Skip to main content
Thorax logoLink to Thorax
. 1981 Feb;36(2):99–107. doi: 10.1136/thx.36.2.99

Auscultation of the lung: past lessons, future possibilities.

R L Murphy
PMCID: PMC471451  PMID: 7268687

Abstract

Review of the history of auscultation of the lung reveals few scientific investigations. The majority of these have led to inconclusive results. The mechanism of production of normal breath sounds remains uncertain. Hypotheses for the generation of adventitious sounds are unproven. Advances in instrumentation for lung sound recording and analysis have provided little of clinical value. There has been a recent resurgence of interest in lung sounds. Space-age technology has improved methodology for sonic analysis significantly. Lung sounds are complex signals that probably reflect regional lung pathophysiology. If they were understood more clearly important non-invasive diagnostic tools could be devised and the value of clinical auscultation could be improved. A multidisciplinary effort will be required to achieve this.

Full text

PDF
99

Selected References

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

  1. COCHRANE A. L., GARLAND L. H. Observer error in the interpretation of chest films; an international investigation. Lancet. 1952 Sep 13;2(6733):505–509. doi: 10.1016/s0140-6736(52)90291-2. [DOI] [PubMed] [Google Scholar]
  2. Cugell D. W. Use of tape recordings of respiratory sound and breathing pattern for instruction in pulmonary auscultation. Am Rev Respir Dis. 1971 Dec;104(6):948–950. doi: 10.1164/arrd.1971.104.6.948. [DOI] [PubMed] [Google Scholar]
  3. EBINA T., TOSHIMA M., FUKUSHI K., KIKUCHI Y., OKUYAMA D. Klinische Anwendung elektrisch registrierter Atemgeräusche. Beitr Klin Tuberk Spezif Tuberkuloseforsch. 1956;115(4):276–281. [PubMed] [Google Scholar]
  4. FLETCHER C. M. The clinical diagnosis of pulmonary emphysema; an experimental study. Proc R Soc Med. 1952 Sep;45(9):577–584. [PubMed] [Google Scholar]
  5. Felson B., Morgan W. K., Bristol L. J., Pendergrass E. P., Dessen E. L., Linton O. W., Reger R. B. Observations on the results of multiple readings of chest films in coal miners' pneumoconiosis. Radiology. 1973 Oct;109(1):19–23. doi: 10.1148/109.1.19. [DOI] [PubMed] [Google Scholar]
  6. Forgacs P. Crackles and wheezes. Lancet. 1967 Jul 22;2(7508):203–205. doi: 10.1016/s0140-6736(67)90024-4. [DOI] [PubMed] [Google Scholar]
  7. Forgacs P. Lung sounds. Br J Dis Chest. 1969 Jan;63(1):1–12. doi: 10.1016/s0007-0971(69)80039-2. [DOI] [PubMed] [Google Scholar]
  8. Forgacs P. Lung sounds. Br J Dis Chest. 1969 Jan;63(1):1–12. doi: 10.1016/s0007-0971(69)80039-2. [DOI] [PubMed] [Google Scholar]
  9. Forgacs P., Nathoo A. R., Richardson H. D. Breath sounds. Thorax. 1971 May;26(3):288–295. doi: 10.1136/thx.26.3.288. [DOI] [PMC free article] [PubMed] [Google Scholar]
  10. Grassi C., Marinone G., Morandini G. C., Pernice A., Puglisi M. Normal and pathological respiratory sounds analyzed by means of a new phonopneumographic apparatus. Respiration. 1976;33(4):315–324. doi: 10.1159/000193747. [DOI] [PubMed] [Google Scholar]
  11. Hardin J. C., Patterson J. L., Jr Monitoring the state of the human airways by analysis of respiratory sound. Acta Astronaut. 1979 Sep;6(9):1137–1151. doi: 10.1016/0094-5765(79)90061-4. [DOI] [PubMed] [Google Scholar]
  12. Jalil A., Aronovitch M. Recording and analysis of breath sounds in normal individuals. Indian J Chest Dis. 1966 Jul;8(3):158–concl. [PubMed] [Google Scholar]
  13. Klebanov M. A. Fonorespirografiia i perspektivy ee ispol'zovaniia. Ter Arkh. 1969 Mar;41(3):57–63. [PubMed] [Google Scholar]
  14. Koran L. M. The reliability of clinical methods, data and judgments (first of two parts). N Engl J Med. 1975 Sep 25;293(13):642–646. doi: 10.1056/NEJM197509252931307. [DOI] [PubMed] [Google Scholar]
  15. Kraman S. S. Determination of the site of production of respiratory sounds by subtraction phonopneumography. Am Rev Respir Dis. 1980 Aug;122(2):303–309. doi: 10.1164/arrd.1980.122.2.303. [DOI] [PubMed] [Google Scholar]
  16. Leblanc P., Macklem P. T., Ross W. R. Breath sounds and distribution of pulmonary ventilation. Am Rev Respir Dis. 1970 Jul;102(1):10–16. doi: 10.1164/arrd.1970.102.1.10. [DOI] [PubMed] [Google Scholar]
  17. McKUSICK V. A., JENKINS J. T., WEBB G. N. The acoustic basis of the chest examination; studies by means of sound spectrography. Am Rev Tuberc. 1955 Jul;72(1):12–34. doi: 10.1164/artpd.1955.72.1.12. [DOI] [PubMed] [Google Scholar]
  18. Murphy R. L., Jr, Sorensen K. Chest auscultation in the diagnosis of pulmonary asbestosis. J Occup Med. 1973 Mar;15(3):272–276. [PubMed] [Google Scholar]
  19. Nairn J. R., Turner-Warwick M. Breath sounds in emphysema. Br J Dis Chest. 1969 Jan;63(1):29–37. doi: 10.1016/s0007-0971(69)80041-0. [DOI] [PubMed] [Google Scholar]
  20. Nath A. R., Capel L. H. Inspiratory crackles and mechanical events of breathing. Thorax. 1974 Nov;29(6):695–698. doi: 10.1136/thx.29.6.695. [DOI] [PMC free article] [PubMed] [Google Scholar]
  21. Pardee N. E., Martin C. J., Morgan E. H. A test of the practical value of estimating breath sound intensity. Breath sounds related to measured ventilatory function. Chest. 1976 Sep;70(03):341–344. doi: 10.1378/chest.70.3.341. [DOI] [PubMed] [Google Scholar]
  22. Ploy-Song-Sang Y., Martin R. R., Ross W. R., Loudon R. G., Macklem P. T. Breath sounds and regional ventilation. Am Rev Respir Dis. 1977 Aug;116(2):187–199. doi: 10.1164/arrd.1977.116.2.187. [DOI] [PubMed] [Google Scholar]
  23. ROBERTSON A. J., COOPE R. Rales, rhonchi, and Laennec. Lancet. 1957 Aug 31;273(6992):417–423. doi: 10.1016/s0140-6736(57)92359-0. [DOI] [PubMed] [Google Scholar]
  24. SCHNEIDER I. C., ANDERSON A. E., Jr CORRELATION OF CLINICAL SIGNS WITH VENTILATORY FUNCTION IN OBSTRUCTIVE LUNG DISEASE. Ann Intern Med. 1965 Mar;62:477–485. doi: 10.7326/0003-4819-62-3-477. [DOI] [PubMed] [Google Scholar]
  25. SCHNEIDER I. C., ANDERSON A. E., Jr CORRELATION OF CLINICAL SIGNS WITH VENTILATORY FUNCTION IN OBSTRUCTIVE LUNG DISEASE. Ann Intern Med. 1965 Mar;62:477–485. doi: 10.7326/0003-4819-62-3-477. [DOI] [PubMed] [Google Scholar]
  26. Weiss E. B., Carlson C. J. Recording of breath sounds. Am Rev Respir Dis. 1972 May;105(5):835–839. doi: 10.1164/arrd.1972.105.5.835. [DOI] [PubMed] [Google Scholar]
  27. Zislin D. M., Rozenblat V. V., Likhacheva E. I. Ob'ektivnoe issledovanie dykhatel'nykh shumov s pomoshch'iu chastotnogo analiza. Ter Arkh. 1969 Nov;41(11):108–113. [PubMed] [Google Scholar]

Articles from Thorax are provided here courtesy of BMJ Publishing Group

RESOURCES