Proportional Assist Ventilation and Exercise Tolerance in Subjects With COPD

• Published in: Chest Vol. 111; no. 4; pp. 948 - 954
• Main Authors: Dolmage, Thomas E., Goldstein, Roger S.
• Format: Journal Article
• Language: English
• Published: Northbrook, IL Elsevier Inc 01.04.1997; American College of Chest Physicians
• Subjects: Aged; assisted ventilation; Biological and medical sciences; Chronic obstructive pulmonary disease, asthma; COPD; exercise; Exercise Tolerance; Female; Humans; Lung Diseases, Obstructive - physiopathology; Lung Diseases, Obstructive - therapy; Male; Medical sciences; Middle Aged; Pneumology; Positive-Pressure Respiration; Prospective Studies; rehabilitation; Respiration, Artificial; Respiratory Function Tests; exercise; rehabilitation; assisted ventilation; COPD; Human; Lung disease; Chronic; Breath test; Assisted ventilation; Respiratory disease; Bronchus disease; Exercise tolerance test; Obstructive pulmonary disease; Rehabilitation
• ISSN: 0012-3692; 1931-3543
• DOI: 10.1378/chest.111.4.948

This study determined whether proportional assist ventilation (PAV) applied during constant power submaximal exercise could enable individuals with severe but stable COPD to increase their exercise tolerance. Prospective controlled study having a randomized order of intervention. Pulmonary function exercise laboratory. Ten subjects with severe stable COPD (mean [SD]: age=59 [6] years; FEV1=29 [7]% predicted; FEV1/FVC=33 [7]%; thoracic gas volume=201 [47]% predicted; diffusion of carbon monoxide=36 [10]% predicted; PaO2= 76 [8] mm Hg; and PaCO2=41 [4] mm Hg). Each subject completed five sessions of cycling at 60 to 70% of their maximum power. The sessions differed only in the type of inspiratory assist: (1) baseline (airway pressure [Paw]=0 cm H2O); (2) proportional assist ventilation (PAV) (volume assist=6 [3] cm H2O/L, flow assist=3 [1] cm H2O/L/s); (3) continuous positive airway pressure (CPAP) (5 [2] cm H2O); (4) PAV+CPAP; and (5) sham (Paw=0 cm H2O). Dyspnea was measured using a modified Borg scale. Subjects reached the same level of dyspnea during all sessions but only PAV+CPAP significantly (p<0.05) increased exercise tolerance (12.88 [8.74] min) vs the sham session (6.60 [3.12] min). Exercise time during the PAV and CPAP sessions was 7.10 [2.83] and 8.26 [5.54] min, respectively. Minute ventilation increased during exercise but only during PAV+CPAP was the end exercise minute ventilation greater than the unassisted baseline end exercise minute ventilation (36.2 [6.7] vs 26.6 [6.4] L/min, respectively; p<0.05). In this study, PAV+CPAP provided ventilatory assistance during cycle exercise sufficient to increase the endurance time. It is now appropriate to evaluate whether PAV+CPAP will facilitate exercise training.