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Biomedical subjects

G Vardon

Publications and source records attributed to G Vardon.

34 records · Page 2Linked to original sources
PubMed1996

Thoracoabdominal pattern of breathing in neuromuscular disorders.

STUDY OBJECTIVE: To assess abnormalities in thoracoabdominal pattern of breathing (TAPB) in neuromuscular disorders during spontaneous breathing, intermittent positive pressure ventilation (IPPV) with and without abdominal (AB) binder, and immediately after IPPV. DESIGN: Repeated measures design: Pre-IPPV spontaneous breathing, IPPV, IPPV with AB binder, and post-IPPV spontaneous breathing. In protocol 1, ventilator pressure was held constant at the individual value habitually adopted in sessions of IPPV. In protocol 2, it was increased stepwise from 5 to 30 cm H2O. SETTING: University hospital, Department of Pediatrics, Intensive Care, and Neuro-Ventilatory Rehabilitation. PATIENTS: Thirty-one patients with spinal muscular atrophy (SMA) and 19 patients with myopathy, mean age (+/- SD) 9.7 +/- 3 years. MEASUREMENTS: Tidal volume (VT), percent thoracic contribution to VT (%RC), the phase angle between the thoracic and the AB volume changes and the labored breathing index, which is an index of asynchrony taking into account both the phase relationships and relative volumes of rib cage and AB compartments. RESULTS: We observed marked abnormalities in TAPB during spontaneous breathing, especially in the SMA group. %RC, labored breathing index, and phase angle displayed nearly normal values during IPPV. IPPV pressures of 25 to 30 cm H2O were necessary to increase %RC above 80%. AB binding decreased VT, but led to larger thoracic volumes, especially in patients with SMA. Thoracic contribution to VT and thoracic volume after IPPV were higher than baseline levels. CONCLUSIONS: The quantitative assessment of TAPB enhances the ability to estimate pulmonary function in neuromuscular disorders, and the efficiency of mechanical ventilation.

Abdomen↗
PubMed1994

Ventilatory conditioning by self-stimulation in rats: a pilot study.

This article describes an experimental attempt to condition breathing pattern in rats. In this experiment, a freely moving rat was first rewarded by an electrical stimulation of the medial forebrain bundle whenever inspiratory duration (TI) exceeded 300 ms. A bidirectional control was then used: TIs longer than 400 ms were rewarded, and then TIs shorter than 300 ms were rewarded. The frequency of TIs longer than 300 ms increased when this event was rewarded, further increased when TIs above 400 ms were rewarded, and decreased during reversal conditioning (TI < 300 ms). At the beginning of the experiment, stimulation caused increased arousal and motor activity, but after prolonged conditioning, the brain stimulation was associated with quiet wakefulness. Although the general procedure appears to be well-suited to the experimental study of voluntary breathing, some possible improvements are suggested for further, more extensive investigations.

Animals↗
PubMed1994

Measurement of respiratory times in freely moving rats.

A catheter was threaded beneath the skin from the trachea to an opening on the top of the skull. It conducted a small fraction of the ventilatory flow to an external miniaturized transducer, which was composed of a heating element surrounded by two thermocouples. During inspiration, the heating element heated the inner thermocouple, whereas during expiration it heated the outer one. A square signal synchronous with breathing was obtained from the difference in temperature at the two probing sites. Inspiratory and expiratory times were calculated from this signal. This device has been tested with calibrated flows, and compared with head-out plethysmography. It may be easily adapted for ventilatory measurements in any small mammal.

Animals↗
PubMed1993

Learned activation of thoracic inspiratory muscles in tetraplegics.

The aim of this study was to determine whether tetraplegics can learn to activate accessory inspiratory muscles of the upper rib cage, and how this learning affects respiratory motion. Ten tetraplegics with lesional levels ranging from C5 to C7 were trained to increase the upper rib cage expansion during nine 20-min sessions. They were shown an electromyogram (EMG) feedback of the inspiratory muscles of the upper thorax and a signal indicating their current breathing phase (inspiration or expiration). The subjects were instructed to increase EMG during inspiration and to decrease it during expiration. Analysis of variance with session and respiratory phase as factors showed that the subjects progressively learned to increase inspiratory EMG. Thoracic motion, tidal volume and minute ventilation were correlated with inspiratory EMG and tended to increase as a function of practice. These preliminary results lend some support to the clinical use of EMG feedback in breathing therapy aimed at increasing thoracic motion and preventing or reducing paradoxical breathing in tetraplegics.

Adult↗
PubMed1991

Electromyographic feedback for learning to activate thoracic inspiratory muscles.

The utility of EMG feedback for modifying the muscular pattern of breathing was investigated in twenty-four subjects divided into two groups (feedback, no feedback. Each took part in three 20-min training sessions, 24 h apart. All the subjects were instructed to increase the thoracic contribution of inspired gas. The feedback subjects were shown an EMG signal of the inspiratory muscles of the upper thorax and a signal indicating their current breathing phase (inspiration or expiration). The no feedback subjects only saw the breathing phase signal. The subjects' ability to control muscular activity was assessed as the relative increase in EMG from expiration to the subsequent inspiration. Analysis of variance with group and session as factors showed that feedback subjects performed significantly better, although the improvement in performance over the sessions by the two groups was not significantly different. These results lend some support to the clinical use of EMG feedback in breathing therapy aimed at changing the thoracoabdominal distribution of ventilation. However, further research for improving learning is necessary.

Adult↗
PubMed1989

Technique of on-line analysis of diaphragmatic electromyogram activity in the newborn.

The present study provides an on-line analysis of diaphragmatic electromyographic activity (EMGdi) in newborns. EMGdi was recorded using surface electrodes. EMGdi signals were processed using a microcomputer (Apple IIe). The centroid frequency (Fc) and the high over low (H/L) frequencies ratio of the power spectrum were calculated. Furthermore the model frequency (Fo) was computed by an autoregressive model of the EMG signal. EMGdi analysis was performed in seven healthy spontaneously breathing preterm newborns. Fc ranged from 46-62 Hz. Fc was significantly lower than Fo in four of the seven preterm newborns. The coefficient of variation for Fc was significantly lower than for the H/L ratio (p less than 0.001). The coefficients of variation for Fo and Fc were not significantly different, but the percentage of rejected calculations for Fo was significantly higher than for Fc (p less than 0.01). Therefore, in healthy preterm newborns, Fc appears to be the best index of EMGdi analysis.

Diaphragm↗
PubMed1986

Retention of ventilatory pattern learning in normal subjects.

Two procedures for training normal subjects to increase inspiratory duration (TI) were compared. In the first procedure (feedback), a visual signal informed subjects of their TI value just after the end of each inspiration; subjects were instructed to maintain TI for a set interval previously established by the experimenter. The second procedure (pacing) consisted of delivering a periodic signal to subjects and instructing them to adjust their respiratory frequency to this signal. All subjects participated in two identical sessions, 24 h apart. Comparison of performances between the two sessions provides evidence for a retention effect in feedback subjects only, suggesting the superiority of this method. Voluntary increase of TI during training induced a spontaneous increase of tidal volume, independent of any instruction. This increase in breathing amplitude cannot be explained in terms of chemical control of breathing.

Adult↗
PubMed1985

Control of myoelectrical responses through reinforcement.

A classic experiment by Hefferline, Keenan, and Harford (1959) showed that small thumb-twitches, imperceptible to the subject, can be controlled by the consequences of terminating and/or postponing aversive noise. These findings were further investigated in three experiments reported here. Experiment 1 replicated the original study. Experiment 2 was a control study in which stimulus changes were presented as in Experiment 1, but independently of the responses. Under these conditions the response rate varied over a large range with no systematic relation to experimental events. The increments in response rate reported by Hefferline et al. were within the present range of variation, suggesting that conditioning in the earlier study may have reflected a consistency in the direction of change rather than an increase in rate beyond the baseline range. In the present experiment, however, the rate increase was absolute. In Experiment 3, analog rather than binary changes in stimulus conditions were used as reinforcement. Under these conditions, the rates of subjects whose responses were conditioned fell from 78% (in the previous experiment) to 31%.

Acoustic Stimulation↗
PubMed1985

[Analysis of the dependence of respiratory data during spontaneous ventilation at rest].

Inspiratory duration (TI), cycle duration (TTOT), and tidal volume (VT) were continuously measured in 11 normal subjects during 400 respiratory cycles. Small breath to breath changes in these variables were separately analyzed. For each of these variables, successive observations are not statistically independent; "large" values tend to be followed by "large" values. A respiratory feedback may be involved in this sequential dependence. In that case, any known system of respiratory control could be associated with it, even those with time constant or delay longer than one cycle duration.

Adolescent↗
PubMed1980

Respiratory water loss.

Two kinds of studies have been conducted in order to measure respiratory water loss: a single breath study of instantaneous variations in relative gas humidity of air expired during one respiratory cycle and a multibreath study of the average values of water vapor in air expired during several successive cycles of steady state ventilation. In the first case, relative gas humidity is computed from results obtained by thermometry and mass spectrometry; in the second case, average water vapor content of expired air is calculated from plethysmographic spirometry and expired water collection. Both experiments showed that mixed expired gas is not fully water saturated. The multibreath study showed that the mass of water lost per liter of ventilated gas is not a function of ventilation per se but rather increases as tidal volume rises and decreases as respiratory frequency diminishes. The mass of water lost per cycle of steady state ventilation increases with tidal volume so that mean expired gas volume may be considered as a mixture of dry gas and water saturated gas. The single breath study showed that unsaturated gas is expired in the first part of expirate followed by wet saturated gas in the second part. The numerical values given by the two kinds of studies are in close agreement.

Humans↗
PubMed1975

Kinematics of spontaneous breathing: the ventilatory system as a non-linear oscillator.

The kinematics of spontaneous breathing at rest and during moderate exercise is described exactly by a non-linear differential equation, the parameters of which are determined by observation with a pneumotachograph. Analogue circuits are used for the determination of the coefficients and for the comparison by superimposition of the actual spirogram with its simulation. The ventilatory system, taken as a whole and without any assumption concerning its structure, works as a non-linear oscillator. If the classical distinction between a passive and an active ventilatory system is accepted, the concept of a linear equivalent of a non-linear oscillator is valid for the description of the properties of the passive system. It affords some of the advantages of linear mechanics and indicates the restrictions put upon the use of a linear hypothesis. The role of the different terms in determining the pattern of breathing is displayed and the correlation of scale factors with body size is shown. The physiological meaning of the components of muscle action is discussed.

Computers, Analog↗
PubMedDate not supplied

[A rotative control plate for separation of inspired and expired gases (author's transl)].

Some drawbacks of the valve chamber are well known: high flow gas resistance, sensitivity to position and to condensation of water vapour, vibrations of the valve especially at high flow rate. To avoid these defects a rotative control valve separating inhaled and exhaled gases is described. A rotative plate shuts off one of two large ports and separates expired and inspired gases. The rotation of the plate is controlled by a sensor signal, which may be delivered by a pneumotachograph and switches on and off the electrical supply of the motor. The major characteristics of this valve are: its small dead space (11 cm3), a negligible error in the volumes which are to be displaced through either of the two ports, a total insensitivity to water condensation, a very low flow resistance and an insensitivity to position and displacement. This device may be adapted to infants and neonates.

Humans↗
PubMedDate not supplied

[Myoelectrical operant conditioning in man].

In the operant conditioning experiment described by HEFFERLINE et al. (1959) a subject terminates or postpones an aversive noise stimulation by producing a particular myoelectrical activity (operant response : OR). These authors observe an increase of OR occurrence frequency in subjects ignoring the aim of the experiment (naive subjects), and they come to the conclusion that this method is efficient. Nevertheless, the validity of this conclusion is questioned by the lack of control experiments. Hence, this work has to be restudied. We have submitted 13 subjects to a control experiment. Subjects were placed under conditions similar to those used by HEFFERLINE et al., but without any contingency relating the myoelectric activity with the aversive stimulus. The results of these open-loop experiments showed that in a given subject, OR occurrence frequency may vary in large proportions as a function of time. In HEFFERLINE's naive subjects, the increase of occurrence frequency remained completely within the limits of spontaneous variations observed in our control subjects. Therefore, this increase is not significant. We have submitted 18 subjects to a conditioning experiment. 14 subjects among them produced more OR than those of the control subjects during the closed-loop experiment. We conclude that these 14 subjects have been actually conditioned.

Avoidance Learning↗