Abstract

There is a common belief that respiratory mechanics are representative of the lung status and unaffected by the chest wall behaviour. In reality, altered mechanical properties of the chest wall may limit ventilation, influence the work of breathing [1], affect the interaction between the respiratory muscles [2], hasten the development of respiratory failure and interfere with gas exchange [3]. Despite this central role of the chest wall in respiratory function, the understanding of its behavior has evolved slowly due to difficulties in making direct measurements in humans. How-ever, recently several methods have been developed to evaluate chest wall mechanics, allowing better definition of the role of the chest wall in different clinical situations.

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