The Control of Breathing in Clinical Practice

The control of breathing results from a complex interactioninvolving the respiratory centers, which feed signals to a centralcontrol mechanism that, in turn, provides output to the effectormuscles. In this review, we describe the individual elements of thissystem, and what is known about their funct...

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Veröffentlicht in:Chest 2000-01, Vol.117 (1), p.205-225
Hauptverfasser: Caruana-Montaldo, Brendan, Gleeson, Kevin, Zwillich, Clifford W.
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container_title Chest
container_volume 117
creator Caruana-Montaldo, Brendan
Gleeson, Kevin
Zwillich, Clifford W.
description The control of breathing results from a complex interactioninvolving the respiratory centers, which feed signals to a centralcontrol mechanism that, in turn, provides output to the effectormuscles. In this review, we describe the individual elements of thissystem, and what is known about their function in man. We outlineclinically relevant aspects of the integration of human ventilatorycontrol system, and describe altered function in response to specialcircumstances, disorders, and medications. We emphasize the clinicalrelevance of this topic by employing case presentations of activepatients from our practice.
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Gleeson, Kevin ; Zwillich, Clifford W.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c546t-e289cfba79486338ff41c8de9e39839720be0e3205d81d4d4e5c14c7f66249cb3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2000</creationdate><topic>[H+] = hydrogen ion concentration</topic><topic>Animals</topic><topic>Biological and medical sciences</topic><topic>Carbon monoxide</topic><topic>carotid body</topic><topic>chemoreceptors</topic><topic>Clinical medicine</topic><topic>control of ventilation</topic><topic>CPAP = continuous positive airwaypressure</topic><topic>CSF = cerebrospinal fluid</topic><topic>CSR = Cheyne-Stokesrespiration</topic><topic>DRG = dorsal respiratory group</topic><topic>HCO3− = bicarbonate</topic><topic>Humans</topic><topic>Hypoxia</topic><topic>Investigative techniques of respiratory function</topic><topic>Investigative techniques, diagnostic techniques (general aspects)</topic><topic>Lung Diseases - physiopathology</topic><topic>Medical sciences</topic><topic>Monitoring, Physiologic - methods</topic><topic>MVV = maximalvoluntary ventilation</topic><topic>OSA = obstructive sleep apnea</topic><topic>pHa = arterial pH</topic><topic>PIIA = postinspiration inspiratory activity</topic><topic>PImax = maximal inspiratory pressure</topic><topic>Prognosis</topic><topic>pulmonary receptors</topic><topic>RAR = rapidly adaptingreceptor</topic><topic>REM = rapid eye movement</topic><topic>Respiration</topic><topic>Respiratory Care Units</topic><topic>Respiratory Function Tests</topic><topic>Respiratory Muscles - physiology</topic><topic>Sao2 = arterial oxygen saturation</topic><topic>SAR = slowly adapting receptor</topic><topic>Sensors</topic><topic>V/Q = ventilation/perfusion</topic><topic>VC = vital capacity</topic><topic>Ve = minute ventilation</topic><topic>Vo2 = oxygen uptake</topic><topic>VRG = ventral respiratorygroup</topic><topic>Vt = tidal volume</topic><topic>WOB = work of breathing</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Caruana-Montaldo, Brendan</creatorcontrib><creatorcontrib>Gleeson, Kevin</creatorcontrib><creatorcontrib>Zwillich, Clifford W.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing &amp; 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subjects [H+] = hydrogen ion concentration
Animals
Biological and medical sciences
Carbon monoxide
carotid body
chemoreceptors
Clinical medicine
control of ventilation
CPAP = continuous positive airwaypressure
CSF = cerebrospinal fluid
CSR = Cheyne-Stokesrespiration
DRG = dorsal respiratory group
HCO3− = bicarbonate
Humans
Hypoxia
Investigative techniques of respiratory function
Investigative techniques, diagnostic techniques (general aspects)
Lung Diseases - physiopathology
Medical sciences
Monitoring, Physiologic - methods
MVV = maximalvoluntary ventilation
OSA = obstructive sleep apnea
pHa = arterial pH
PIIA = postinspiration inspiratory activity
PImax = maximal inspiratory pressure
Prognosis
pulmonary receptors
RAR = rapidly adaptingreceptor
REM = rapid eye movement
Respiration
Respiratory Care Units
Respiratory Function Tests
Respiratory Muscles - physiology
Sao2 = arterial oxygen saturation
SAR = slowly adapting receptor
Sensors
V/Q = ventilation/perfusion
VC = vital capacity
Ve = minute ventilation
Vo2 = oxygen uptake
VRG = ventral respiratorygroup
Vt = tidal volume
WOB = work of breathing
title The Control of Breathing in Clinical Practice
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