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Biomedical subjects

B J Sproule

Publications and source records attributed to B J Sproule.

At least 37 records · Page 2Linked to original sources
PubMed1977

Relation between pulsus paradoxus and pulmonary function in patients with chronic airways obstruction.

The relation of pulsus paradoxus to chronic, stable obstructive disease of the airways has not previously been described. Pulsus paradoxus was observed in 66% of 68 patients with such disease but in none of 14 healthy individuals. There was a significant correlation between the degree of pulsus paradoxus and the forced expiratory volume in 1 second (FEV1) in the subgroup of patients with bronchial asthma but not in the subgroup with chronic bronchitis or emphysema, or both. There was no correlation between the degree of pulsus paradoxus and the degree of hyperinflation in either group. Hence factors other than hyperinflation contribute importantly to the decrease in systolic pressure that occurs at full inflation of the lungs.

Adult↗
PubMed1977

Frequency dependence of ventilation distribution in normal and obstructed lungs.

Differences in regional pulmonary time constant may cause ventilation distribution to vary with breathing frequency and frequency-dependent changes in regional ventilation per unit volume might be expected. We measured the regional distribution of inhaled xenon-133 (133Xe) at 10 and 60 breaths/min in normal subjects and in patients with a clinical diagnosis of chornic bronchitis or asthma. Breathing frequency had no siqnificant effect on ventilation distribution in normals but in patients with chronic bronchitis ventilation decreased in the lower lung regions at 60 breaths/min compared with 10 breaths/min. In six asthmatic patients the lung regions demonstrating the greatest frequency-dependent reductions in ventilation, which were assumed to have the greatest time constants, also showed decreased ventilation-perfusion ratios (V/Q) measured by standard 133Xe techniques. Bronchodilator increased ventilation more than perfusion in these regions and thus V/Q ratio increased toward the normal range. These results imply that measurement of the frequency dependence of regional ventilation provides information about the relative distribution of airway obstruction, and that airway function in the most obstructed lung regions in asthmatics is improved following bronchodilator therapy.

Asthma↗
PubMed1972

Effects of ultrasonic nebulization on pulmonary mechanics and blood gases in obstructive pulmonary disease.

Administration of ultrasonically nebulized mist to 17 patients with obstructive lung disease resulted in a temporary deterioration of mechanical lung function with decreases in vital capacity (VC), forced expired volume in one second expressed as a percentage of VC (FEV(1)%), and compliance and with increased inspiratory and expiratory airway resistance. Despite hyperventilation there was an associated decrease in arterial oxygen tension. Although concomitant administration of a bronchodilator afforded protection against the bronchospastic reaction, blood gas derangements were still provoked.

Aerosols↗