal region of the diaphragm. At 25 km/h, costal diaphragmatic perfusion was 154 and 143% of the crural diaphragmatic Q in normal and LH ponies. At 32 km/h, Q in costal diaphragm of normal ponies was 136% of that in the crural region. Costal and crural diaphragmatic Q in LH ponies exercised at 25 km/h exceeded that for normal ponies but was similar to the latter during exercise at 32 km/h. Perfusion pressure for the three conditions was also similar. It is concluded that diaphragmatic perfusion heterogeneity in exercising ponies was preserved during the added stress of inspiratory resistive breathing. It was also demonstrated that vascular resistance in the crural and costal regions of the diaphragm in maximally exercised LH ponies remained similar to that in maximally exercising normal ponies.

scholarly journals Respiratory muscle function in the newborn: a narrative review

2021 ◽  
Author(s):  
Theodore Dassios ◽  
Aggeliki Vervenioti ◽  
Gabriel Dimitriou
Keyword(s):  
Congenital Anomalies ◽  
Muscle Function ◽  
Respiratory Muscle ◽  
Work Of Breathing ◽  
Respiratory Muscles ◽  
Current Evidence ◽  
Muscle Fibres ◽  
List Type ◽  
Respiratory Muscle Function ◽  
Neurally Adjusted Ventilator Assist

Abstract Our aim was to summarise the current evidence and methods used to assess respiratory muscle function in the newborn, focusing on current and future potential clinical applications. The respiratory muscles undertake the work of breathing and consist mainly of the diaphragm, which in the newborn is prone to dysfunction due to lower muscle mass, flattened shape and decreased content of fatigue-resistant muscle fibres. Premature infants are prone to diaphragmatic dysfunction due to limited reserves and limited capacity to generate force and avoid fatigue. Methods to assess the respiratory muscles in the newborn include electromyography, maximal respiratory pressures, assessment for thoraco-abdominal asynchrony and composite indices, such as the pressure–time product and the tension time index. Recently, there has been significant interest and a growing body of research in assessing respiratory muscle function using bedside ultrasonography. Neurally adjusted ventilator assist is a novel ventilation mode, where the level of the respiratory support is determined by the diaphragmatic electrical activity. Prolonged mechanical ventilation, hypercapnia and hypoxia, congenital anomalies and systemic or respiratory infection can negatively impact respiratory muscle function in the newborn, while caffeine and synchronised or volume-targeted ventilation have a positive effect on respiratory muscle function compared to conventional, non-triggered or pressure-limited ventilation, respectively. Impact Respiratory muscle function is impaired in prematurely born neonates and infants with congenital anomalies, such as congenital diaphragmatic hernia. Respiratory muscle function is negatively affected by prolonged ventilation and infection and positively affected by caffeine and synchronised compared to non-synchronised ventilation modes. Point-of-care diaphragmatic ultrasound and neurally adjusted ventilator assist are recent diagnostic and therapeutic technological developments with significant clinical applicability.

scholarly journals Thoracic weighting of restrained subjects during exhaustion recovery causes loss of lung reserve volume in a model of police arrest

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Mark Campbell ◽  
Roslyn Dakin ◽  
Symon Stowe ◽  
Kira Burton ◽  
Brianna Raven ◽  
...  
Keyword(s):  
Electrical Impedance ◽  
Human Subjects ◽  
Work Of Breathing ◽  
High Sensitivity ◽  
Abdominal Muscle ◽  
Combined Effects ◽  
Impedance Tomography ◽  
Head Restraint ◽  
Inspiratory Muscles ◽  
Life Threatening

AbstractRestraint asphyxia has been proposed as a mechanism for some arrest-related deaths that occur during or shortly after a suspect is taken into custody. Our analysis of the literature found that prone positioning, weight applied to the back, recovery after simulated pursuit, and restraint position have led to restrictive, but non life-threatening respiratory changes when tested in subsets. However, the combined effects of all four parameters have not been tested together in a single study. We hypothesized that a complete protocol with high-sensitivity instrumentation could improve our understanding of breathing physiology during weighted restraint. We designed an electrical impedance tomography (EIT)-based protocol for this purpose and measured the 3D distribution of ventilation within the thorax. Here, we present the results from a study on 17 human subjects that revealed FRC declines during weighted restrained recovery from exercise for subjects in the restraint postures, but not the control posture. These prolonged FRC declines were consistent with abdominal muscle recruitment to assist the inspiratory muscles, suggesting that subjects in restraint postures have increased work of breathing compared to controls. Upon removal of the weighted load, lung reserve volumes gradually increased for the hands-behind-the-head restraint posture but continued to decrease for subjects in the hands-behind-the-back restraint posture. We discuss the possible role this increased work of breathing may play in restraint asphyxia.

scholarly journals Short-term effects of synchronized vs. non-synchronized NIPPV in preterm infants: study protocol for an unmasked randomized crossover trial

Trials ◽  
2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Francesco Cresi ◽  
Federica Chiale ◽  
Elena Maggiora ◽  
Silvia Maria Borgione ◽  
Mattia Ferroglio ◽  
...  
Keyword(s):  
Preterm Infants ◽  
Work Of Breathing ◽  
Respiratory Rhythm ◽  
Assisted Ventilation ◽  
Positive Pressure ◽  
Invasive Ventilation ◽  
Short Term ◽  
Non Invasive ◽  
Non Invasive Ventilation ◽  
Short Term Effects

Abstract Background Non-invasive ventilation (NIV) has been recommended as the best respiratory support for preterm infants with respiratory distress syndrome (RDS). However, the best NIV technique to be used as first intention in RDS management has not yet been established. Nasal intermittent positive pressure ventilation (NIPPV) may be synchronized (SNIPPV) or non-synchronized to the infant’s breathing efforts. The aim of the study is to evaluate the short-term effects of SNIPPV vs. NIPPV on the cardiorespiratory events, trying to identify the best ventilation modality for preterm infants at their first approach to NIV ventilation support. Methods An unmasked randomized crossover study with three treatment phases was designed. All newborn infants < 32 weeks of gestational age with RDS needing NIV ventilation as first intention or after extubation will be consecutively enrolled in the study and randomized to the NIPPV or SNIPPV arm. After stabilization, enrolled patients will be alternatively ventilated with two different techniques for two time frames of 4 h each. NIPPV and SNIPPV will be administered with the same ventilator and the same interface, maintaining continuous assisted ventilation without patient discomfort. During the whole duration of the study, the patient’s cardiorespiratory data and data from the ventilator will be simultaneously recorded using a polygraph connected to a computer. The primary outcome is the frequency of episodes of oxygen desaturation. Secondary outcomes are the number of the cardiorespiratory events, FiO2 necessity, newborn pain score evaluation, synchronization index, and thoracoabdominal asynchrony. The calculated sample size was of 30 patients. Discussion It is known that NIPPV produces a percentage of ineffective acts due to asynchronies between the ventilator and the infant’s breaths. On the other hand, an ineffective synchronization could increase work of breathing. Our hypothesis is that an efficient synchronization could reduce the respiratory work and increase the volume per minute exchanged without interfering with the natural respiratory rhythm of the patient with RDS. The results of this study will allow us to evaluate the effectiveness of the synchronization, demonstrating whether SNIPPV is the most effective non-invasive ventilation mode in preterm infants with RDS at their first approach to NIV ventilation. Trial registration ClinicalTrials.gov NCT03289936. Registered on September 21, 2017.

scholarly journals The History and Mystery of Alveolar Epithelial Type II Cells: Focus on Their Physiologic and Pathologic Role in Lung

2021 ◽  
Vol 22 (5) ◽  
pp. 2566 ◽  
Author(s):  
Barbara Ruaro ◽  
Francesco Salton ◽  
Luca Braga ◽  
Barbara Wade ◽  
Paola Confalonieri ◽  
...  
Keyword(s):  
Host Defense ◽  
Defense Mechanisms ◽  
Work Of Breathing ◽  
Surfactant Proteins ◽  
Alveolar Type ◽  
Type I ◽  
Type Ii ◽  
Lung Protection ◽  
Alveolar Epithelial ◽  
Distal Lung

Alveolar type II (ATII) cells are a key structure of the distal lung epithelium, where they exert their innate immune response and serve as progenitors of alveolar type I (ATI) cells, contributing to alveolar epithelial repair and regeneration. In the healthy lung, ATII cells coordinate the host defense mechanisms, not only generating a restrictive alveolar epithelial barrier, but also orchestrating host defense mechanisms and secreting surfactant proteins, which are important in lung protection against pathogen exposure. Moreover, surfactant proteins help to maintain homeostasis in the distal lung and reduce surface tension at the pulmonary air–liquid interface, thereby preventing atelectasis and reducing the work of breathing. ATII cells may also contribute to the fibroproliferative reaction by secreting growth factors and proinflammatory molecules after damage. Indeed, various acute and chronic diseases are associated with intensive inflammation. These include oedema, acute respiratory distress syndrome, fibrosis and numerous interstitial lung diseases, and are characterized by hyperplastic ATII cells which are considered an essential part of the epithelialization process and, consequently, wound healing. The aim of this review is that of revising the physiologic and pathologic role ATII cells play in pulmonary diseases, as, despite what has been learnt in the last few decades of research, the origin, phenotypic regulation and crosstalk of these cells still remain, in part, a mystery.

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