Expiratory effects of electrical stimulation of vagal afferents were studied in 12 kittens during the first week of life. Animals anesthetized with ketamine (30 mg/kg, im) and acepromazine (1.1 mg/kg, im), tracheostomized, and paralyzed were artificially ventilated after bilateral vagotomy. Rectified and "integrated" activity of the C5 root of phrenic nerve, systemic blood pressure, and the stimulus train were recorded. The optimal stimulus parameters for expiratory prolongation were chosen. The results varied between animals. We found three types of response: A, expiratory prolongation when stimulus was applied within the initial 80% of control expiratory time (TEc); beyond this delay, a decreased response or no effect was observed in four kittens; B, graded expiratory prolongation was recorded to the end of this phase in three kittens; and C, expiratory prolongation when stimulus delay was less than 40% of TEc and expiratory shortening when the stimulus given with greater delays was observed in one kitten. Nonsignificant effects were observed in the remaining four animals. Types A and B of response suggest activation of the slowly adapting pulmonary stretch receptors. However, amplitude of stimulus and frequency of pulses were higher than those used in adult animals. Type C response indicates that fibers from both rapidly and slowly adapting stretch receptors could be activated. Our results imply that if the expiratory insensitive phase is present in kittens, it can be affected by experimental conditions. This is in contradiction to characteristics of expiratory response to vagal stretch receptor input in adult cats.
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http://dx.doi.org/10.1152/jappl.1985.59.1.218 | DOI Listing |
J Family Med Prim Care
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Vice Chancellor, Atal Bihari Vajpayee Medical University, Lucknow, Uttar Pradesh, India.
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View Article and Find Full Text PDFIntensive Care Med
January 2025
Critical Care Medicine, Complejo Hospitalario Universitario de Toledo, Toledo, Spain.
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Med Ultrason
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Intensive Care Department, Centro Hospitalar Universitário Lisboa Norte, Faculdade de Medicina, Universidade de Lisboa, Lisbon.
Aim: Diaphragm dysfunction (DD) is a keystone factor in difficult weaning from invasive mechanical ventilation (IMV). Diaphragm ultrasound (DUS) is the preferred method for the evaluation of diaphragm function in the Intensive Care Unit (ICU) setting, namely through the diaphragm thickening fraction (DTF). However, its potential role in the decision-making process of mechanical ventilation weaning is yet to be established.
View Article and Find Full Text PDFPsychosom Med
January 2025
From the Clinic for Psychosomatic Medicine and Psychotherapy, University Hospital Ulm (Balint, Gündel, Haase, Kaw-Geppert, Weimer, Jarczok), Ulm, Germany; Center for Mental Health, Privatklinik Meiringen (Balint), Meiringen, Switzerland; Clinic for Internal Medicine III, Division of Infectious Diseases (Grüner), University Hospital Ulm, Ulm, Germany; and Department of Psychological Science (Thayer), University of California, Irvine, Irvine, California.
Objective: Slow-paced breathing (SPB) with prolonged exhalation is assumed to stimulate vagal reflexes, which is represented by increased heart rate variability (HRV) values. However, most trials were conducted in healthy participants. We sought to evaluate the feasibility of SPB in hospitalized patients with confirmed bilateral COVID-19 pneumonia with major respiratory impairment and to investigate if SPB shows acute increasing effects on HRV measures in these severely ill patients with distinctly reduced vagal tone.
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December 2025
Department of Respiratory and Critical Care Medicine, Beijing Hospital, National Center of Gerontology, Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, Beijing, P.R. China.
Approximately 400 million people live at high altitudes worldwide, yet reference equations for spirometry in these populations are inadequately documented. This study aims to develop reference equations for spirometry and assess their applicability to residents at altitudes ranging from 2,100 to 4,700 metres above sea level. This extensive cross-sectional study encompassed healthy non-smokers aged 15 years or older living at Xinjiang and Tibet autonomous region, which covered eight high-altitude areas by a multistage stratified sampling procedure.
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