Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
4 Pt 1
pubmed:dateCreated
1999-5-17
pubmed:abstractText
In 18 patients with chronic obstructive pulmonary disease intubated and mechanically ventilated, we prospectively randomized 200 micrograms fenoterol-80 micrograms ipratropium bromide (four puffs) from a metered-dose inhaler (MDI) versus 1.25 mg fenoterol-500 micrograms ipratropium bromide in 5 ml saline from a nebulizer (NEB). Respiratory mechanics were assessed before and 30 min after the end of each delivery by the rapid end-inspiratory airway occlusion technique. We did vary on single breaths the inflation flow (V) from 0.2 to 1.2 L. s-1, at constant inflation volume. The total respiratory resistance of the respiratory system (Rrs) was partitioned into airway (Rint,rs) and tissue (DeltaRrs) resistances. We found that Rrs was equivalently reduced, from 16.49 +/- 1.37 to 14.85 +/- 1.88 cm H2O. L-1. s with MDI (p < 0.05) and from 18.04 +/- 1.85 to 15.15 +/- 1.33 cm H2O. L-1. s with NEB (p < 0.01). Whereas the prevailing effect of MDI was to reduce Rint,rs, that of NEB was to decrease DeltaRrs. In addition, the V resistance of the respiratory system over the whole range of V was significantly affected by NEB but not by MDI.
pubmed:commentsCorrections
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
AIM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Apr
pubmed:issn
1073-449X
pubmed:author
pubmed:issnType
Print
pubmed:volume
159
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
1036-42
pubmed:dateRevised
2010-7-15
pubmed:meshHeading
pubmed-meshheading:10194143-Administration, Inhalation, pubmed-meshheading:10194143-Aerosols, pubmed-meshheading:10194143-Aged, pubmed-meshheading:10194143-Airway Resistance, pubmed-meshheading:10194143-Bronchodilator Agents, pubmed-meshheading:10194143-Cross-Over Studies, pubmed-meshheading:10194143-Drug Combinations, pubmed-meshheading:10194143-Female, pubmed-meshheading:10194143-Fenoterol, pubmed-meshheading:10194143-Humans, pubmed-meshheading:10194143-Ipratropium, pubmed-meshheading:10194143-Lung Diseases, Obstructive, pubmed-meshheading:10194143-Male, pubmed-meshheading:10194143-Nebulizers and Vaporizers, pubmed-meshheading:10194143-Prospective Studies, pubmed-meshheading:10194143-Respiration, Artificial, pubmed-meshheading:10194143-Respiratory Insufficiency, pubmed-meshheading:10194143-Single-Blind Method
pubmed:year
1999
pubmed:articleTitle
Inhaled fenoterol-ipratropium bromide in mechanically ventilated patients with chronic obstructive pulmonary disease.
pubmed:affiliation
Service de Réanimation Médicale, Centre Hospitalier Lyon-Sud, Pierre-Bénite, Service Central d'Explorations Fonctionnelles Respiratiores, Groupe Hospitalier Pitié-Salpétriére, Paris, France.
pubmed:publicationType
Journal Article, Clinical Trial, Randomized Controlled Trial, Research Support, Non-U.S. Gov't