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 |
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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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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.</description><subject>[H+] = hydrogen ion concentration</subject><subject>Animals</subject><subject>Biological and medical sciences</subject><subject>Carbon monoxide</subject><subject>carotid body</subject><subject>chemoreceptors</subject><subject>Clinical medicine</subject><subject>control of ventilation</subject><subject>CPAP = continuous positive airwaypressure</subject><subject>CSF = cerebrospinal fluid</subject><subject>CSR = Cheyne-Stokesrespiration</subject><subject>DRG = dorsal respiratory group</subject><subject>HCO3− = bicarbonate</subject><subject>Humans</subject><subject>Hypoxia</subject><subject>Investigative techniques of respiratory function</subject><subject>Investigative techniques, diagnostic techniques (general aspects)</subject><subject>Lung Diseases - physiopathology</subject><subject>Medical sciences</subject><subject>Monitoring, Physiologic - methods</subject><subject>MVV = maximalvoluntary ventilation</subject><subject>OSA = obstructive sleep apnea</subject><subject>pHa = arterial pH</subject><subject>PIIA = postinspiration inspiratory activity</subject><subject>PImax = maximal inspiratory pressure</subject><subject>Prognosis</subject><subject>pulmonary receptors</subject><subject>RAR = rapidly adaptingreceptor</subject><subject>REM = rapid eye movement</subject><subject>Respiration</subject><subject>Respiratory Care Units</subject><subject>Respiratory Function Tests</subject><subject>Respiratory Muscles - physiology</subject><subject>Sao2 = arterial oxygen saturation</subject><subject>SAR = slowly adapting receptor</subject><subject>Sensors</subject><subject>V/Q = ventilation/perfusion</subject><subject>VC = vital capacity</subject><subject>Ve = minute ventilation</subject><subject>Vo2 = oxygen uptake</subject><subject>VRG = ventral respiratorygroup</subject><subject>Vt = tidal volume</subject><subject>WOB = work of breathing</subject><issn>0012-3692</issn><issn>1931-3543</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2000</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp1kM1LwzAYxoMobn6cvUkR8daZN0nb5KjDLxD0oOeQpW_XSNfOpFP8783sYCJ4CoHf8_E-hJwAnQAv5KWtMfQTgGICE0azHTIGxSHlmeC7ZEwpsJTnio3IQQhvNP5B5ftkBDTnwBiMSfpSYzLt2t53TdJVybVH09eunSeuTaaNa501TfLsje2dxSOyV5km4PHmPSSvtzcv0_v08enuYXr1mNpM5H2KTCpbzUyhhMw5l1UlwMoSFXIluSoYnSFFHguXEkpRCswsCFtUec6EsjN-SC4G36Xv3lfxRL1wwWLTmBa7VdAFlbmkMovg2R_wrVv5NnbTjFIhpWJFhC4HyPouBI-VXnq3MP5LA9XrGfXPjDrOqCHq1ranG9vVbIHlL37YLQLnG8CEOFDlTWtd2HKMMwmwTa7dvP50HnVYmKaJrnzI3LT9nawGBcZ5Pxx6HazD1mIZ1bbXZef-bf0Nyr6dHA</recordid><startdate>200001</startdate><enddate>200001</enddate><creator>Caruana-Montaldo, Brendan</creator><creator>Gleeson, Kevin</creator><creator>Zwillich, Clifford W.</creator><general>Elsevier Inc</general><general>American College of Chest Physicians</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>200001</creationdate><title>The Control of Breathing in Clinical Practice</title><author>Caruana-Montaldo, Brendan ; 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 & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>Consumer Health Database (Alumni Edition)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Consumer Health Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Chest</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Caruana-Montaldo, Brendan</au><au>Gleeson, Kevin</au><au>Zwillich, Clifford W.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The Control of Breathing in Clinical Practice</atitle><jtitle>Chest</jtitle><addtitle>Chest</addtitle><date>2000-01</date><risdate>2000</risdate><volume>117</volume><issue>1</issue><spage>205</spage><epage>225</epage><pages>205-225</pages><issn>0012-3692</issn><eissn>1931-3543</eissn><coden>CHETBF</coden><abstract>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.</abstract><cop>Northbrook, IL</cop><pub>Elsevier Inc</pub><pmid>10631221</pmid><doi>10.1378/chest.117.1.205</doi><tpages>21</tpages><oa>free_for_read</oa></addata></record> |
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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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