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At least 19 recordsLinked to original sources
PubMed1986

Total lung capacity, residual volume and predicted residual volume in a densitometric study of older men.

Results of investigations using various lung volumes for hydrostatic weighing determinations (HWD) appear to be inconclusive. Often, these lung volumes are predicted and not clinically determined. For this reason, total lung capacity (TLC), a measured residual volume (RV), and a predicted residual volume (PRV) were used during HWDs to compare the techniques. Twenty-five older men, 56 to 70 years (means +/- 62.1 + 4.2 years) performed HWDs at RV (10 trials) and at TLC (3-5 trials). Values for body density and fat free mass were not significantly different between RV and TLC; both values were, however, significantly different from those derived using PRV. There were statistically significant differences (p less than 0.05) between all 3 per cent body fat values but the 1.1 per cent difference between TLC and RV may not be physiologically important. It was concluded that TLC and RV may be used comparably during HWDs, but a PRV may produce significantly different values. Since HWD at TLC is easily performed and circumvents the difficulties associated with the RV technique, it may be the preferred method for older subjects.

Aged↗
PubMed1987

[The oscillation method for the diagnosis of respiratory function of adults--arrangement and possibilities for optimization. 4. The oscillatory residual volume determination (RVOS)].

The residual volume can oscillatorily be estimated in an easy way with the help of diving-gas. The oscillatory unit, furnished with a sensor of density, serves as a quick helium-analyser. An overestimation of the residual volume can appear as a result of the high volatility of the used gas, an underestimation can result because of the non-registration of lung parts with entrapped air. Therefore a differentiated interpretation of the curve of wash-in is suggested. Thus a good conformity can be found with the body plethysmographic results also in patients with obstructive airways diseases including persons with disturbances of ventilatory distribution.

Helium↗
PubMed1985

Location of flow-limiting segments via airway catheters near residual volume in humans.

Previous studies have demonstrated sites of flow limitation in the central airways of dogs and humans. At low lung volumes, however, during a forced expiration, it is not clear whether flow-limiting segments (FLS) move into the lung periphery. Using intrabronchial lateral pressure catheters, we located FLS in human subjects at all lung volumes between functional residual capacity (FRC) and residual volume (RV). Three individuals with severe intracranial hemorrhage maintained on ventilators were studied. Partial maximal flow-volume curves were generated from 1 liter above FRC to RV by lowering downstream pressure and using the interrupter technique. Sites of FLS were defined as the most downstream points where lateral pressure did not change with driving pressure. FLS were found in all subjects in the central airways. In one subject, FLS moved from segmental bronchi to the first subsegmental bronchus as RV was approached but not beyond. In the other two subjects, FLS remained fixed in location at all measured lung volumes. At constant volume, multiple FLS were located, all in parallel, e.g., fixed in left upper, left lower, and right middle lobar bronchi. In conclusion, sites of flow limitation remain in the central airways as lung volume approaches RV. FLS may move peripherally within the central airways but not beyond proximal subsegmental bronchi.

Aged↗
PubMed1975

Differential pulmonary residual volume determinations with radioactive xenon.

A radioactive xenon inhalation procedure was used to determine differential residual volumes (right lung vs. left lung) in 28 normal subjects (6 of whom smoked approximately 1 package of cigarettes per day). The average right lung residual volume represented 54% of the total residual volume, whereas the average left lung residual volumerepresented 46% of the total. In addition, all of the subjects were studied by a standard helium dilution technique and found to have total lung residual comparable to the total lung residual volume as determined by the xenon technique. There was no statistical difference between the data obtained from cigarette smokers vs. nonsmokers. The noninvasive nature of the xenon technique makes this a useful procedure in determining differential residual volumes.

Adolescent↗
PubMed1987

Prognostic implications of large volume residual disease in patients with advanced stage epithelial ovarian cancer.

Thirty-two patients with Stage III or IV epithelial ovarian cancer and residual tumor volumes in excess of 2 cm in diameter after initial debulking were treated with platinum and cyclophosphamide chemotherapy. Twenty-seven patients (84%) received at least six courses of chemotherapy. Six patients developed grade 3 or 4 hematologic toxicity and one patient died with granulocytopenia and sepsis. The actuarial survival of the total group of patients was 78% at 12 months, 27% at 24 months, and 11% at 36 month. Of patients with residual disease 2-4 cm in diameter, 82% were alive 12 months after diagnosis and 46% were alive at 24 months. In contrast, patients with greater than 4 cm residual disease had a 12-month survival of 73% and a 24-month survival of only 7%. The size of residual tumor after surgery remains a very important prognostic factor in patients treated with platinum-based combination chemotherapy. Reoperation with further tumor debulking should be considered in ovarian cancer patients referred for chemotherapy with large volume residual disease to maximize response to combination chemotherapy.

Adult↗
PubMedDate not supplied

[Correlation of the size of the residual volume measured by whole body plethysmography and the single breath helium dilution method].

The value of residual volume, intrathoracic gas volume, functional residual capacity and total lung capacity obtained by the method of body plethysmography and helium dilution method was correlated by single-breath diffusing capacity. These parameters were correlated in 22 patients who had had complete functional diagnostics of the lung: spirometry, flow volume curve, body plethysmography and single-breath diffusing capacity. All findings were within normal limits, which was a condition for selection of patients for our group. Statistically significant differences (p = 0.01) of t-test were established between residual volumes by the plethysmographic and helium dilution method of single-breath diffusing capacity. The residual volume obtained by body plethysmography showed higher values for 526 ml, or 30%. The intrathoracic gas volume showed higher values for 682 ml, or 17%. Inspite of the fact that values of RV obtained by two methods had statistically significant differences, they were still within normal limits, if presented as percent of the predicted value.

Adult↗
PubMedDate not supplied

Gastric residual volume in infants and children following a 3-hour fast.

The effect of a 3-hour versus a 10-hour preoperative fasting interval on the gastric residual volume and gastric pH of pediatric patients was evaluated. Forty-four healthy infants, 1 month to 5 years of age, were randomly assigned to one of two groups. The 3-hour nil per os (NPO) group consisted of 19 infants kept NPO for 3 hours following ingestion of up to 4 ounces of 5% dextrose in water (D5W). The control group consisted of 25 infants who remained NPO an average of 10 hours prior to surgery. Gastric residual volume was calculated using the dye-dilution technique. After the dye marker was injected into the stomach, complete aspiration of the stomach (including the volume of dye marker plus residual gastric contents) was attempted as another method to measure gastric residual volume. There were no significant differences in gastric residual volume between the 3-hour and the 10-hour NPO groups using either the dye-dilution or aspiration methods. However, there were significant differences between the two measuring techniques. Gastric residual volume was significantly greater in volume when measured by the dye-dilution technique than it was when measured by the aspiration technique in both the 10-hour (p less than 0.009) and the 3-hour (p less than 0.0009) NPO groups. Complete aspiration of a known volume of fluid injected through the orogastric tube was not possible in 23 of the 44 (52.4%) infants. Mean gastric pH was less than 2.0 in both groups.(ABSTRACT TRUNCATED AT 250 WORDS)

Body Weight↗
PubMed1988

Residual volume as a tool in body fat prediction.

Possible methods of estimating residual volume for the prediction of body fat have been compared in young and healthy adults, with particular reference to the potential of a rapid helium equilibration method. In the first experiment, 5 women and 5 men performed nitrogen elimination, oxygen dilution and helium equilibration tests; scores for the helium test were higher than for the other two methods, but lay between the predictions made by Bass in 1964 and by Wilmore in 1969 and the values predicted by the equation of Goldman and Becklake in 1959. However, estimates of body density and body fat, based on residual volumes obtained from the prediction equations, did not differ significantly from those obtained directly by helium equilibration. A second experiment compared the helium and the oxygen techniques in 18 men and 18 women, with similar results. A final experiment compared the simple helium equilibration procedure with vital capacity and anthropometric predictions also suited to large scale determinations of body composition. It is concluded that the rapid helium equilibration procedure provides a fast and convenient procedure for the residual volume component of a body fat estimation. However, further study of the adequacy of equilibration is needed in older subjects and in patients with chronic chest disease.

Adipose Tissue↗
PubMed1979

[Reference values of the residual volume for the rvo2-method (author's transl)].

Residual volume and the relative RV/TLC (total lung capacity) were measured in 632 men and 191 women aged 15 to 70 years. The residual volume showed a significant correlation to age and body height, but not to the relative body weight (Broca-Index). The values of RV/TLC showed a correlation to age and Broca-Index, but not to the body height. The regression formular to calculate the normal range are given; they comply with the data of other authors.

Adolescent↗
PubMed1976

Determinants of regional distribution of a bolus inhaled from residual volume.

The volume of lung at residual volume (RV) which fails to receive an inhaled tracer bolus (EXV) was quantitated in 13 normals by comparison of a scintigram of the distribution of a tracer bolus inhaled from RV (BORV) with a scintigram at RV of lung equilibrated with the tracer (EQRV). EXV was found in the dependent lung in the erect position in all subjects but also occurred to a lesser degree at the apex in 11 of 13 subjects. Basal EXV ranged from 1 to 7% of TLC, and unlike apical EXV increased with age (r= 0.91, P less than 0.01). EXV in the decubitus position shifted largely to the dependent lung with none remaining in the original erect apical and basal locations, demonstrating that gravity determined EXV location. Nitrous oxide, which is highly diffusible, failed in four subjects to carry the tracer to basal EXV even though perfusion was documented to persist to this area, implying basal EXV airways were closed, not narrowed. In one of the four subjects apical EXV was readily definable. Nitrous oxide carried tracer into this region, implying patent apical EXV airways.

Adolescent↗
PubMed1978

Effects of age on regional residual volume.

Forty-one normal non-smokers between the ages of 20 and 80 were studied to determine if the increased residual volume, known to occur with aging, results from increased residual volume throughout, or only in specific regions of the lung. The subjects were dividied into groups consisting of 20-29, 30-39, 40-49, 50-69, and 70+ yr. Measurements of regional residual volume to regional total lung capacity ratio (RVr/TLCr) were made using zenon-133 and a multidetector analysis system in which five zones (from top to bottom) were analyzed in each lung. Closing volume was also measured. The subjects were in the sitting position for all studies. The results showed regardless of age, the RVr/TLCr was higher at the top than at the bottom of the lung. In addition, the ratio of upper to lower RVr/TLCr was not significantly different between any of the age groups. The results can be explained if airways throughout the lung close at higher volumes as age increases, or if altered emptying sequences within regions occur due to retarded emptying of highly compliant lung regions.

Adult↗
PubMed1990

A comparison of the effects of measured, predicted, estimated and constant residual volumes on the body density of male athletes.

The aim of this study was to use the measured residual volume (RV) of male athletes (n = 207) as a criterion and assess the error in their RV, body density (BD) and relative body fat (%BF) associated with using RVs predicted from regression equations, RVs estimated from vital capacity (VC) and an assumed constant RV of 1300 ml. The ventilated residual volume (RV) was determined both before and after the underwater weighing by helium dilution with the subject immersed to neck level. The mean of the absolute differences Idl and SEE between the 2 RV trials were 66 and 89 ml, respectively. These increased to values ranging 195-747 and 259-308 ml, respectively, when the means of the 2 RV trials for each subject were compared with the RVs predicted via regression equations, estimated from the VC and assumed to be a constant of 1300 ml. A similar trend emerged with variation of only the RV in the BD formula for each subject. The 2 RV trials resulted in a Idl and SEE of .00109 (.5% BF) and .00145 g.cm-3 (.6% BF), respectively, but these increased to values ranging .00306 (1.3% BF)-.01207 (5.1% BF) and .00394 (1.7% BF)-.00441 g.cm-3 (1.9% BF), respectively, for predicted, estimated and assumed constant RVs. In all cases the lowest Idl and SEE were associated with the RVs predicted by a multiple regression equation (R = .616; SEE = 259 ml) which was generated on our sample.(ABSTRACT TRUNCATED AT 250 WORDS)

Adipose Tissue↗
PubMed1992

Predictive equations for total lung capacity and residual volume calculated from radiographs in a random sample of the Michigan population.

BACKGROUND: Published predicted values for total lung capacity and residual volume are often based on a small number of subjects and derive from different populations from predicted spirometric values. Equations from the only two large studies gave smaller predicted values for total lung capacity than the smaller studies. A large number of subjects have been studied from a population which has already provided predicted values for spirometry and transfer factor for carbon monoxide. METHODS: Total lung capacity was measured from standard posteroanterior and lateral chest radiographs and forced vital capacity by spirometry in a population sample of 771 subjects. Prediction equations were developed for total lung capacity (TLC), residual volume (RV) and RV/TLC in two groups--normal and total. Subjects with signs or symptoms of cardiopulmonary disease were combined with the normal subjects and equations for all subjects were also modelled. RESULTS: Prediction equations for TLC and RV in non-smoking normal men and women were square root transformations which included height and weight but not age. They included a coefficient for duration of smoking in current smokers. The predictive equation for RV/TLC included weight, age, age and duration of smoking for current smokers and ex-smokers of both sexes. For the total population the equations took the same form but the height coefficients and constants were slightly different. CONCLUSION: These population based prediction equations for TLC, RV and RV/TLC provide reference standards in a population that has provided reference standards for spirometry and single breath transfer factor for carbon monoxide.

Adult↗
PubMed1992

Salvage intraperitoneal therapy of small-volume residual ovarian cancer: impact of pretreatment finding of peritoneal carcinomatosis on the surgical complete response rate.

Second-line intraperitoneal (i.p.) therapy has been demonstrated to result in surgically defined complete responses (S-CR) in 25%-40% of patients with small-volume residual ovarian cancer (microscopic disease or largest tumor mass less than 1 cm in diameter). To evaluate the influence of the surgical finding of diffuse peritoneal carcinomatosis on the S-CR rate to salvage i.p. therapy in this patient population, we retrospectively reviewed the operative reports of 70 patients with small-volume residual ovarian cancer treated on one of three phase-2 second-line i.p. trials at the Memorial Sloan-Kettering Cancer Center. Of the 11 patients with diffuse carcinomatosis, none achieved a S-CR compared to a S-CR rate of 37% (22/59) in patients without this surgical finding (chi 2 = 6.0; P less than 0.025). However, of the 7 patients with diffuse carcinomatosis treated on a cisplatin-based i.p. program, the only 2 who had previously responded to systemic platinum also experienced a response (partial) to the i.p. cisplatin regimen. In conclusion, while the surgical finding of diffuse peritoneal carcinomatosis indicates a poor prognosis in patients with small-volume residual ovarian cancer for response to i.p. chemotherapy, patients in this clinical setting with prior evidence of platinum sensitivity may experience some benefit from an i.p. cisplatin-based treatment strategy.

Cisplatin↗
PubMed1991

Effects of famotidine on gastric pH and residual volume in pediatric surgery.

Aspiration pneumonitis is a severe complication of anesthesia. The objectives of this study were to determine if preoperative famotidine, a new histamine2-receptor antagonist, given by mouth either the evening before or the morning of elective surgery, reduced gastric residual volume and increased gastric pH in pediatric patients. Either famotidine or placebo (or both) were orally administered to 58 children (aged 2-17 years). The patients were randomly assigned to four groups: Famotidine-Famotidine, Placebo-Placebo, Placebo-Famotidine, and Famotidine-Placebo; subjects in the Famotidine-Famotidine group received two doses of famotidine (0.5 mg.kg-1 per dose), those in the Placebo-Placebo group, two doses of placebo, those in the Placebo-Famotidine and Famotidine-Placebo group, one dose of each by mouth. The Famotidine-Famotidine group received one dose of famotidine at 22:00 the evening before surgery and a second dose 60-90 min before the scheduled time of surgery. The Placebo-Placebo group received two doses of placebo at the same times as the Famotidine-Famotidine group. The Placebo-Famotidine group received a dose of placebo the night before surgery and a dose of famotidine the morning of surgery; the Famotidine-Placebo group received famotidine the night before surgery and placebo the morning of surgery. The administration of famotidine on the morning of surgery significantly increased gastric pH (4.8 vs. 1.3) in comparison with placebo, as did two doses of famotidine (6.6). Famotidine failed to reduce gastric residual volume significantly in any group. The administration of famotidine significantly reduced the number of pediatric patients considered at higher risk for aspiration pneumonitis, despite not decreasing gastric residual volume.

Administration, Oral↗
PubMed1985

The effect of methacholine inhalation challenge on regional residual volume in patients with subclinical asthma.

Regional residual volume to total lung capacity (RVr/TLCr) was measured with xenon 133 before and after methacholine challenge in 26 nonsmoking subjects (mean age 34 years). Eleven were normal control subjects and 15 were patients referred for methacholine challenge because of previous asthma-like symptoms. All had normal pulmonary function and normal RVr/TLCr distribution. Following methacholine challenge, RVr/TLCr increased in two control subjects and ten patients who also had decreases in FEV1 of greater than 20 percent. The RVr/TLCr changes were patchy, suggesting that the degree of bronchospasm varied between individual lung regions. The other 14 subjects did not have a 20 percent decrease in FEV1, but two controls and four patients had generalized increases in RVr/TLCr, while seven controls and one patient had no significant changes in RVr/TLCr. In all subjects, FEV1 and RVr/TLCr returned to the baseline level after salbutamol administration. The results indicate that methacholine can cause localized or diffuse effects on lung emptying and that bronchodilator completely reverses the bronchoconstriction induced by methacholine.

Adult↗
PubMed1977

Increased pulmonary residual volume in patients with hyperlipoproteinemias.

A syndrome, characterized by pulmonary hyperdistension (increased residual volume, closing capacity and Motley index), was observed in patients with hyperlipoproteinemias without without other known causes of pulmonary disease. This syndrome is mostly asymptomatic;hyperdistension is of variable degree and not directly correlated to plasma lipid levels. It is partially reversible after reduction of lipidemia. The cause of this syndrome is not known. It may explain a decreased pulmonary working capacity in asymptomatic hyperlipidemic patients.

Adult↗