Perception of changes in breathing in normal human subjects

1981 ◽  
Vol 50 (1) ◽  
pp. 78-83 ◽  
Author(s):  
N. Wolkove ◽  
M. D. Altose ◽  
S. G. Kelsen ◽  
P. G. Kondapalli ◽  
N. S. Cherniack

Respiratory sensation was evaluated in normal subjects from their ability to quantitate changes in tidal volume. Subjects attempted to duplicate or double tidal volumes of different sizes while breathing freely or against a resistive or elastic load. When the mechanical conditions during control and test breaths were constant, tidal volume duplication was accomplished with an error of approximately 100 ml, regardless of the control volume. The error in doubling, however, increased progressively with increasing control tidal volume. There was a greater error in both volume duplication and doubling when the mechanical conditions between control and test breaths were changed. When test breaths against a load followed unloaded control breaths, tidal volume failed to double, but intrathoracic pressure changes twice exceeded control values. Conversely, when unloaded test breaths followed loaded control breaths, pressure changes underwent less than a twofold increase while tidal volume more than doubled. The results indicate that tidal volume changes are normally sensed with considerable accuracy and suggest that both tidal volume per se, as well as the forces generated by the respiratory muscles, are used in the estimation of tidal volume changes.

1986 ◽  
Vol 61 (2) ◽  
pp. 436-439 ◽  
Author(s):  
J. Fox ◽  
H. Kreisman ◽  
A. Colacone ◽  
N. Wolkove

The relative importance of the nose vs. the mouth in the perception of respiratory volumes has never been assessed, nor have previous respiratory perception studies been performed noninvasively. Using respiratory inductive plethysmography, we monitored 12 normal subjects noninvasively when breathing either exclusively through the nose or mouth. The sensation of inspired volume mouth breathing was compared with that of nose breathing over a wide range of the inspiratory capacity. The psychophysical techniques of tidal volume duplication, tidal volume doubling, and magnitude estimation were utilized. A just noticeable difference was calculated from the constant error of the tidal volume duplication trials. The exponents for magnitude estimation were 1.06 and 1.07 for nose and mouth breathing, respectively. The other psychophysical techniques also revealed no differences in nose and mouth volume perception. These results suggest that tidal volume changes are perceived equally well through the nose and mouth. Furthermore, the location of the receptors, important in volume perception, is probably at a distal point common to the nose and mouth.


1987 ◽  
Vol 73 (1) ◽  
pp. 99-103 ◽  
Author(s):  
A. P. Wilson ◽  
C. C. T. Smith ◽  
B. N. C. Prichard ◽  
D. J. Betteridge

1. We have used high-performance liquid chromatography with electrochemical detection to measure plasma and platelet catecholamines in 24 normal subjects. 2. In the same subjects platelet function was assessed by measuring platelet aggregation in response to adenosine 5′-pyrophosphate, thrombin, adrenaline and collagen. Platelet sensitivity to prostacyclin was also examined. 3. Platelet noradrenaline showed a positive correlation with extent of aggregation induced by ‘low-dose’ collagen (1 μg/ml). No correlation was seen at the higher collagen concentration. 4. Platelet noradrenaline content also correlated with sensitivity of platelets to prostacyclin. High platelet noradrenaline concentrations appeared to result in decreased sensitivity to prostacyclin. 5. No other correlations were observed. 6. These data suggest that platelet noradrenaline rather than plasma levels may be involved in modifying platelet function in vivo. Local release of platelet catecholamines may affect the platelet/vessel wall interaction, the primary physiological step in platelet activation.


1976 ◽  
Vol 128 (2) ◽  
pp. 184-187 ◽  
Author(s):  
Helen L. White ◽  
Malcolm N. McLeod ◽  
Jonathan R. T. Davidson

SummaryCatechol O-methyltransferase of lysed human red blood cells was assayed under optimal conditions, using saturating concentrations of the substrates, S-adenosyl-L-methionine and 3,4-dihydroxybenzoic acid. The mean enzyme activity found in 24 normal subjects was 29.2 nmol/hr/ml RBC. The mean activity in blood of 33 female unipolar depressives was not significantly different from normal. However, higher enzyme activities were observed in the blood of 11 schizophrenic patients (38.9 nmol/hr/ml RBC). Partially purified enzyme preparations from blood of normal and schizophrenic individuals were indistinguishable with respect to substrate specificities, isoelectric pH values, and ratios of the two O-methylated products. Therefore it is unlikely that any defect in O-methylation which may occur in schizophrenia can be attributed to a change in the intrinsic properties of erythrocyte catechol O-methyltransferase.


1977 ◽  
Vol 7 (2) ◽  
pp. 229-233 ◽  
Author(s):  
G. J. Naylor ◽  
A. Smith ◽  
L. J. Boardman ◽  
D. A. T. Dick ◽  
E. G. Dick ◽  
...  

synopsisChanges in the erythrocyte membrane cation carrier following lithium ingestion in normal human subjects were studied; ouabain sensitive potassium influx fell significantly during the lithium treated phase. Lithium was fed to rats and no change in erythrocyte Na-K ATPase was shown. These findings contrast with studies of lithium in manic depressive psychosis. The fluctuations in the erythrocyte membrane cation carrier were studied in 5 normal subjects over 12 weeks and the correlations between the parameters calculated. The erythrocyte sodium concentration correlated positively with the ouabain sensitive potassium influx. This too contrasts with findings in manic depressive psychosis.


1960 ◽  
Vol 15 (3) ◽  
pp. 359-362 ◽  
Author(s):  
G. Milic-Emili ◽  
J. M. Petit

Simultaneous measurements of mechanical work and energy cost of breathing were performed on four normal subjects with ventilation increased by adding dead space. Mechanical work was obtained from simultaneous records of endoesophageal pressure and tidal volume. The associated energy cost was estimated by measuring oxygen consumption of respiratory muscles by means of a closed-circuit spirometer. In all subjects studied and over the range of ventilations involved (ca. 30–110 l/min.), the mechanical efficiency of breathing was found to be in the order of 0.19–0.25. Submitted on July 6, 1959


1990 ◽  
Vol 68 (5) ◽  
pp. 2241-2245 ◽  
Author(s):  
M. Younes ◽  
D. Jung ◽  
A. Puddy ◽  
G. Giesbrecht ◽  
R. Sanii

Changes in respiratory mechanical loads are readily detected by humans. Although it is widely believed that respiratory muscle afferents serve as the primary source of information for load detection, there is, in fact, no convincing evidence to support this belief. We developed a shell that encloses the body, excluding the head and neck. A special loading apparatus altered pressure in proportion to respired volume (elastic load) in one of three ways: 1) at the mouth only (T), producing a conventional load in which respiratory muscles are loaded and airway and intrathoracic pressures are made negative in proportion to volume, 2) both at the mouth and in the shell (AW), where the same pattern of airway and intrathoracic pressure occurs but the muscles are not loaded because Prs (i.e., mouth pressure minus pressure in the shell is unchanged, and 3) positive pressure in proportion to volume at the shell only, loading the chest wall but causing no change in airway or thoracic pressures (CW). The threshold for detection (delta E50) with the three types of application was determined in seven normal subjects: 2.16 +/- 0.22, 2.65 +/- 0.54, and 6.21 +/- 0.85 (SE) cmH2O/l for T, AW, and CW, respectively. Therefore the active chest wall, including muscles, is a much less potent source of information than structures affected by the negative airway and intrathoracic pressure. The latter account for the very low threshold for load detection.


1959 ◽  
Vol 14 (5) ◽  
pp. 849-854 ◽  
Author(s):  
William Sacks

A previous investigation of cerebral metabolism of isotopic glucose in normal human subjects was extended and similar studies performed upon chronic psychiatric patients. With variously labeled glucose-C14 as substrates, average activity-time curves and values for cumulative C14O2 resulting from cerebral oxidation of labeled glucose showed no significant variations between normal and psychotic subjects. A significant difference (P < 0.02) between the two groups did occur in comparing the fraction of brain CO2 derived from glucose. Calculations using individual glucose-U-C14 experiments gave averages of 56% for normal subjects and 36% for mental patients. These values agreed with those derived from composite curves of variously labeled glucose. That less brain CO2 was derived from glucose in psychotic subjects seemed to indicate a greater dilution of some carbohydrate intermediate(s) by protein and/or lipid intermediate(s); and, possibly, a decreased cerebral oxidation of carbohydrate. Theoretical considerations suggested that pyruvate and/or lactate might be the main site(s) of dilution. Submitted on January 28, 1959


1980 ◽  
Vol 49 (4) ◽  
pp. 609-619 ◽  
Author(s):  
J. Polacheck ◽  
R. Strong ◽  
J. Arens ◽  
C. Davies ◽  
I. Metcalf ◽  
...  

Vagal influence on inspiratory motor output was assessed in 20 normal subjects and in 12 patients with respiratory disorders under enflurane anethesia using the method of airway occlusion. The change in inspiratory duration during occlusion (delta TI) was measured from mechanical parameters (respiratory flow and tracheal pressure). In eight of the subjects, however, the effect of occlusion and augmentation of tidal volume was further evaluated from diaphragmatic electromyogram. In normal subjects delta TI (mechanical) averaged 0.15 s (range -0.1 to +0.77 s) and correlated with the duration of inspiration during occlusion. Electromyographic observations indicated that the change in neural TI exceeds the change in mechanical TI by approximately 0.2 s and that augmentation of tidal volume shortens TI with no apparent volume threshold. There was a tendency for vagal influence to be higher with restrictive lung disease and lower with obstructive airway disease. These observations indicate that a majority of humans display a significant vagal influence on TI in the spontaneous tidal volume range under anesthesia.


1998 ◽  
Vol 84 (4) ◽  
pp. 1144-1150 ◽  
Author(s):  
Vernon W. H. Lin ◽  
Caleb Hsieh ◽  
Ian N. Hsiao ◽  
James Canfield

The purpose of this study was to assess the effectiveness of functional magnetic stimulation (FMS) for producing expiratory function in normal human subjects. Twelve able-bodied normal subjects were recruited for this study. FMS of the expiratory muscles was performed by using a magnetic stimulator and placing the magnetic coil along the lower thoracic spine. Results showed that peak expired pressure, volume, and flow rate generated by FMS at the end of normal inspiration (102.5 ± 13.62 cmH2O, 1.6 ± 0.16 liters, and 4.8 ± 0.35 l/s, respectively) were comparable to their voluntary maximal levels ( P > 0.1). The optimal coil placement was between T7 and T11, and the optimal stimulation parameters were a frequency of 25 Hz and 70–80% of maximal intensity. We conclude that 1) FMS of the lower thoracic nerves in normal subjects resulted in a significant expiratory function comparable to their voluntary maximum; 2) FMS was noninvasive and was well tolerated by all subjects; and 3) FMS may be useful to produce cough in patients in critical care or perioperative settings, or in patients with neurological disorders.


1992 ◽  
Vol 72 (6) ◽  
pp. 2267-2270 ◽  
Author(s):  
A. Puddy ◽  
G. Giesbrecht ◽  
R. Sanii ◽  
M. Younes

Conscious humans easily detect loads applied to the respiratory system. Resistive loads as small as 0.5 cmH2O.l-1.s can be detected. Previous work suggested that afferent information from the chest wall served as the primary source of information for load detection, but the evidence for this was not convincing, and we recently reported that the chest wall was a relatively poor detector for applied elastic loads. Using the same setup of a loading device and body cast, we sought resistive load detection thresholds under three conditions: 1) loading of the total respiratory system, 2) loading such that the chest wall was protected from the load but airway and intrathoracic pressures experienced negative pressure in proportion to inspiratory flow, and 3) loading of the chest wall alone with no alteration of airway or intrathoracic pressure. The threshold for detection for the three types of load application in seven normal subjects was 1.17 +/- 0.33, 1.68 +/- 0.45, and 6.3 +/- 1.38 (SE) cmH2O.l-1.s for total respiratory system, chest wall protected, and chest wall alone, respectively. We conclude that the active chest wall is a less potent source of information for detection of applied resistive loads than structures affected by negative airway and intrathoracic pressure, a finding similar to that previously reported for elastic load detection.


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