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. 1983 Mar;38(3):212–215. doi: 10.1136/thx.38.3.212

Clinical assessment of a rebreathing method for measuring pulmonary gas transfer.

N J Russell, L R Bagg, J Dobrzynski, D T Hughes
PMCID: PMC459523  PMID: 6857587

Abstract

A rebreathing method for measuring carbon monoxide transfer factor (TLCO) and transfer coefficient (KCO) is evaluated. The test was performed on 42 subjects. Seventeen of these had normal lung function while the remainder suffered from various conditions, most having fibrosing alveolitis. No patients with severe airways obstruction were included in the group. The results were compared with single-breath measurements and close correlations were found between single-breath KCO and rebreathing KCO (r = 0.78, p less than 0.001) and between single-breath TLCO and rebreathing TLCO (r = 0.97, p less than 0.001). The reasons for discrepancies between single-breath and rebreathing values are discussed. It is concluded that measurement of rebreathing gas transfer is a useful supplement to routine tests of lung function, particularly in breathless patients with a small vital capacity.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. BLAKEMORE W. S., FORSTER R. E., MORTON J. W., OGILVIE C. M. A standardized breath holding technique for the clinical measurement of the diffusing capacity of the lung for carbon monoxide. J Clin Invest. 1957 Jan;36(1 Pt 1):1–17. doi: 10.1172/JCI103402. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. Clark E. H., Jones H. A., Hughes J. M. Bedside rebreathing technique for measuring carbon-monoxide uptake by the lung. Lancet. 1978 Apr 15;1(8068):791–793. doi: 10.1016/s0140-6736(78)92996-3. [DOI] [PubMed] [Google Scholar]
  3. Gildea E. F., Man E. B. THE EFFECT OF EPINEPHRIN ON THE BLOOD LIPOIDS OF NORMAL MAN. J Clin Invest. 1936 May;15(3):295–300. doi: 10.1172/JCI100778. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. JONES R. S., MEADE F. A theoretical and experimental analysis of anomalies in the estimation of pulmonary diffusing capacity by the single breath method. Q J Exp Physiol Cogn Med Sci. 1961 Apr;46:131–143. doi: 10.1113/expphysiol.1961.sp001525. [DOI] [PubMed] [Google Scholar]
  5. Krogh M. The diffusion of gases through the lungs of man. J Physiol. 1915 May 12;49(4):271–300. doi: 10.1113/jphysiol.1915.sp001710. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. LEWIS B. M., LIN T. H., NOE F. E., HAYFORD-WELSING E. J. The measurement of pulmonary diffusing capacity for carbon monoxide by a rebreathing method. J Clin Invest. 1959 Nov;38:2073–2086. doi: 10.1172/JCI103985. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Marshall R. A rebreathing method for measuring carbon monoxide diffusing capacity. A supplement to the single-breath method. Am Rev Respir Dis. 1977 Mar;115(3):537–539. doi: 10.1164/arrd.1977.115.3.537. [DOI] [PubMed] [Google Scholar]
  8. McGRATH M. W., THOMSON M. L. The effect of age, body size and lung volume change on alveolar-capillary permeability and diffusing capacity in man. J Physiol. 1959 Jun 11;146(3):572–582. doi: 10.1113/jphysiol.1959.sp006212. [DOI] [PMC free article] [PubMed] [Google Scholar]

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