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Quantifying ventilatory reserve to predict respiratory failure in exacerbations of COPD

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dc.contributor Wichita State University. Department of Physical Therapy en_US
dc.contributor.author Beachey, Will D. en_US
dc.contributor.author Olson, Dan E. en_US
dc.date.accessioned 2012-03-12T19:12:26Z
dc.date.available 2012-03-12T19:12:26Z
dc.date.issued 1990-05 en_US
dc.identifier 2331901 en_US
dc.identifier 0231335 en_US
dc.identifier.citation Chest. 1990 May; 97(5): 1086-91. en_US
dc.identifier.issn 0012-3692 en_US
dc.identifier.uri http://find.galegroup.com/gtx/infomark.do?&source=gale&srcprod=AONE&prodId=AONE&userGroupName=ksstate_wichita&tabID=T002&docId=A13475064&type=retrieve&contentSet=IAC-Documents&version=1.0 en_US
dc.identifier.uri http://hdl.handle.net/10057/4782
dc.description The full text of this article is not available in SOAR. WSU users can access the article via commercial databases licensed by University Libraries: http://libcat.wichita.edu/vwebv/holdingsInfo?bibId=1381553. The URL of this article is: http://find.galegroup.com/gtx/infomark.do?&source=gale&srcprod=AONE&prodId=AONE&userGroupName=ksstate_wichita&tabID=T002&docId=A13475064&type=retrieve&contentSet=IAC-Documents&version=1.0. en_US
dc.description.abstract We developed a concept of VR in patients with acute exacerbation of advanced COPD and tested the hypothesis that it is predictable and clinically useful in the ER. Our concept of VR was based on the idea that a threshold VF and a MSV capacity are measurable; ie, VR = MSV - VF. We measured resting minute ventilation, the 15-s MVV, FEV1 and ABG values in 13 patients with exacerbation of COPD in the ER and 11 stable subjects with similar degrees of COPD. We tested if measures of VR could distinguish between ER patients progressing to respiratory failure, ER patients who avoided progression to respiratory failure and stable patients. There were significant differences in measures of the mean VR between various groups of patients. We conclude that in this COPD population, VR can be accurately predicted in the ER and that it may be a clinically valid predictor of patient outcomes. en_US
dc.format.extent 1086-91 en_US
dc.language.iso eng en_US
dc.publisher American College of Chest Physicians en_US
dc.relation.ispartofseries Chest en_US
dc.relation.ispartofseries Chest en_US
dc.source NLM en_US
dc.subject Comparative Study en_US
dc.subject.mesh Aged en_US
dc.subject.mesh Emergencies en_US
dc.subject.mesh Emergency Service, Hospital en_US
dc.subject.mesh Humans en_US
dc.subject.mesh Hydrogen-Ion Concentration en_US
dc.subject.mesh Lung Diseases, Obstructive/complications en_US
dc.subject.mesh Lung Volume Measurements en_US
dc.subject.mesh Male en_US
dc.subject.mesh Maximal Voluntary Ventilation/physiology en_US
dc.subject.mesh Middle Aged en_US
dc.subject.mesh Pulmonary Gas Exchange/physiology en_US
dc.subject.mesh Respiratory Insufficiency/diagnosis en_US
dc.subject.mesh Lung Diseases, Obstructive/physiopathology en_US
dc.subject.mesh Respiratory Insufficiency/etiology en_US
dc.title Quantifying ventilatory reserve to predict respiratory failure in exacerbations of COPD en_US
dc.type Article en_US
dc.coverage.spacial United States en_US
dc.description.version peer reviewed en_US
dc.rights.holder Copyright © 1990 American College of Chest Physicians en_US

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