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Increased Effective Lung Volume Following Lung Volume Reduction Surgery in EmphysemaPresented by Leslie Wattkis 02/25/02Homan, Sean MSc; Porter, Samu2el MBBS; Peacock, Morris MBBS; Saccoia, Nunzia A CertSc; Southcott, Anne Marie MBBS; Ruffin, Richard MD, FCCPVolume 120(4) October 2001 pp 1157-1162
Emphysema • Hyperinflation • Dyspena • Decrease motility
Pulmonary function test • Residual volume (RV) • Fractional residual capacity (FRC) • Vital capacity (VC) • Force vital capacity (FVC) • Force expiratory volume (FEV1) • Alveolar volume (VA) • Total lung capacity (TLC)
Lung volume reduction surgery (LVRS) • Elastic recoil of the alveoli ( PEL) • Diffusing capacity of the lung for carbon monoxide (DLCO) • Lung diffusion capacity corrected for alveolar ventilation (KCO)
Post LVRS • Perfusion • ventilation • Partial arterial oxygen PaO2 • Carbon dioxide CaO2 • Increase VA • Increase FEV1 • Increase FVC
Emphysema patients that meet the requirements for surgery show significant improvements once the affected area is removed from the rest of lung tissue