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Basic Pulmonary Mechanics - ACEP · 2018. 5. 15. · From: Ventilation, Pulmonary Blood Flow, and...

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Basic Pulmonary Mechanics JOSHUA BUCHER, MD EMS FELLOW, ATLANTIC HEALTH SYSTEMS, MORRISTOWN MEMORIAL HOSPITAL
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Page 1: Basic Pulmonary Mechanics - ACEP · 2018. 5. 15. · From: Ventilation, Pulmonary Blood Flow, and Ventilation ... Basic Pulmonary Mechanics Author: Josh Bucher Created Date: 5/17/2017

Basic Pulmonary

Mechanics JOSHUA BUCHER, MD

EMS FELLOW, ATLANTIC HEALTH SYSTEMS, MORRISTOWN MEMORIAL HOSPITAL

Page 2: Basic Pulmonary Mechanics - ACEP · 2018. 5. 15. · From: Ventilation, Pulmonary Blood Flow, and Ventilation ... Basic Pulmonary Mechanics Author: Josh Bucher Created Date: 5/17/2017

Date of download: 2/3/2016 Copyright © 2016 McGraw-Hill Education. All rights reserved.

From: Pulmonary Mechanics

Fishman's Pulmonary Diseases and Disorders, 5e, 2015

Page 3: Basic Pulmonary Mechanics - ACEP · 2018. 5. 15. · From: Ventilation, Pulmonary Blood Flow, and Ventilation ... Basic Pulmonary Mechanics Author: Josh Bucher Created Date: 5/17/2017
Page 4: Basic Pulmonary Mechanics - ACEP · 2018. 5. 15. · From: Ventilation, Pulmonary Blood Flow, and Ventilation ... Basic Pulmonary Mechanics Author: Josh Bucher Created Date: 5/17/2017

To assess the elastic properties of the

ventilatory apparatus, it is expedient to evaluate

the elastic properties of the lungs and chest

separately. Elastic properties are conventionally

assessed over a fixed range of volumes during

periods of arrested airflow.

The change in transpulmonary pressure required to

effect a given change in the volume of air in the lungs

is a measure of the distensibility, or compliance, of the

lungs. Pulmonary compliance is calculated as the ratio

of the change in lung volume to the change in

transpulmonary pressure—that is,

Page 5: Basic Pulmonary Mechanics - ACEP · 2018. 5. 15. · From: Ventilation, Pulmonary Blood Flow, and Ventilation ... Basic Pulmonary Mechanics Author: Josh Bucher Created Date: 5/17/2017

Compliance

Distensibility, ease of stretch

Inverse = elastance (stiffness)

Pressure volume characterstics are non linear

Volume increases, elastic elements approach limit of

distensibility, more pressure increases produce smaller

changes

Elasticity favors relaxation of lung tissue and

return to expiration

Page 6: Basic Pulmonary Mechanics - ACEP · 2018. 5. 15. · From: Ventilation, Pulmonary Blood Flow, and Ventilation ... Basic Pulmonary Mechanics Author: Josh Bucher Created Date: 5/17/2017

Date of download: 2/3/2016 Copyright © 2016 McGraw-Hill Education. All rights reserved.

From: Pulmonary Mechanics

Fishman's Pulmonary Diseases and Disorders, 5e, 2015

Page 7: Basic Pulmonary Mechanics - ACEP · 2018. 5. 15. · From: Ventilation, Pulmonary Blood Flow, and Ventilation ... Basic Pulmonary Mechanics Author: Josh Bucher Created Date: 5/17/2017

Date of download: 2/3/2016 Copyright © 2016 McGraw-Hill Education. All rights reserved.

From: Pulmonary Mechanics

Fishman's Pulmonary Diseases and Disorders, 5e, 2015

Page 8: Basic Pulmonary Mechanics - ACEP · 2018. 5. 15. · From: Ventilation, Pulmonary Blood Flow, and Ventilation ... Basic Pulmonary Mechanics Author: Josh Bucher Created Date: 5/17/2017

Date of download: 2/3/2016 Copyright © 2016 McGraw-Hill Education. All rights reserved.

From: Pulmonary Mechanics

Fishman's Pulmonary Diseases and Disorders, 5e, 2015

Page 9: Basic Pulmonary Mechanics - ACEP · 2018. 5. 15. · From: Ventilation, Pulmonary Blood Flow, and Ventilation ... Basic Pulmonary Mechanics Author: Josh Bucher Created Date: 5/17/2017

Date of download: 2/3/2016 Copyright © 2016 McGraw-Hill Education. All rights reserved.

From: Pulmonary Mechanics

Fishman's Pulmonary Diseases and Disorders, 5e, 2015

Page 10: Basic Pulmonary Mechanics - ACEP · 2018. 5. 15. · From: Ventilation, Pulmonary Blood Flow, and Ventilation ... Basic Pulmonary Mechanics Author: Josh Bucher Created Date: 5/17/2017

Date of download: 2/3/2016 Copyright © 2016 McGraw-Hill Education. All rights reserved.

From: Pulmonary Mechanics

Fishman's Pulmonary Diseases and Disorders, 5e, 2015

Page 11: Basic Pulmonary Mechanics - ACEP · 2018. 5. 15. · From: Ventilation, Pulmonary Blood Flow, and Ventilation ... Basic Pulmonary Mechanics Author: Josh Bucher Created Date: 5/17/2017
Page 12: Basic Pulmonary Mechanics - ACEP · 2018. 5. 15. · From: Ventilation, Pulmonary Blood Flow, and Ventilation ... Basic Pulmonary Mechanics Author: Josh Bucher Created Date: 5/17/2017

Date of download: 2/3/2016 Copyright © 2016 McGraw-Hill Education. All rights reserved.

From: Pulmonary Mechanics

Fishman's Pulmonary Diseases and Disorders, 5e, 2015

Page 13: Basic Pulmonary Mechanics - ACEP · 2018. 5. 15. · From: Ventilation, Pulmonary Blood Flow, and Ventilation ... Basic Pulmonary Mechanics Author: Josh Bucher Created Date: 5/17/2017

Date of download: 2/3/2016 Copyright © 2016 McGraw-Hill Education. All rights reserved.

From: Pulmonary Mechanics

Fishman's Pulmonary Diseases and Disorders, 5e, 2015

Page 14: Basic Pulmonary Mechanics - ACEP · 2018. 5. 15. · From: Ventilation, Pulmonary Blood Flow, and Ventilation ... Basic Pulmonary Mechanics Author: Josh Bucher Created Date: 5/17/2017

Date of download: 2/3/2016 Copyright © 2016 McGraw-Hill Education. All rights reserved.

From: Pulmonary Mechanics

Fishman's Pulmonary Diseases and Disorders, 5e, 2015

Page 15: Basic Pulmonary Mechanics - ACEP · 2018. 5. 15. · From: Ventilation, Pulmonary Blood Flow, and Ventilation ... Basic Pulmonary Mechanics Author: Josh Bucher Created Date: 5/17/2017

Date of download: 2/3/2016 Copyright © 2016 McGraw-Hill Education. All rights reserved.

From: Pulmonary Mechanics

Fishman's Pulmonary Diseases and Disorders, 5e, 2015

Page 16: Basic Pulmonary Mechanics - ACEP · 2018. 5. 15. · From: Ventilation, Pulmonary Blood Flow, and Ventilation ... Basic Pulmonary Mechanics Author: Josh Bucher Created Date: 5/17/2017

Date of download: 2/3/2016 Copyright © 2016 McGraw-Hill Education. All rights reserved.

From: Pulmonary Mechanics

Fishman's Pulmonary Diseases and Disorders, 5e, 2015

Page 17: Basic Pulmonary Mechanics - ACEP · 2018. 5. 15. · From: Ventilation, Pulmonary Blood Flow, and Ventilation ... Basic Pulmonary Mechanics Author: Josh Bucher Created Date: 5/17/2017

Date of download: 2/3/2016 Copyright © 2016 McGraw-Hill Education. All rights reserved.

From: Pulmonary Mechanics

Fishman's Pulmonary Diseases and Disorders, 5e, 2015

Page 18: Basic Pulmonary Mechanics - ACEP · 2018. 5. 15. · From: Ventilation, Pulmonary Blood Flow, and Ventilation ... Basic Pulmonary Mechanics Author: Josh Bucher Created Date: 5/17/2017

Date of download: 2/3/2016 Copyright © 2016 McGraw-Hill Education. All rights reserved.

From: Pulmonary Mechanics

Fishman's Pulmonary Diseases and Disorders, 5e, 2015

Page 19: Basic Pulmonary Mechanics - ACEP · 2018. 5. 15. · From: Ventilation, Pulmonary Blood Flow, and Ventilation ... Basic Pulmonary Mechanics Author: Josh Bucher Created Date: 5/17/2017

Date of download: 2/3/2016 Copyright © 2016 McGraw-Hill Education. All rights reserved.

From: Control of Ventilation

Fishman's Pulmonary Diseases and Disorders, 5e, 2015

Page 20: Basic Pulmonary Mechanics - ACEP · 2018. 5. 15. · From: Ventilation, Pulmonary Blood Flow, and Ventilation ... Basic Pulmonary Mechanics Author: Josh Bucher Created Date: 5/17/2017

Date of download: 2/3/2016 Copyright © 2016 McGraw-Hill Education. All rights reserved.

From: Ventilation, Pulmonary Blood Flow, and Ventilation–Perfusion Relationships

Fishman's Pulmonary Diseases and Disorders, 5e, 2015

Page 21: Basic Pulmonary Mechanics - ACEP · 2018. 5. 15. · From: Ventilation, Pulmonary Blood Flow, and Ventilation ... Basic Pulmonary Mechanics Author: Josh Bucher Created Date: 5/17/2017

Date of download: 2/3/2016 Copyright © 2016 McGraw-Hill Education. All rights reserved.

From: Control of Ventilation

Fishman's Pulmonary Diseases and Disorders, 5e, 2015

Page 22: Basic Pulmonary Mechanics - ACEP · 2018. 5. 15. · From: Ventilation, Pulmonary Blood Flow, and Ventilation ... Basic Pulmonary Mechanics Author: Josh Bucher Created Date: 5/17/2017
Page 23: Basic Pulmonary Mechanics - ACEP · 2018. 5. 15. · From: Ventilation, Pulmonary Blood Flow, and Ventilation ... Basic Pulmonary Mechanics Author: Josh Bucher Created Date: 5/17/2017
Page 24: Basic Pulmonary Mechanics - ACEP · 2018. 5. 15. · From: Ventilation, Pulmonary Blood Flow, and Ventilation ... Basic Pulmonary Mechanics Author: Josh Bucher Created Date: 5/17/2017
Page 25: Basic Pulmonary Mechanics - ACEP · 2018. 5. 15. · From: Ventilation, Pulmonary Blood Flow, and Ventilation ... Basic Pulmonary Mechanics Author: Josh Bucher Created Date: 5/17/2017
Page 26: Basic Pulmonary Mechanics - ACEP · 2018. 5. 15. · From: Ventilation, Pulmonary Blood Flow, and Ventilation ... Basic Pulmonary Mechanics Author: Josh Bucher Created Date: 5/17/2017
Page 27: Basic Pulmonary Mechanics - ACEP · 2018. 5. 15. · From: Ventilation, Pulmonary Blood Flow, and Ventilation ... Basic Pulmonary Mechanics Author: Josh Bucher Created Date: 5/17/2017

Date of download: 2/3/2016 Copyright © 2016 McGraw-Hill Education. All rights reserved.

From: Ventilation, Pulmonary Blood Flow, and Ventilation–Perfusion Relationships

Fishman's Pulmonary Diseases and Disorders, 5e, 2015

Page 28: Basic Pulmonary Mechanics - ACEP · 2018. 5. 15. · From: Ventilation, Pulmonary Blood Flow, and Ventilation ... Basic Pulmonary Mechanics Author: Josh Bucher Created Date: 5/17/2017

Date of download: 2/3/2016 Copyright © 2016 McGraw-Hill Education. All rights reserved.

From: Ventilation, Pulmonary Blood Flow, and Ventilation–Perfusion Relationships

Fishman's Pulmonary Diseases and Disorders, 5e, 2015

Page 29: Basic Pulmonary Mechanics - ACEP · 2018. 5. 15. · From: Ventilation, Pulmonary Blood Flow, and Ventilation ... Basic Pulmonary Mechanics Author: Josh Bucher Created Date: 5/17/2017

Date of download: 2/3/2016 Copyright © 2016 McGraw-Hill Education. All rights reserved.

From: Ventilation, Pulmonary Blood Flow, and Ventilation–Perfusion Relationships

Fishman's Pulmonary Diseases and Disorders, 5e, 2015

Page 30: Basic Pulmonary Mechanics - ACEP · 2018. 5. 15. · From: Ventilation, Pulmonary Blood Flow, and Ventilation ... Basic Pulmonary Mechanics Author: Josh Bucher Created Date: 5/17/2017

Date of download: 2/3/2016 Copyright © 2016 McGraw-Hill Education. All rights reserved.

From: Ventilation, Pulmonary Blood Flow, and Ventilation–Perfusion Relationships

Fishman's Pulmonary Diseases and Disorders, 5e, 2015

Page 31: Basic Pulmonary Mechanics - ACEP · 2018. 5. 15. · From: Ventilation, Pulmonary Blood Flow, and Ventilation ... Basic Pulmonary Mechanics Author: Josh Bucher Created Date: 5/17/2017

Date of download: 2/3/2016 Copyright © 2016 McGraw-Hill Education. All rights reserved.

From: Ventilation, Pulmonary Blood Flow, and Ventilation–Perfusion Relationships

Fishman's Pulmonary Diseases and Disorders, 5e, 2015

Page 32: Basic Pulmonary Mechanics - ACEP · 2018. 5. 15. · From: Ventilation, Pulmonary Blood Flow, and Ventilation ... Basic Pulmonary Mechanics Author: Josh Bucher Created Date: 5/17/2017

Date of download: 2/3/2016 Copyright © 2016 McGraw-Hill Education. All rights reserved.

From: Ventilation, Pulmonary Blood Flow, and Ventilation–Perfusion Relationships

Fishman's Pulmonary Diseases and Disorders, 5e, 2015

Page 33: Basic Pulmonary Mechanics - ACEP · 2018. 5. 15. · From: Ventilation, Pulmonary Blood Flow, and Ventilation ... Basic Pulmonary Mechanics Author: Josh Bucher Created Date: 5/17/2017

Date of download: 2/3/2016 Copyright © 2016 McGraw-Hill Education. All rights reserved.

From: Ventilation, Pulmonary Blood Flow, and Ventilation–Perfusion Relationships

Fishman's Pulmonary Diseases and Disorders, 5e, 2015

Page 34: Basic Pulmonary Mechanics - ACEP · 2018. 5. 15. · From: Ventilation, Pulmonary Blood Flow, and Ventilation ... Basic Pulmonary Mechanics Author: Josh Bucher Created Date: 5/17/2017

Date of download: 2/3/2016 Copyright © 2016 McGraw-Hill Education. All rights reserved.

From: Ventilation, Pulmonary Blood Flow, and Ventilation–Perfusion Relationships

Fishman's Pulmonary Diseases and Disorders, 5e, 2015

Page 35: Basic Pulmonary Mechanics - ACEP · 2018. 5. 15. · From: Ventilation, Pulmonary Blood Flow, and Ventilation ... Basic Pulmonary Mechanics Author: Josh Bucher Created Date: 5/17/2017

Date of download: 2/3/2016 Copyright © 2016 McGraw-Hill Education. All rights reserved.

From: Diffusion, Chemical Reactions, and Diffusing Capacity

Fishman's Pulmonary Diseases and Disorders, 5e, 2015

Page 36: Basic Pulmonary Mechanics - ACEP · 2018. 5. 15. · From: Ventilation, Pulmonary Blood Flow, and Ventilation ... Basic Pulmonary Mechanics Author: Josh Bucher Created Date: 5/17/2017

Date of download: 2/3/2016 Copyright © 2016 McGraw-Hill Education. All rights reserved.

From: Diffusion, Chemical Reactions, and Diffusing Capacity

Fishman's Pulmonary Diseases and Disorders, 5e, 2015


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