array:23 [
  "pii" => "S0300289615322481"
  "issn" => "03002896"
  "doi" => "10.1016/S0300-2896(15)32248-1"
  "estado" => "S300"
  "fechaPublicacion" => "1984-05-01"
  "aid" => "72318"
  "copyright" => "Sociedad Española de Neumología y Cirugía Torácica"
  "copyrightAnyo" => "1984"
  "documento" => "article"
  "crossmark" => 0
  "subdocumento" => "fla"
  "cita" => "Arch Bronconeumol. 1984;20:112-7"
  "abierto" => array:3 [
    "ES" => true
    "ES2" => true
    "LATM" => true
  ]
  "gratuito" => true
  "lecturas" => array:2 [
    "total" => 1004
    "formatos" => array:3 [
      "EPUB" => 49
      "HTML" => 549
      "PDF" => 406
    ]
  ]
  "itemSiguiente" => array:18 [
    "pii" => "S0300289615322493"
    "issn" => "03002896"
    "doi" => "10.1016/S0300-2896(15)32249-3"
    "estado" => "S300"
    "fechaPublicacion" => "1984-05-01"
    "aid" => "72319"
    "copyright" => "Sociedad Española de Neumología y Cirugía Torácica"
    "documento" => "article"
    "crossmark" => 0
    "subdocumento" => "fla"
    "cita" => "Arch Bronconeumol. 1984;20:118-22"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 1171
      "formatos" => array:3 [
        "EPUB" => 56
        "HTML" => 611
        "PDF" => 504
      ]
    ]
    "es" => array:10 [
      "idiomaDefecto" => true
      "titulo" => "Tuberculosis pulmonar y pleural diagnosticadas y tratadas en una unidad neumologica de un hospital general. Analisis de eficiencia"
      "tienePdf" => "es"
      "tieneTextoCompleto" => 0
      "tieneResumen" => array:2 [
        0 => "es"
        1 => "en"
      ]
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "118"
          "paginaFinal" => "122"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "en" => array:1 [
          "titulo" => "Lung and pleural tuberculosis diagnosed and treated in a chest service of a general hospital. Efficiency analysis"
        ]
      ]
      "contieneResumen" => array:2 [
        "es" => true
        "en" => true
      ]
      "contienePdf" => array:1 [
        "es" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "J.I. Garcia Del Palacio, A. Lopez Encuentra, J.M. Fernandez Sanchez-Alarcos, J.M. Ignacio Garcia, M.R. Melchor Iñiguez, P. Martin Escribano"
          "autores" => array:6 [
            0 => array:2 [
              "nombre" => "J.I."
              "apellidos" => "Garcia Del Palacio"
            ]
            1 => array:2 [
              "nombre" => "A."
              "apellidos" => "Lopez Encuentra"
            ]
            2 => array:2 [
              "nombre" => "J.M."
              "apellidos" => "Fernandez Sanchez-Alarcos"
            ]
            3 => array:2 [
              "nombre" => "J.M."
              "apellidos" => "Ignacio Garcia"
            ]
            4 => array:2 [
              "nombre" => "M.R."
              "apellidos" => "Melchor Iñiguez"
            ]
            5 => array:2 [
              "nombre" => "P."
              "apellidos" => "Martin Escribano"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "es"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289615322493?idApp=UINPBA00003Z"
    "url" => "/03002896/0000002000000003/v1_201509151156/S0300289615322493/v1_201509151156/es/main.assets"
  ]
  "itemAnterior" => array:18 [
    "pii" => "S030028961532247X"
    "issn" => "03002896"
    "doi" => "10.1016/S0300-2896(15)32247-X"
    "estado" => "S300"
    "fechaPublicacion" => "1984-05-01"
    "aid" => "72317"
    "copyright" => "Sociedad Española de Neumología y Cirugía Torácica"
    "documento" => "article"
    "crossmark" => 0
    "subdocumento" => "fla"
    "cita" => "Arch Bronconeumol. 1984;20:105-11"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 1018
      "formatos" => array:3 [
        "EPUB" => 53
        "HTML" => 484
        "PDF" => 481
      ]
    ]
    "es" => array:10 [
      "idiomaDefecto" => true
      "titulo" => "Mesotelioma pleural: utilidad de la toracoscopia en su diagnostico y tratamiento"
      "tienePdf" => "es"
      "tieneTextoCompleto" => 0
      "tieneResumen" => array:2 [
        0 => "es"
        1 => "en"
      ]
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "105"
          "paginaFinal" => "111"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "en" => array:1 [
          "titulo" => "The usefulness of thoracoscopy in the diagnosis and treatment of pleural mesothelioma"
        ]
      ]
      "contieneResumen" => array:2 [
        "es" => true
        "en" => true
      ]
      "contienePdf" => array:1 [
        "es" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "F. Sebastian Quetglas, A. Fernandez Lopez, L. Muñoz Cabrera, J. Lopez Pujol, F. Lopez Rubio"
          "autores" => array:5 [
            0 => array:2 [
              "nombre" => "F."
              "apellidos" => "Sebastian Quetglas"
            ]
            1 => array:2 [
              "nombre" => "A."
              "apellidos" => "Fernandez Lopez"
            ]
            2 => array:2 [
              "nombre" => "L."
              "apellidos" => "Muñoz Cabrera"
            ]
            3 => array:2 [
              "nombre" => "J."
              "apellidos" => "Lopez Pujol"
            ]
            4 => array:2 [
              "nombre" => "F."
              "apellidos" => "Lopez Rubio"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "es"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S030028961532247X?idApp=UINPBA00003Z"
    "url" => "/03002896/0000002000000003/v1_201509151156/S030028961532247X/v1_201509151156/es/main.assets"
  ]
  "es" => array:13 [
    "idiomaDefecto" => true
    "titulo" => "Valoracion del efecto broncodilatador en la curva de flujo-volumen segun diferentes metodos de medida"
    "tieneTextoCompleto" => 0
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "112"
        "paginaFinal" => "117"
      ]
    ]
    "autores" => array:1 [
      0 => array:3 [
        "autoresLista" => "P. Morales Marin, R. Navarro Ivañez, B. Togores Solivellas, J. Gil Carbonell, V. Macian Gisbert, E. Benlloch Garcia, V. Marco Martinez"
        "autores" => array:7 [
          0 => array:2 [
            "nombre" => "P."
            "apellidos" => "Morales Marin"
          ]
          1 => array:2 [
            "nombre" => "R."
            "apellidos" => "Navarro Ivañez"
          ]
          2 => array:2 [
            "nombre" => "B."
            "apellidos" => "Togores Solivellas"
          ]
          3 => array:2 [
            "nombre" => "J."
            "apellidos" => "Gil Carbonell"
          ]
          4 => array:2 [
            "nombre" => "V."
            "apellidos" => "Macian Gisbert"
          ]
          5 => array:2 [
            "nombre" => "E."
            "apellidos" => "Benlloch Garcia"
          ]
          6 => array:2 [
            "nombre" => "V."
            "apellidos" => "Marco Martinez"
          ]
        ]
        "afiliaciones" => array:1 [
          0 => array:2 [
            "entidad" => "Servicio de Neumología. Ciudad Sanitaria La Fe. Valencia"
            "identificador" => "aff0005"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "en" => array:1 [
        "titulo" => "Evaluation of the bronchodilator effect in the flow-volume curve by different measuring methods"
      ]
    ]
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "fechaRecibido" => "1983-06-06"
    "fechaAceptado" => "1983-09-24"
    "tieneResumen" => true
    "resumen" => array:2 [
      "es" => array:1 [
        "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">En el asm&#225;tico&#44; la modificaci&#243;n que se produce en los vol&#250;menes pulmonares&#44; tras inhalaci&#243;n de un broncodilatador&#44; puede resultar en un cambio del segmento de volumen al cual se midan los flujos espiratorios forzados&#46; Nosotros hemos analizado en 15 asm&#225;ticos&#44; el comportamiento de los vol&#250;menes pulmonares tras la administraci&#243;n de 200 mcg de salbutamol y su repercusi&#243;n en el flujo espiratorio al 50&#37; de la capacidad vital forzada &#40;V&#183;50&#41; en la curva de flujo-volumen&#44; utilizando tres m&#233;todos&#58; curvas basal y postbroncodilatador independientes&#59; curvas superpuestas al punto de m&#225;xima inflaci&#243;n&#44; midiendo el V&#183;50 postbroncodilatador en el punto de la capacidad vital forzada correspondiente al V&#183;50 de la curva basal&#59; curvas situadas a partir del volumen residual correspondiente&#44; midiendo el V&#183;50 como en el m&#233;todo anterior&#46; La capacidad vital forzada &#40;FVC&#41; aument&#243; un 6&#44;6&#37; y el volumen residual &#40;RV&#41; disminuy&#243; un 15&#44;9&#37;&#46; La capacidad pulmonar total &#40;TLC&#41; globalmente permaneci&#243; inmodificada aunque en tres casos disminuy&#243;&#46; En los pacientes en los que la TLC no se modific&#243;&#44; el incremento del V&#183;50 fue significativamente mayor &#40;p &#60; 0&#44;01&#41; por los m&#233;todos II &#40;&#916; V&#183;50&#59; 69&#44;9&#37;&#41; y III &#40;&#916; V&#183;50&#59; 72&#44;3 &#60;&#37;&#41;&#44; que por el m&#233;todo I &#40;&#916; V&#183;50&#59; 56&#44;6&#37;&#41;&#44; mientras que no hubo diferencias entre estos dos m&#233;todos excepto por peque&#241;as discrepancias debidas a la variabilidad en la determinaci&#243;n del RV&#46; Por tanto&#44; como en la mayor&#237;a de los casos la TLC no se modifica pero s&#237; aumenta la FVC&#44; el m&#233;todo I sistem&#225;ticamente infraestima la respuesta broncodilatadora&#46; Por el contrario en los que la TLC disminuye puede sobrestimarla el m&#233;todo II&#46; Aunque el m&#233;todo III seria el ideal&#44; no es pr&#225;ctico y se obtiene la misma informaci&#243;n observando el comportamiento de la FVC adem&#225;s de los flujos espiratorios&#46; Estos m&#233;todos podr&#237;an ser &#250;tiles&#44; sin embargo&#44; para estudios comparativos entre diferentes f&#225;rmacos&#46;</p></span>"
      ]
      "en" => array:1 [
        "resumen" => "<span id="abst0010" class="elsevierStyleSection elsevierViewall"><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">The changes in lung volumes that occur in the asthmatic patient after inhalation of a bronchodilator may result in a change of the volume segment used for estimating forced expiratory flows&#46; We have analyzed in 15 patients the changes in lung volumes after the administration of 200 mcg of salbutamol and their influence on the expiratory flow at 50&#37; of forced vital capacity &#40;V&#183;50&#41; in the flow-volume curve by using three methods&#58; baseline curves and independent post-bronchodilator curves&#59; curves superposed to the maximal inflation point measuring post-bronchodiiator V&#183;50 on the forced vital capacity corresponding to the baseline curve V&#183;50&#59; curves situated from the corresponding residual volume by measuring V&#183;50 as in the previous method&#46; Forced vital capacity &#40;FVC&#41; increased 6&#46;6&#37; and residual volume &#40;RV&#41; decreased 15&#46;9&#37;&#46; The overall total lung capacity was not modified although it diminished in three cases&#46; In those patients with non-modified TLC&#44; the increase of V&#183;50 was significantly higher &#40;p &#60; 0&#46;01&#41; by methods II &#40;&#916; V&#183;50&#58; 69&#46;9&#37;&#41; and III &#40;&#916; V&#183;50&#58; 72&#46;3&#37;&#41; than by method I &#40;&#916; V&#183;50&#58; 56&#46;6&#37;&#41;&#44; while there were no differences between these two methods except for small discrepancies due to the variability of RV determination&#46; Therefore&#44; since most of the times TLC is not modified but FVC increases&#44; method I systematically underestimates the bronchodilator response&#46; On the other hand&#44; method II may overestimate it when TLC diminishes&#46; Although the ideal method would be method III&#44; it is not practical and the same information is obtained by observing the changes of FVC in adition to the expiratory flows&#46; Nevertheless&#44; it could be useful in comparative studies of different drugs&#46;</p></span>"
      ]
    ]
    "bibliografia" => array:2 [
      "titulo" => "Bibliografia"
      "seccion" => array:1 [
        0 => array:2 [
          "identificador" => "bibs0005"
          "bibliografiaReferencia" => array:14 [
            0 => array:3 [
              "identificador" => "bib0005"
              "etiqueta" => "1&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "A method for interpreting acute response to bronchodilators from the spirogram"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "C&#46;R&#46; Olsen"
                            1 => "F&#46;C&#46; Hale"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Ara Rev Respir Dis"
                        "fecha" => "1968"
                        "volumen" => "98"
                        "paginaInicial" => "301"
                        "paginaFinal" => "303"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib0010"
              "etiqueta" => "2&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Maximal expiratory flow and total respiratory resistance during induced bronchoconstriction in asthmatic subjets"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "J&#46;T&#46; Olive Jr&#46;"
                            1 => "R&#46;E&#46; Hyatt"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1164/arrd.1972.106.3.366"
                      "Revista" => array:6 [
                        "tituloSerie" => "Am Rev Respir Dis"
                        "fecha" => "1972"
                        "volumen" => "106"
                        "paginaInicial" => "366"
                        "paginaFinal" => "376"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/5080708"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            2 => array:3 [
              "identificador" => "bib0015"
              "etiqueta" => "3&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "The significanceof volume-adjusting the maximal midexpiratory flow in assessing the response to a bronchodilator drug"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "C&#46;B&#46; Sherter"
                            1 => "J&#46;J&#46; Connolly"
                            2 => "D&#46;P&#46; Schilder"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:7 [
                        "tituloSerie" => "Chest"
                        "fecha" => "1978"
                        "volumen" => "73"
                        "paginaInicial" => "568"
                        "paginaFinal" => "571"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/648206"
                            "web" => "Medline"
                          ]
                        ]
                        "itemHostRev" => array:3 [
                          "pii" => "S0920996413004659"
                          "estado" => "S300"
                          "issn" => "09209964"
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            3 => array:3 [
              "identificador" => "bib0020"
              "etiqueta" => "4&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Volume adjustment of maximal midexpiratory flow Importance of changes in total lung capacity"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "D&#46;W&#46; Cockcroft"
                            1 => "B&#46;A&#46; Berscheid"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Chest"
                        "fecha" => "1980"
                        "volumen" => "78"
                        "paginaInicial" => "595"
                        "paginaFinal" => "600"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7418483"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            4 => array:3 [
              "identificador" => "bib0025"
              "etiqueta" => "5&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Letter to the Editor"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "D&#46;B&#46; Teculescu"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Chest"
                        "fecha" => "1981"
                        "volumen" => "80"
                        "paginaInicial" => "765"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7307607"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            5 => array:3 [
              "identificador" => "bib0030"
              "etiqueta" => "6&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Volume-adjusting the FEF25-75&#37; When is change significant&#63;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "C&#46;B&#46; Sherter"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Chest"
                        "fecha" => "1980"
                        "volumen" => "78"
                        "paginaInicial" => "551"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7418478"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            6 => array:3 [
              "identificador" => "bib0035"
              "etiqueta" => "7&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Epidemiology standardization project"
                      "autores" => array:1 [
                        0 => array:2 [
                          "colaboracion" => "American Thoracic Society"
                          "etal" => false
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1164/arrd.1978.118.1.75"
                      "Revista" => array:7 [
                        "tituloSerie" => "Am Rev Respir Dis"
                        "fecha" => "1978"
                        "volumen" => "118"
                        "numero" => "6 Part 2"
                        "paginaInicial" => "75"
                        "paginaFinal" => "77"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/677560"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            7 => array:3 [
              "identificador" => "bib0040"
              "etiqueta" => "8&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Lung volumes in exacerbations of asthma"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "A&#46;J&#46; Woolcock"
                            1 => "J&#46; Read"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Am J Med"
                        "fecha" => "1966"
                        "volumen" => "41"
                        "paginaInicial" => "259"
                        "paginaFinal" => "273"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/5912303"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            8 => array:3 [
              "identificador" => "bib0045"
              "etiqueta" => "9&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Pulmonary function in bronchial asthma"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "P&#46; Meisner"
                            1 => "P&#46; Hugh-Jones"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Brit Med J"
                        "fecha" => "1968"
                        "volumen" => "1"
                        "paginaInicial" => "470"
                        "paginaFinal" => "475"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/837168"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            9 => array:3 [
              "identificador" => "bib0050"
              "etiqueta" => "10&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Acute&#46; bronchial asthma Relations between clinical and physiologic manifestations"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "E&#46;R&#46; Mc Fadden Jr&#46;"
                            1 => "R&#46; Kiser"
                            2 => "W&#46;J&#46; De Groot"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "N Eng J Med"
                        "fecha" => "1973"
                        "volumen" => "288"
                        "paginaInicial" => "221"
                        "paginaFinal" => "226"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            10 => array:3 [
              "identificador" => "bib0055"
              "etiqueta" => "11&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Significance of the relationship between lung recoil and maximum expiratory flow"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "J&#46; Mead"
                            1 => "J&#46;M&#46; Turner"
                            2 => "P&#46;T&#46; Macklem"
                            3 => "J&#46;B&#46; Little"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "J Appl Physiol"
                        "fecha" => "1967"
                        "volumen" => "22"
                        "paginaInicial" => "95"
                        "paginaFinal" => "108"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/6017658"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            11 => array:3 [
              "identificador" => "bib0060"
              "etiqueta" => "12&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Lung volume changes in asthma measured concurrently by two methods"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "A&#46;J&#46; Woolcock"
                            1 => "A&#46;S&#46; Rebuck"
                            2 => "J&#46;F&#46; Cade"
                            3 => "J&#46; Read"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1164/arrd.1971.104.5.703"
                      "Revista" => array:6 [
                        "tituloSerie" => "Am Rev Respir Dis"
                        "fecha" => "1971"
                        "volumen" => "104"
                        "paginaInicial" => "703"
                        "paginaFinal" => "709"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/4942104"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            12 => array:3 [
              "identificador" => "bib0065"
              "etiqueta" => "13&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Reassessment of lung volume measurement by helium dilution and by body plethysmography in chronic air-flow obstruction"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "D&#46;O&#46; Rodenstein"
                            1 => "D&#46;C&#46; Stanescu"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1164/arrd.1982.126.6.1040"
                      "Revista" => array:6 [
                        "tituloSerie" => "Am Rev Respir Dis"
                        "fecha" => "1982"
                        "volumen" => "126"
                        "paginaInicial" => "1040"
                        "paginaFinal" => "1044"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7181224"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            13 => array:3 [
              "identificador" => "bib0070"
              "etiqueta" => "14&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Changes in lung mechanics&#58; flow-volume relations"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "R&#46;E&#46; Hyatt"
                            1 => "J&#46; Mead"
                            2 => "J&#46;R&#46; Rodarte"
                            3 => "T&#46;A&#46; Wilson"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "LibroEditado" => array:4 [
                        "titulo" => "The lung in the transition between health and disease&#46;"
                        "paginaInicial" => "73"
                        "paginaFinal" => "112"
                        "serieFecha" => "1979"
                      ]
                    ]
                  ]
                ]
              ]
            ]
          ]
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "es"
  "url" => "/03002896/0000002000000003/v1_201509151156/S0300289615322481/v1_201509151156/es/main.assets"
  "Apartado" => array:4 [
    "identificador" => "9277"
    "tipo" => "SECCION"
    "en" => array:2 [
      "titulo" => "Originales"
      "idiomaDefecto" => true
    ]
    "idiomaDefecto" => "en"
  ]
  "PDF" => "https://static.elsevier.es/multimedia/03002896/0000002000000003/v1_201509151156/S0300289615322481/v1_201509151156/es/main.pdf?idApp=UINPBA00003Z&text.app=https://archbronconeumol.org/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289615322481?idApp=UINPBA00003Z"
]
Share
Journal Information
Vol. 20. Issue 3.
Pages 112-117 (May - June 1984)
Share
Share
Download PDF
More article options
Vol. 20. Issue 3.
Pages 112-117 (May - June 1984)
Full text access
Valoracion del efecto broncodilatador en la curva de flujo-volumen segun diferentes metodos de medida
Evaluation of the bronchodilator effect in the flow-volume curve by different measuring methods
Visits
2772
P. Morales Marin, R. Navarro Ivañez, B. Togores Solivellas, J. Gil Carbonell, V. Macian Gisbert, E. Benlloch Garcia, V. Marco Martinez
Servicio de Neumología. Ciudad Sanitaria La Fe. Valencia
This item has received
Article information

En el asmático, la modificación que se produce en los volúmenes pulmonares, tras inhalación de un broncodilatador, puede resultar en un cambio del segmento de volumen al cual se midan los flujos espiratorios forzados. Nosotros hemos analizado en 15 asmáticos, el comportamiento de los volúmenes pulmonares tras la administración de 200 mcg de salbutamol y su repercusión en el flujo espiratorio al 50% de la capacidad vital forzada (V·50) en la curva de flujo-volumen, utilizando tres métodos: curvas basal y postbroncodilatador independientes; curvas superpuestas al punto de máxima inflación, midiendo el V·50 postbroncodilatador en el punto de la capacidad vital forzada correspondiente al V·50 de la curva basal; curvas situadas a partir del volumen residual correspondiente, midiendo el V·50 como en el método anterior. La capacidad vital forzada (FVC) aumentó un 6,6% y el volumen residual (RV) disminuyó un 15,9%. La capacidad pulmonar total (TLC) globalmente permaneció inmodificada aunque en tres casos disminuyó. En los pacientes en los que la TLC no se modificó, el incremento del V·50 fue significativamente mayor (p < 0,01) por los métodos II (Δ V·50; 69,9%) y III (Δ V·50; 72,3 <%), que por el método I (Δ V·50; 56,6%), mientras que no hubo diferencias entre estos dos métodos excepto por pequeñas discrepancias debidas a la variabilidad en la determinación del RV. Por tanto, como en la mayoría de los casos la TLC no se modifica pero sí aumenta la FVC, el método I sistemáticamente infraestima la respuesta broncodilatadora. Por el contrario en los que la TLC disminuye puede sobrestimarla el método II. Aunque el método III seria el ideal, no es práctico y se obtiene la misma información observando el comportamiento de la FVC además de los flujos espiratorios. Estos métodos podrían ser útiles, sin embargo, para estudios comparativos entre diferentes fármacos.

The changes in lung volumes that occur in the asthmatic patient after inhalation of a bronchodilator may result in a change of the volume segment used for estimating forced expiratory flows. We have analyzed in 15 patients the changes in lung volumes after the administration of 200 mcg of salbutamol and their influence on the expiratory flow at 50% of forced vital capacity (V·50) in the flow-volume curve by using three methods: baseline curves and independent post-bronchodilator curves; curves superposed to the maximal inflation point measuring post-bronchodiiator V·50 on the forced vital capacity corresponding to the baseline curve V·50; curves situated from the corresponding residual volume by measuring V·50 as in the previous method. Forced vital capacity (FVC) increased 6.6% and residual volume (RV) decreased 15.9%. The overall total lung capacity was not modified although it diminished in three cases. In those patients with non-modified TLC, the increase of V·50 was significantly higher (p < 0.01) by methods II (Δ V·50: 69.9%) and III (Δ V·50: 72.3%) than by method I (Δ V·50: 56.6%), while there were no differences between these two methods except for small discrepancies due to the variability of RV determination. Therefore, since most of the times TLC is not modified but FVC increases, method I systematically underestimates the bronchodilator response. On the other hand, method II may overestimate it when TLC diminishes. Although the ideal method would be method III, it is not practical and the same information is obtained by observing the changes of FVC in adition to the expiratory flows. Nevertheless, it could be useful in comparative studies of different drugs.

Full text is only aviable in PDF
Bibliografia
[1.]
C.R. Olsen, F.C. Hale.
A method for interpreting acute response to bronchodilators from the spirogram.
Ara Rev Respir Dis, 98 (1968), pp. 301-303
[2.]
J.T. Olive Jr., R.E. Hyatt.
Maximal expiratory flow and total respiratory resistance during induced bronchoconstriction in asthmatic subjets.
Am Rev Respir Dis, 106 (1972), pp. 366-376
[3.]
C.B. Sherter, J.J. Connolly, D.P. Schilder.
The significanceof volume-adjusting the maximal midexpiratory flow in assessing the response to a bronchodilator drug.
Chest, 73 (1978), pp. 568-571
[4.]
D.W. Cockcroft, B.A. Berscheid.
Volume adjustment of maximal midexpiratory flow Importance of changes in total lung capacity.
Chest, 78 (1980), pp. 595-600
[5.]
D.B. Teculescu.
Letter to the Editor.
Chest, 80 (1981), pp. 765
[6.]
C.B. Sherter.
Volume-adjusting the FEF25-75% When is change significant?.
Chest, 78 (1980), pp. 551
[7.]
American Thoracic Society.
Epidemiology standardization project.
Am Rev Respir Dis, 118 (1978), pp. 75-77
[8.]
A.J. Woolcock, J. Read.
Lung volumes in exacerbations of asthma.
Am J Med, 41 (1966), pp. 259-273
[9.]
P. Meisner, P. Hugh-Jones.
Pulmonary function in bronchial asthma.
Brit Med J, 1 (1968), pp. 470-475
[10.]
E.R. Mc Fadden Jr., R. Kiser, W.J. De Groot.
Acute. bronchial asthma Relations between clinical and physiologic manifestations.
N Eng J Med, 288 (1973), pp. 221-226
[11.]
J. Mead, J.M. Turner, P.T. Macklem, J.B. Little.
Significance of the relationship between lung recoil and maximum expiratory flow.
J Appl Physiol, 22 (1967), pp. 95-108
[12.]
A.J. Woolcock, A.S. Rebuck, J.F. Cade, J. Read.
Lung volume changes in asthma measured concurrently by two methods.
Am Rev Respir Dis, 104 (1971), pp. 703-709
[13.]
D.O. Rodenstein, D.C. Stanescu.
Reassessment of lung volume measurement by helium dilution and by body plethysmography in chronic air-flow obstruction.
Am Rev Respir Dis, 126 (1982), pp. 1040-1044
[14.]
R.E. Hyatt, J. Mead, J.R. Rodarte, T.A. Wilson.
Changes in lung mechanics: flow-volume relations.
The lung in the transition between health and disease., pp. 73-112
Copyright © 1984. Sociedad Española de Neumología y Cirugía Torácica
Archivos de Bronconeumología
Article options
Tools

Are you a health professional able to prescribe or dispense drugs?