Full Description
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.
Contents
Basic Mechanisms.- 1. Distribution of Hyperinflation in a General Population.- 2. Pathology and Biochemical Basis of Chronic Pulmonary Hyperinflation.- 3. Hyperinflation and Trapped Gas in Chronic Airflow Limitation.- 4. Effects of Airways Resistance on Lung Inflation.- 5. Alveolar Gas Mixing in Chronic Pulmonary Hyperinflation.- 6. Acute Pulmonary Hyperinflation and Pulmonary Edema.- 7. Is Pulmonary Hyperinflation a Feature in Advancing Interstitial Lung Disease?.- Physiopathological Effects.- 8. Effects of Lung Hyperinflation on Pulmonary Circulation.- 9. Effects of Positive End-Expiratory Pressure (PEEP) on Bronchial Blood Flow.- 10. Hyperinflation due to Tonic Activity in Inspiratory Muscles.- 11. Effects of Hyperinflation on Respiratory Muscle Function.- 12. The Effect of Lung Hyperinflation on Inspiratory Muscle Function.- 13. Pattern of Systemic Venous Return during Negative Pressure Ventilation with Pneumowrap: A Pulsed Wave Doppler Study in Patients with COPD.- 14. Phosphorus Depletion in Limb and Respiratory Muscles of Patients with Chronic Obstructive Pulmonary Disease (COPD): A Preliminary Report.- 15. Mechanisms of Dyspnea.- Therapeutic Approach.- 16. Pharmacological Management of Pulmonary Hyperinflation.- 17. Mechanical Ventilation and Hyperinflation.- 18. Chest Physiotherapy and Hyperinflation.- 19. Negative Pressure Ventilation as a Treatment Modality in Patients with Hyperinflation.- 20. Exercise Training Strategies for COPD Patients.- 21. Respiratory Muscle Training in Health and Disease.
