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Helium Dilution Technique
The helium dilution technique is the way of measuring the functional residual capacity of the lungs (the volume left in the lungs after normal Exhalation, expiration). This technique is a closed-circuit system where a spirometer is filled with a mixture of helium (He) and oxygen. The amount of He in the spirometer is known at the beginning of the test (concentration × volume = amount). The patient is then asked to breathe (normal breaths) in the mixture starting from FRC (functional residual capacity), which is the gas volume in the lung after a normal breath out. The spirometer measures helium concentration. The helium spreads into the lungs of the patient, and settles at a new concentration (C2). Because there is no leak of substances in the system, the amount of helium remains constant during the test, and the FRC is calculated by using the following equation: C_1V_1=C_2V_2 C_1 V_1 = C_2 (V_1 + FRC) FRC = \frac- V1 V2 = total gas volume (FRC + volume of spirometer) V1 = ...
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Functional Residual Capacity
Functional residual capacity (FRC) is the lung volume, volume of air present in the lungs at the end of passive Exhalation, expiration.Hopkins E, Sharma S. Physiology, Functional Residual Capacity. [Updated 2022 Jan 4]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK500007/ At FRC, the opposing elastic recoil forces of the lungs and chest wall are in equilibrium and there is no exertion by the thoracic diaphragm, diaphragm or other respiratory muscles. Measurement FRC is the sum of expiratory reserve volume (ERV) and residual volume (RV)Levitzky M.G. (2021). Alveolar ventilation. Levitzky M, & McDonough K, & Kaye A, & Hall S(Eds.), Clinical Physiology in Anesthetic Practice. McGraw Hill. https://accessanesthesiology.mhmedical.com/content.aspx?bookid=2979§ionid=249590087 and measures approximately 3000 mL in a 70 kg, average-sized male. It cannot be estimated through spirometry, sinc ...
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Lung
The lungs are the primary Organ (biology), organs of the respiratory system in many animals, including humans. In mammals and most other tetrapods, two lungs are located near the Vertebral column, backbone on either side of the heart. Their function in the respiratory system is to extract oxygen from the atmosphere and transfer it into the bloodstream, and to release carbon dioxide from the bloodstream into the atmosphere, in a process of gas exchange. Respiration is driven by different muscular systems in different species. Mammals, reptiles and birds use their musculoskeletal systems to support and foster breathing. In early tetrapods, air was driven into the lungs by the pharyngeal muscles via buccal pumping, a mechanism still seen in amphibians. In humans, the primary muscle that drives breathing is the Thoracic diaphragm, diaphragm. The lungs also provide airflow that makes Animal communication#Auditory, vocalisation including speech possible. Humans have two lungs, a ri ...
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Exhalation
Exhalation (or expiration) is the flow of the breathing, breath out of an organism. In animals, it is the movement of air from the lungs out of the airways, to the external environment during breathing. This happens due to elastic properties of the lungs, as well as the internal intercostal muscles which lower the rib cage and decrease thoracic volume. As the thoracic diaphragm relaxes during exhalation it causes the tissue it has depressed to rise superiorly and put pressure on the lungs to expel the air. During Hyperpnea, forced exhalation, as when blowing out a candle, expiratory muscles including the abdominal muscles and internal intercostal muscles generate abdominal and thoracic pressure, which forces air out of the lungs. Exhaled air is 4% carbon dioxide, a waste product of cellular respiration during the production of energy, which is stored as Adenosine triphosphate, ATP. Exhalation has a complementary relationship to inhalation which together make up the respirator ...
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Helium
Helium (from ) is a chemical element; it has chemical symbol, symbol He and atomic number 2. It is a colorless, odorless, non-toxic, inert gas, inert, monatomic gas and the first in the noble gas group in the periodic table. Its boiling point is the lowest among all the Chemical element, elements, and it does not have a melting point at standard pressures. It is the second-lightest and second-most Abundance of the chemical elements, abundant element in the observable universe, after hydrogen. It is present at about 24% of the total elemental mass, which is more than 12 times the mass of all the heavier elements combined. Its abundance is similar to this in both the Sun and Jupiter, because of the very high nuclear binding energy (per nucleon) of helium-4 with respect to the next three elements after helium. This helium-4 binding energy also accounts for why it is a product of both nuclear fusion and radioactive decay. The most common isotope of helium in the universe is helium-4, ...
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Mechanical Ventilation
Mechanical ventilation or assisted ventilation is the Medicine, medical term for using a ventilator, ventilator machine to fully or partially provide artificial ventilation. Mechanical ventilation helps move air into and out of the lungs, with the main goal of helping the delivery of oxygen and removal of carbon dioxide. Mechanical ventilation is used for many reasons, including to protect the airway due to mechanical or neurologic cause, to ensure adequate oxygenation, or to remove excess carbon dioxide from the lungs. Various healthcare providers are involved with the use of mechanical ventilation and people who require ventilators are typically monitored in an intensive care unit. Mechanical ventilation is termed invasive if it involves an instrument to create an airway that is placed inside the trachea. This is done through an endotracheal tube or nasotracheal tube. For non-invasive ventilation in people who are conscious, face or nasal masks are used. The two main types o ...
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Acute Lung Injury
Acute respiratory distress syndrome (ARDS) is a type of respiratory failure characterized by rapid onset of widespread inflammation in the lungs. Symptoms include shortness of breath (dyspnea), rapid breathing (tachypnea), and bluish skin coloration (cyanosis). For those who survive, a decreased quality of life is common. Causes may include sepsis, pancreatitis, trauma, pneumonia, and aspiration. The underlying mechanism involves diffuse injury to cells which form the barrier of the microscopic air sacs of the lungs, surfactant dysfunction, activation of the immune system, and dysfunction of the body's regulation of blood clotting. In effect, ARDS impairs the lungs' ability to exchange oxygen and carbon dioxide. Adult diagnosis is based on a PaO2/FiO2 ratio (ratio of partial pressure arterial oxygen and fraction of inspired oxygen) of less than 300 mm Hg despite a positive end-expiratory pressure (PEEP) of more than 5 cm H2O. Cardiogenic pulmonary edema, a ...
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ARDS
Ards (or ARDS, ARDs) may refer to: Medical * ARDS, Acute respiratory distress syndrome * ARDs, age-related diseases Places * Ards Peninsula, Northern Ireland ** Ards (territory), several historical territorial divisions on the Ards Peninsula *** Ards Lower, a barony in Northern Ireland *** Ards Upper, a barony in Northern Ireland ** Ards and North Down, current administrative district on the Ards Peninsula *** Ards (borough), former administrative district *** Ards (Northern Ireland Parliament constituency), former constituency ** Ards Forest Park, a nature reserve in County Donegal, Ireland ** Newtownards Newtownards (; ) is a town in County Down, Northern Ireland. It lies at the most northern tip of Strangford Lough, 10 miles (16 km) east of Belfast, on the Ards Peninsula. It is in the Civil parishes in Ireland, civil parish of Newtow ..., a town in Northern Ireland, nicknamed "Ards" Organizations * Ards Community Hospital, a health facility in Newtownar ...
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Cross-sectional
In statistics and econometrics, cross-sectional data is a type of data collected by observing many subjects (such as individuals, firms, countries, or regions) at a single point or period of time. Analysis of cross-sectional data usually consists of comparing the differences among selected subjects, typically with no regard to differences in time. For example, if we want to measure current obesity levels in a population, we could draw a sample of 1,000 people randomly from that population (also known as a cross section of that population), measure their weight and height, and calculate what percentage of that sample is categorized as obese. This cross-sectional sample provides us with a snapshot of that population, at that one point in time. Note that we do not know based on one cross-sectional sample if obesity is increasing or decreasing; we can only describe the current proportion. Cross-sectional data differs from ''time series'' data, in which the same small-scale or aggreg ...
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Respiratory System Procedures
The respiratory system (also respiratory apparatus, ventilatory system) is a biological system consisting of specific organs and structures used for gas exchange in animals and plants. The anatomy and physiology that make this happen varies greatly, depending on the size of the organism, the environment in which it lives and its evolutionary history. In terrestrial animal, land animals, the respiratory surface is internalized as linings of the lungs. Gas exchange in the lungs occurs in millions of small air sacs; in mammals and reptiles, these are called pulmonary alveolus, alveoli, and in birds, they are known as Bird anatomy#Respiratory system, atria. These microscopic air sacs have a very rich blood supply, thus bringing the air into close contact with the blood. These air sacs communicate with the external environment via a system of airways, or hollow tubes, of which the largest is the trachea, which branches in the middle of the chest into the two main bronchus, bronchi. The ...
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Respiratory Therapy
A respiratory therapist is a specialized healthcare practitioner trained in critical care and cardio-pulmonary medicine in order to work therapeutically with people who have acute critical conditions, cardiac and pulmonary disease. Respiratory therapists graduate from a college or university with a degree in respiratory therapy and have passed a national board certifying examination. The NBRC ( National Board for Respiratory Care) is responsible for credentialing as a CRT ( certified respiratory therapist), or RRT (registered respiratory therapist) in the United States. The Canadian Society of Respiratory Therapists and provincial regulatory colleges administer the RRT credential in Canada. The American specialty certifications of respiratory therapy include: CPFT and RPFT (Certified or Registered Pulmonary Function Technologist), ACCS (Adult Critical Care Specialist), NPS (Neonatal/Pediatric Specialist), and SDS (Sleep Disorder Specialist). Respiratory therapists work in h ...
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