Chronic Pulmonary Hyperinflation

1. Front Matter

   Pages I-XV

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2. Basic Mechanisms

   1. Front Matter

      Pages 1-1

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   2. Distribution of Hyperinflation in a General Population

      • P. Paoletti, G. Viegi, G. Carmignani, L. Carrozzi, U. Mammini, L. Landucci et al.

      Pages 3-9

   3. Pathology and Biochemical Basis of Chronic Pulmonary Hyperinflation

      • M. Saetta, L. M. Fabbri, A. Papi, A. Ciaccia

      Pages 11-18

   4. Hyperinflation and Trapped Gas in Chronic Airflow Limitation

      • S. M. Pritchard, J. C. Waterhouse, P. Howard

      Pages 19-26

   5. Effects of Airways Resistance on Lung Inflation

      • C. Tardif, G. Bonmarchand, B. Orcel, J. P. Derenne

      Pages 27-31

   6. Alveolar Gas Mixing in Chronic Pulmonary Hyperinflation

      • F. Cibella, P. Pipitone, C. Macaluso, V. Bellia, G. Bonsignore

      Pages 33-39

   7. Acute Pulmonary Hyperinflation and Pulmonary Edema

      • D. Dreyfuss, G. Saumon

      Pages 41-46

   8. Is Pulmonary Hyperinflation a Feature in Advancing Interstitial Lung Disease?

      • R. Torchio, C. Gulotta, G. Sera, D. Boaro, A. Tosadori, C. Banaudi

      Pages 47-53

3. Physiopathological Effects

   1. Front Matter

      Pages 55-55

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   2. Effects of Lung Hyperinflation on Pulmonary Circulation

      • C. Emery

      Pages 57-65

   3. Effects of Positive End-Expiratory Pressure (PEEP) on Bronchial Blood Flow

      • P. Agostoni, E. Doria, M. Pepi, G. Tamborini

      Pages 67-73

   4. Hyperinflation due to Tonic Activity in Inspiratory Muscles

      • Y. Jammes, M. Badier

      Pages 75-82

   5. Effects of Hyperinflation on Respiratory Muscle Function

      • M. Decramer

      Pages 83-89

   6. The Effect of Lung Hyperinflation on Inspiratory Muscle Function

      • A. Grassino, P. Begin

      Pages 91-99

   7. Pattern of Systemic Venous Return during Negative Pressure Ventilation with Pneumowrap: A Pulsed Wave Doppler Study in Patients with COPD

      • A. Torbicki, N. Ambrosino, C. Fracchia, R. Tramarin, M. Pozzoli, C. Rampulla

      Pages 101-109

   8. Phosphorus Depletion in Limb and Respiratory Muscles of Patients with Chronic Obstructive Pulmonary Disease (COPD): A Preliminary Report

      • E. Fiaccadori, E. Coffrini, P. Vitali, N. Ronda, A. Guariglia, C. Fracchia et al.

      Pages 111-117

   9. Mechanisms of Dyspnea

      • J. W. Fitting

      Pages 119-123

4. Therapeutic Approach

   1. Front Matter

      Pages 125-125

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   2. Pharmacological Management of Pulmonary Hyperinflation

      • R. Poggi, L. Dal Vecchio, M. Bernasconi, R. Brandolese, A. Rossi

      Pages 127-134

The workshops that have been held over the past few years and the volumes published in their wake have proved highly successful and have prompted us to press on with our initial plans. Our basic aim was to tackle certain very important problems in respiratory rehabilitation and then discuss the various issues with people from all over the wodd engaged in the updating of experience and know ledge in this field. We therefore firmly believe that this ongoing effort is of fundamental importance. Hyperinflation, which is still a poody defined c1inical and physiopatho­ logical condition, is the focal point ofthis present study, which is aimed at discussing and weighing up the physiopathological mechanisms, c1inical consequences, and rehabilitation possibilities in a disease in which, until relatively recently, rehabilitation had seemed almost totally ineffective. The present contributions, however, show us how very important and versatile rehabilitation may be in its treatment. Perhaps, if we consider this branch of medicine as one which now no longer simply draws upon other sciences, but make an active contribution in its own right, we will have touched upon the most important aspect of this study. If I may, I would just like to add how very pleasing it is for me to acknow ledge how much this joint effort has contributed, in terms of true insights and above all VI results, to finding solutions to the problems addressed in reeent years.

• breathing
• bronchodilatation
• circulation
• management
• mechanical ventilation
• physiotherapy
• pulmonary hyperinflation
• rehabilitation

• Meakins-Christie Laboratories, McGill University, Canada

  A. Grassino

• Notre Dame Hospital, University of Montreal, Canada

  A. Grassino

• Medical Center of Rehabilitation, Montescano, Pavia, Italy

  C. Rampulla, N. Ambrosino, C. Fracchia

Policies and ethics