Background: Bronchial obstruction as characteristic feature of bronchial asthma (BA) can lead to gas exchange disorders. The distinction of asthma is that even in patients without clinical symptoms and almost normal spirometry parameters may have been significant gas exchange disorders including that due alveolar ventilation reducing. This study aimed to investigate lung ventilation pecularities in patients with BA. Results: Among patients with uncontrolled course of 40% have a smoking history with index (25,8 ± 8,8) pack-years. In patients with uncontrolled asthma "dead" space ventilation volume is (211 ± 8) ml, and part of the "dead" space of the tidal volume - (30,5 ± 1,5)%, which is statistically significantly greater than that rate for patients with controlled asthma - (176 ± 11) ml and (24,6 ± 0,5)%, respectively, p < 0.05. Alveolar ventilation in patients with uncontrolled disease course is lower, namely (7,3 ± 0,4) l/min. than when controlled asthma - (8,3 ± 0,2), p < 0.05. Conclusions: Lung ventilation parameters in patients with asthma without exacerbation in general slightly different from those in healthy subjects, but the effectiveness of alveolar ventilation is reduced by 14% in uncontrolled asthma due to high waste "dead" space ventilation.
Published in |
American Journal of Internal Medicine (Volume 8, Issue 1)
This article belongs to the Special Issue New Approaches to Manage Difficult-to-Control, Severe Asthma |
DOI | 10.11648/j.ajim.20200801.13 |
Page(s) | 14-18 |
Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
Copyright |
Copyright © The Author(s), 2020. Published by Science Publishing Group |
Bronchial Asthma, Lung Ventilation, Alveolar Ventilation
[1] | GINA Report, Global Strategy for Asthma Management and Prevention, 2019. URL: https://ginasthma.org/gina-reports/ (last accessed 08.07.2018). |
[2] | B. N. Lambrecht, H. Hammad, J. V. Fahy (2019). The Cytokines of Asthma. Immunity. 50 (4): 975–991. doi: 10.1016/j.immuni.2019.03.018. |
[3] | Lui, J. K. & Lutchen, K. R. Clin Trans Med (2017) 6: 29. https://doi.org/10.1186/s40169-017-0159-0. |
[4] | Brusasco V., Barisione G. (2019) Tests of Lung Function: Physiological Principles and Interpretation. In: Cogo A., Bonini M., Onorati P. (eds) Exercise and Sports Pulmonology. Springer, Cham. |
[5] | Yu. I. Feschenko, L. A. Iashyna, K. V. Nazarenko, S. M. Moskalenko, S. G. Opimakh, N. M. Musienko (2018). Diagnostics of hyperinflation and emphysema in patients with asthma and copd overlap on the primary and specialized levels of medical care. Ukr. Pulmonol. J. 1: 7–13. |
[6] | Davis M. D., Walsh B. K., Sittig S. E., Restrepo R. D. (2013) AARC clinical practice guideline: blood gas analysis and hemoximetry. Respir Care. 58: 1694-703. |
[7] | Quinn M, Rizzo A. StatPearls [Internet]. StatPearls Publishing; Treasure Island (FL): Dec 6, 2018. Anatomy, Anatomic Dead Space. |
[8] | Intagliata S, Rizzo A, Gossman WG. StatPearls [Internet]. StatPearls Publishing; Treasure Island (FL): May 15, 2019. Physiology, Lung Dead Space. |
[9] | Nieves A, Cozzo A, Kosoff Z, et al. (2019). 3D airway model to assess airway dead space. Archives of Disease in Childhood - Fetal and Neonatal Edition. 104: F321-F323. |
[10] | Yu. I. Feschenko, L. O. Iashyna, K. V. Nazarenko, S. G. Opimakh (2017). Assessment of alveolar ventilation in patients with asthma, COPD and their combination. www.umj.com.ua, 5 (121) – IX/X 2017. URL: https://www.umj.com.ua/wp/wp-content/uploads/2017/09/4575.pdf?upload=. |
[11] | Michael Jaeger J., Titus B. J., Blank R. S. (2019) Essential Anatomy and Physiology of the Respiratory System and the Pulmonary Circulation. In: Slinger P. (eds) Principles and Practice of Anesthesia for Thoracic Surgery. Springer, Cham. |
[12] | Singh S., Kodali B. S. (2017) Volume capnography: A narrative review. Indian Anaesth Forum. 18: 33-8. |
[13] | Yu. I. Feschenko, L. A. Iashyna, K. V. Nazarenko, S. G. Opimakh (2017). Exercise testing influence on pulmonary ventilation parameters in patients with bronchial asthma, chronic obstructive pulmonary disease and their combination. Asthma and allergy. 2: 7–12. |
[14] | Chatkin, J. M., & Dullius, C. R. (2016). The management of asthmatic smokers. Asthma research and practice, 2, 10. doi: 10.1186/s40733-016-0025-7. |
[15] | J.-M. Tunon-de-Lara, F. Laurent, V. Giraud, et al. (2007) Air trapping in mild and moderate asthma: Effect of inhaled corticosteroids. Journal of Allergy and Clinical Immunology. 119 (3): 583–590. |
[16] | S. Verbanck, D. Schuermans, W. Vincken (2010). Inflammation and airway function in the lung periphery of patients with stable asthma. J. Allergy Clin Immunol. 125: 611–616. |
[17] | Yu. Feschenko, L. Iashyna, K. Nazarenko and Svitlana Opimakh (2018) Factors of formation of small airways obstruction and lung hyperinflation in patients with combined pathology of asthma and chronic obstructive pulmonary disease. The Pharma Innovation Journal. 7 (1): 74–78. |
APA Style
Yurii Feshchenko, Liudmyla Iashyna, Svitlana Opimakh, Maryna Polianska, Viktoria Ignatieva, et al. (2020). Capnometry in the Assessment of Pulmonary Ventilation in Patients with Bronchial Asthma. American Journal of Internal Medicine, 8(1), 14-18. https://doi.org/10.11648/j.ajim.20200801.13
ACS Style
Yurii Feshchenko; Liudmyla Iashyna; Svitlana Opimakh; Maryna Polianska; Viktoria Ignatieva, et al. Capnometry in the Assessment of Pulmonary Ventilation in Patients with Bronchial Asthma. Am. J. Intern. Med. 2020, 8(1), 14-18. doi: 10.11648/j.ajim.20200801.13
AMA Style
Yurii Feshchenko, Liudmyla Iashyna, Svitlana Opimakh, Maryna Polianska, Viktoria Ignatieva, et al. Capnometry in the Assessment of Pulmonary Ventilation in Patients with Bronchial Asthma. Am J Intern Med. 2020;8(1):14-18. doi: 10.11648/j.ajim.20200801.13
@article{10.11648/j.ajim.20200801.13, author = {Yurii Feshchenko and Liudmyla Iashyna and Svitlana Opimakh and Maryna Polianska and Viktoria Ignatieva and Svitlana Moskalenko and Galyna Gumenuk and Inna Zvol and Nataliia Vlasova and Liudmyla Halai}, title = {Capnometry in the Assessment of Pulmonary Ventilation in Patients with Bronchial Asthma}, journal = {American Journal of Internal Medicine}, volume = {8}, number = {1}, pages = {14-18}, doi = {10.11648/j.ajim.20200801.13}, url = {https://doi.org/10.11648/j.ajim.20200801.13}, eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajim.20200801.13}, abstract = {Background: Bronchial obstruction as characteristic feature of bronchial asthma (BA) can lead to gas exchange disorders. The distinction of asthma is that even in patients without clinical symptoms and almost normal spirometry parameters may have been significant gas exchange disorders including that due alveolar ventilation reducing. This study aimed to investigate lung ventilation pecularities in patients with BA. Results: Among patients with uncontrolled course of 40% have a smoking history with index (25,8 ± 8,8) pack-years. In patients with uncontrolled asthma "dead" space ventilation volume is (211 ± 8) ml, and part of the "dead" space of the tidal volume - (30,5 ± 1,5)%, which is statistically significantly greater than that rate for patients with controlled asthma - (176 ± 11) ml and (24,6 ± 0,5)%, respectively, p < 0.05. Alveolar ventilation in patients with uncontrolled disease course is lower, namely (7,3 ± 0,4) l/min. than when controlled asthma - (8,3 ± 0,2), p < 0.05. Conclusions: Lung ventilation parameters in patients with asthma without exacerbation in general slightly different from those in healthy subjects, but the effectiveness of alveolar ventilation is reduced by 14% in uncontrolled asthma due to high waste "dead" space ventilation.}, year = {2020} }
TY - JOUR T1 - Capnometry in the Assessment of Pulmonary Ventilation in Patients with Bronchial Asthma AU - Yurii Feshchenko AU - Liudmyla Iashyna AU - Svitlana Opimakh AU - Maryna Polianska AU - Viktoria Ignatieva AU - Svitlana Moskalenko AU - Galyna Gumenuk AU - Inna Zvol AU - Nataliia Vlasova AU - Liudmyla Halai Y1 - 2020/01/13 PY - 2020 N1 - https://doi.org/10.11648/j.ajim.20200801.13 DO - 10.11648/j.ajim.20200801.13 T2 - American Journal of Internal Medicine JF - American Journal of Internal Medicine JO - American Journal of Internal Medicine SP - 14 EP - 18 PB - Science Publishing Group SN - 2330-4324 UR - https://doi.org/10.11648/j.ajim.20200801.13 AB - Background: Bronchial obstruction as characteristic feature of bronchial asthma (BA) can lead to gas exchange disorders. The distinction of asthma is that even in patients without clinical symptoms and almost normal spirometry parameters may have been significant gas exchange disorders including that due alveolar ventilation reducing. This study aimed to investigate lung ventilation pecularities in patients with BA. Results: Among patients with uncontrolled course of 40% have a smoking history with index (25,8 ± 8,8) pack-years. In patients with uncontrolled asthma "dead" space ventilation volume is (211 ± 8) ml, and part of the "dead" space of the tidal volume - (30,5 ± 1,5)%, which is statistically significantly greater than that rate for patients with controlled asthma - (176 ± 11) ml and (24,6 ± 0,5)%, respectively, p < 0.05. Alveolar ventilation in patients with uncontrolled disease course is lower, namely (7,3 ± 0,4) l/min. than when controlled asthma - (8,3 ± 0,2), p < 0.05. Conclusions: Lung ventilation parameters in patients with asthma without exacerbation in general slightly different from those in healthy subjects, but the effectiveness of alveolar ventilation is reduced by 14% in uncontrolled asthma due to high waste "dead" space ventilation. VL - 8 IS - 1 ER -