Basic Pulmonary Physiology - ACEP · 2018-05-15 · Basic Pulmonary Physiology Joshua Bucher, MD...

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Basic Pulmonary Physiology Joshua Bucher, MD EMS Fellow, Atlantic Health Systems, Morristown Memorial Hospital

Transcript of Basic Pulmonary Physiology - ACEP · 2018-05-15 · Basic Pulmonary Physiology Joshua Bucher, MD...

Page 1: Basic Pulmonary Physiology - ACEP · 2018-05-15 · Basic Pulmonary Physiology Joshua Bucher, MD EMS Fellow, Atlantic Health Systems, Morristown Memorial Hospital . From: Scientific

Basic Pulmonary Physiology Joshua Bucher, MD EMS Fellow, Atlantic Health Systems, Morristown Memorial Hospital

Page 2: Basic Pulmonary Physiology - ACEP · 2018-05-15 · Basic Pulmonary Physiology Joshua Bucher, MD EMS Fellow, Atlantic Health Systems, Morristown Memorial Hospital . From: Scientific
Page 3: Basic Pulmonary Physiology - ACEP · 2018-05-15 · Basic Pulmonary Physiology Joshua Bucher, MD EMS Fellow, Atlantic Health Systems, Morristown Memorial Hospital . From: Scientific

From: Scientific Basis of Lung Function in Health and Disease

Fishman's Pulmonary Diseases and Disorders, 2015

Page 4: Basic Pulmonary Physiology - ACEP · 2018-05-15 · Basic Pulmonary Physiology Joshua Bucher, MD EMS Fellow, Atlantic Health Systems, Morristown Memorial Hospital . From: Scientific

Date of download: 1/14/2016 Copyright © 2016 McGraw-Hill Education. All rights reserved.

From: Functional Design of the Human Lung for Gas Exchange

Fishman's Pulmonary Diseases and Disorders, 2015

Page 5: Basic Pulmonary Physiology - ACEP · 2018-05-15 · Basic Pulmonary Physiology Joshua Bucher, MD EMS Fellow, Atlantic Health Systems, Morristown Memorial Hospital . From: Scientific

Date of download: 1/14/2016 Copyright © 2016 McGraw-Hill Education. All rights reserved.

From: Functional Design of the Human Lung for Gas Exchange

Fishman's Pulmonary Diseases and Disorders, 2015

Page 6: Basic Pulmonary Physiology - ACEP · 2018-05-15 · Basic Pulmonary Physiology Joshua Bucher, MD EMS Fellow, Atlantic Health Systems, Morristown Memorial Hospital . From: Scientific

Copyright © 2016 McGraw-Hill Education. All rights reserved.

From: Functional Design of the Human Lung for Gas Exchange

Fishman's Pulmonary Diseases and Disorders, 2015

Page 7: Basic Pulmonary Physiology - ACEP · 2018-05-15 · Basic Pulmonary Physiology Joshua Bucher, MD EMS Fellow, Atlantic Health Systems, Morristown Memorial Hospital . From: Scientific

Date of download: 1/14/2016 Copyright © 2016 McGraw-Hill Education. All rights reserved.

From: Functional Design of the Human Lung for Gas Exchange

Fishman's Pulmonary Diseases and Disorders, 2015

Page 8: Basic Pulmonary Physiology - ACEP · 2018-05-15 · Basic Pulmonary Physiology Joshua Bucher, MD EMS Fellow, Atlantic Health Systems, Morristown Memorial Hospital . From: Scientific

Date of download: 1/14/2016 Copyright © 2016 McGraw-Hill Education. All rights reserved.

From: Functional Design of the Human Lung for Gas Exchange

Fishman's Pulmonary Diseases and Disorders, 2015

Page 9: Basic Pulmonary Physiology - ACEP · 2018-05-15 · Basic Pulmonary Physiology Joshua Bucher, MD EMS Fellow, Atlantic Health Systems, Morristown Memorial Hospital . From: Scientific

Date of download: 1/14/2016 Copyright © 2016 McGraw-Hill Education. All rights reserved.

From: Functional Design of the Human Lung for Gas Exchange

Fishman's Pulmonary Diseases and Disorders, 2015

Page 10: Basic Pulmonary Physiology - ACEP · 2018-05-15 · Basic Pulmonary Physiology Joshua Bucher, MD EMS Fellow, Atlantic Health Systems, Morristown Memorial Hospital . From: Scientific

Date of download: 1/14/2016 Copyright © 2016 McGraw-Hill Education. All rights reserved.

From: Functional Design of the Human Lung for Gas Exchange

Fishman's Pulmonary Diseases and Disorders, 2015

Page 11: Basic Pulmonary Physiology - ACEP · 2018-05-15 · Basic Pulmonary Physiology Joshua Bucher, MD EMS Fellow, Atlantic Health Systems, Morristown Memorial Hospital . From: Scientific

Date of download: 1/16/2016 Copyright © 2016 McGraw-Hill Education. All rights reserved.

From: Functional Design of the Human Lung for Gas Exchange

Fishman's Pulmonary Diseases and Disorders, 2015

Page 12: Basic Pulmonary Physiology - ACEP · 2018-05-15 · Basic Pulmonary Physiology Joshua Bucher, MD EMS Fellow, Atlantic Health Systems, Morristown Memorial Hospital . From: Scientific

Date of download: 1/16/2016 Copyright © 2016 McGraw-Hill Education. All rights reserved.

Distribution of airways of

diameter du = 2 mm with

respect to (A),

generations of branching

and (B), bronchial

pathway lengths

From: Functional Design of the Human Lung for Gas Exchange

Fishman's Pulmonary Diseases and Disorders, 2015

Page 13: Basic Pulmonary Physiology - ACEP · 2018-05-15 · Basic Pulmonary Physiology Joshua Bucher, MD EMS Fellow, Atlantic Health Systems, Morristown Memorial Hospital . From: Scientific

Date of download: 1/16/2016 Copyright © 2016 McGraw-Hill Education. All rights reserved.

From: Functional Design of the Human Lung for Gas Exchange

Fishman's Pulmonary Diseases and Disorders, 2015

Page 14: Basic Pulmonary Physiology - ACEP · 2018-05-15 · Basic Pulmonary Physiology Joshua Bucher, MD EMS Fellow, Atlantic Health Systems, Morristown Memorial Hospital . From: Scientific

Date of download: 1/16/2016 Copyright © 2016 McGraw-Hill Education. All rights reserved.

From: Functional Design of the Human Lung for Gas Exchange

Fishman's Pulmonary Diseases and Disorders, 2015

Page 15: Basic Pulmonary Physiology - ACEP · 2018-05-15 · Basic Pulmonary Physiology Joshua Bucher, MD EMS Fellow, Atlantic Health Systems, Morristown Memorial Hospital . From: Scientific

Date of download: 2/3/2016 Copyright © 2016 McGraw-Hill Education. All rights reserved.

From: The Respiratory Muscles

Fishman's Pulmonary Diseases and Disorders, 5e, 2015

Page 16: Basic Pulmonary Physiology - ACEP · 2018-05-15 · Basic Pulmonary Physiology Joshua Bucher, MD EMS Fellow, Atlantic Health Systems, Morristown Memorial Hospital . From: Scientific

From: The Respiratory Muscles

Fishman's Pulmonary Diseases and Disorders, 5e, 2015

Page 17: Basic Pulmonary Physiology - ACEP · 2018-05-15 · Basic Pulmonary Physiology Joshua Bucher, MD EMS Fellow, Atlantic Health Systems, Morristown Memorial Hospital . From: Scientific

From: The Respiratory Muscles

Fishman's Pulmonary Diseases and Disorders, 5e, 2015

Page 18: Basic Pulmonary Physiology - ACEP · 2018-05-15 · Basic Pulmonary Physiology Joshua Bucher, MD EMS Fellow, Atlantic Health Systems, Morristown Memorial Hospital . From: Scientific

From: The Respiratory Muscles

Fishman's Pulmonary Diseases and Disorders, 5e, 2015

Page 19: Basic Pulmonary Physiology - ACEP · 2018-05-15 · Basic Pulmonary Physiology Joshua Bucher, MD EMS Fellow, Atlantic Health Systems, Morristown Memorial Hospital . From: Scientific

From: The Respiratory Muscles

Fishman's Pulmonary Diseases and Disorders, 5e, 2015

Page 20: Basic Pulmonary Physiology - ACEP · 2018-05-15 · Basic Pulmonary Physiology Joshua Bucher, MD EMS Fellow, Atlantic Health Systems, Morristown Memorial Hospital . From: Scientific

From: The Respiratory Muscles

Fishman's Pulmonary Diseases and Disorders, 5e, 2015

Page 21: Basic Pulmonary Physiology - ACEP · 2018-05-15 · Basic Pulmonary Physiology Joshua Bucher, MD EMS Fellow, Atlantic Health Systems, Morristown Memorial Hospital . From: Scientific

From: The Respiratory Muscles

Fishman's Pulmonary Diseases and Disorders, 5e, 2015

Page 22: Basic Pulmonary Physiology - ACEP · 2018-05-15 · Basic Pulmonary Physiology Joshua Bucher, MD EMS Fellow, Atlantic Health Systems, Morristown Memorial Hospital . From: Scientific

From: The Respiratory Muscles

Fishman's Pulmonary Diseases and Disorders, 5e, 2015

Page 23: Basic Pulmonary Physiology - ACEP · 2018-05-15 · Basic Pulmonary Physiology Joshua Bucher, MD EMS Fellow, Atlantic Health Systems, Morristown Memorial Hospital . From: Scientific

From: Pulmonary Surfactant and Disorders of Surfactant Homeostasis

Fishman's Pulmonary Diseases and Disorders, 5e, 2015

Page 24: Basic Pulmonary Physiology - ACEP · 2018-05-15 · Basic Pulmonary Physiology Joshua Bucher, MD EMS Fellow, Atlantic Health Systems, Morristown Memorial Hospital . From: Scientific

Surfactant

Complex mixture of phospholipids and protein

Interface between alveolar gas and liquid

Maintains lung volume

Reduces surface tension

ARDS, RDS, premature infants

Page 25: Basic Pulmonary Physiology - ACEP · 2018-05-15 · Basic Pulmonary Physiology Joshua Bucher, MD EMS Fellow, Atlantic Health Systems, Morristown Memorial Hospital . From: Scientific
Page 26: Basic Pulmonary Physiology - ACEP · 2018-05-15 · Basic Pulmonary Physiology Joshua Bucher, MD EMS Fellow, Atlantic Health Systems, Morristown Memorial Hospital . From: Scientific
Page 27: Basic Pulmonary Physiology - ACEP · 2018-05-15 · Basic Pulmonary Physiology Joshua Bucher, MD EMS Fellow, Atlantic Health Systems, Morristown Memorial Hospital . From: Scientific
Page 28: Basic Pulmonary Physiology - ACEP · 2018-05-15 · Basic Pulmonary Physiology Joshua Bucher, MD EMS Fellow, Atlantic Health Systems, Morristown Memorial Hospital . From: Scientific

Oxygen Toxicity is BAD

Page 29: Basic Pulmonary Physiology - ACEP · 2018-05-15 · Basic Pulmonary Physiology Joshua Bucher, MD EMS Fellow, Atlantic Health Systems, Morristown Memorial Hospital . From: Scientific

AMA Citation Ochs M, Weibel ER. Functional Design of the Human

Lung for Gas Exchange.In: Grippi MA, Elias JA, Fishman

JA, Kotloff RM, Pack AI, Senior RM, Siegel

MD. eds. Fishman's Pulmonary Diseases and Disorders,

Fifth Edition. New York, NY: McGraw-Hill;

2015.http://accessmedicine.mhmedical.com/content.aspx

?bookid=1344&Sectionid=72260577. Accessed January

14, 2016.