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Regulation of Breat...
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Rieger-Fackeldey, Esther,1960-Uppsala universitet,Institutionen för kvinnors och barns hälsa
(författare)
Regulation of Breathing under Different Pulmonary Conditions
Förlag, utgivningsår, omfång ...
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Uppsala :Acta Universitatis Upsaliensis,2004
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40 s.
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electronicrdacarrier
Nummerbeteckningar
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LIBRIS-ID:oai:DiVA.org:uu-4671
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ISBN:9155460968
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https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-4671URI
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Språk:engelska
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Sammanfattning på:engelska
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Ämneskategori:vet swepub-contenttype
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Ämneskategori:dok swepub-publicationtype
Serie
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Comprehensive Summaries of Uppsala Dissertations from the Faculty of Medicine,0282-7476 ;1390
Anmärkningar
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The breathing pattern of preterm infants is immature and is associated with a variety of reflexes. In a patient on the ventilator these reflexes interfere with spontaneous breathing. A better understanding of the immature control of breathing could lead to further improvements in ventilatory techniques. This thesis concerns studies of pulmonary stretch receptor (PSR) and phrenic nerve activity as part of the regulation of breathing in an animal model.During assist/control ventilation with three different inspiratory pressure waveforms in animals with healthy lungs, squarewave pressure waveform strongly inhibits spontaneous inspiratory activity.During partial liquid ventilation (PLV) in animals with healthy lungs, all PSRs studied maintained their phasic character, with increased impulse frequency during inspiration. PSR activity was not higher during PLV than during gas ventilation (GV), indicating that there was no extensive stretching of the lung during PLV.During proportional assist ventilation (PAV) the applied airway pressure is servo-controlled proportionally to the ongoing breathing effort, thereby interacting with the activity of PSRs. Peak PSR activity was higher and occurred earlier during PAV than during CPAP. The regulation of breathing is maintained during PAV in surfactant-depleted animals before and early after surfactant instillation, with a higher ventilatory response and a lower breathing effort than during CPAP in both conditions.Both lung mechanics and gas exchange influence the regulation of breathing. Inhibition of inspiratory activity occurred at a lower arterial pH and a higher PaCO2 during PLV than during GV in animals with surfactant-depleted lungs, which might be related to recruitment of a larger number of pulmonary stretch receptors during PLV.In summary, selected aspects of the regulation of breathing were studied in an animal model with different ventilatory techniques under different lung conditions similar to those that can occur in infants.
Ämnesord och genrebeteckningar
Biuppslag (personer, institutioner, konferenser, titlar ...)
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Sedin, Gunnar
(preses)
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Jonzon, Anders
(preses)
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Sindelar, Richard
(preses)
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Schulze, Andreas
(preses)
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Martin, Richard,MDDivision of Neonatology, Rainbow Babies and Children's Hospital, Cleveland, OH, USA
(opponent)
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Uppsala universitetInstitutionen för kvinnors och barns hälsa
(creator_code:org_t)
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