Skip to main content
Top
Published in: Sleep and Breathing 2/2009

01-05-2009 | Editorial

Pursed-lips breathing for improved oxygenation at altitude

Author: Martin Burtscher

Published in: Sleep and Breathing | Issue 2/2009

Login to get access

Excerpt

Pursed-lips breathing (PLB) has repeatedly been shown to improve gas exchange with increased arterial oxygenation and saturation (SaO2) and decreased arterial carbon dioxide levels mainly by promoting slow and deep breathing pattern [1]. These effects were observed in healthy subjects at low and high altitude and in patients with many forms of pulmonary edema and those with obstructive lung diseases as well. Several mechanisms, e.g. deep breathing, recruitment of terminal airspaces, and changes regarding the work of breathing, the ventilation-perfusion matching, the alveolar-capillary pressure difference, or hemodynamic conditions, may be differently important for the improvement of oxygenation and the relieve of symptoms under various conditions. …
Literature
1.
go back to reference Mueller R, Petty T, Filley G (1970) Ventilation and arterial blood gas changes induced by pursed-lips breathing. J Appl Physiol 28:784–789PubMed Mueller R, Petty T, Filley G (1970) Ventilation and arterial blood gas changes induced by pursed-lips breathing. J Appl Physiol 28:784–789PubMed
2.
go back to reference Tannheimer M, Tannheimer S, Thomas A, Engelhardt M, Schmidt R (2008) Auto-PEEP in therapy of AMS in one person at 4330 m. Sleep and Breath. Epub ahead of print. doi:10.1007/s11325-008-0237-z Tannheimer M, Tannheimer S, Thomas A, Engelhardt M, Schmidt R (2008) Auto-PEEP in therapy of AMS in one person at 4330 m. Sleep and Breath. Epub ahead of print. doi:10.​1007/​s11325-008-0237-z
3.
go back to reference Larson EB (1985) Positive airway pressure for high-altitude pulmonary oedema. Lancet 1(8425):371–373PubMedCrossRef Larson EB (1985) Positive airway pressure for high-altitude pulmonary oedema. Lancet 1(8425):371–373PubMedCrossRef
4.
go back to reference Schoene RB, Roach RC, Hackett PH, Harrison G, Mills WJ (1985) High altitude pulmonary edema and exercise at 4,400 meters on Mount McKinley. Effect of expiratory positive airway pressure. Chest 87:330–333 Schoene RB, Roach RC, Hackett PH, Harrison G, Mills WJ (1985) High altitude pulmonary edema and exercise at 4,400 meters on Mount McKinley. Effect of expiratory positive airway pressure. Chest 87:330–333
5.
go back to reference Biondi JW, Schulman DS, Soufer R, Matthay RA, Hines RL, Kay HR, Barash PG (1988) The effect of incremental positive end-expiratory pressure on right ventricular hemodynamics and ejection fraction. Anesth Analg 67:144–151PubMedCrossRef Biondi JW, Schulman DS, Soufer R, Matthay RA, Hines RL, Kay HR, Barash PG (1988) The effect of incremental positive end-expiratory pressure on right ventricular hemodynamics and ejection fraction. Anesth Analg 67:144–151PubMedCrossRef
6.
go back to reference Koch RO, Hinterhuber L, Faulhaber M, Gatterer H, Graupner S, Muenzel K, Burtscher M (2009) A successful therapy of high-altitude pulmonary edema with a CPAP helmet on Lenin Peak. Clin J Sport Med 19:72–73 Koch RO, Hinterhuber L, Faulhaber M, Gatterer H, Graupner S, Muenzel K, Burtscher M (2009) A successful therapy of high-altitude pulmonary edema with a CPAP helmet on Lenin Peak. Clin J Sport Med 19:72–73
Metadata
Title
Pursed-lips breathing for improved oxygenation at altitude
Author
Martin Burtscher
Publication date
01-05-2009
Publisher
Springer-Verlag
Published in
Sleep and Breathing / Issue 2/2009
Print ISSN: 1520-9512
Electronic ISSN: 1522-1709
DOI
https://doi.org/10.1007/s11325-008-0241-3

Other articles of this Issue 2/2009

Sleep and Breathing 2/2009 Go to the issue
Live Webinar | 27-06-2024 | 18:00 (CEST)

Keynote webinar | Spotlight on medication adherence

Live: Thursday 27th June 2024, 18:00-19:30 (CEST)

WHO estimates that half of all patients worldwide are non-adherent to their prescribed medication. The consequences of poor adherence can be catastrophic, on both the individual and population level.

Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.

Prof. Kevin Dolgin
Prof. Florian Limbourg
Prof. Anoop Chauhan
Developed by: Springer Medicine
Obesity Clinical Trial Summary

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.

Developed by: Springer Medicine