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Anatomy and Neurophysiology of Coughing: CHEST Guideline and Expert Panel Report

Canning, Brendan J., Chang, Anne B., Bolser, Donald C., Smith, Jaclyn A., Mazzone, Stuart B. and McGarvey, Lorcan (2014). Anatomy and Neurophysiology of Coughing: CHEST Guideline and Expert Panel Report. Chest,146(6):1633-1648.

Document type: Journal Article
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IRMA ID cmartelxPUB187
Title Anatomy and Neurophysiology of Coughing: CHEST Guideline and Expert Panel Report
Author Canning, Brendan J.
Chang, Anne B.
Bolser, Donald C.
Smith, Jaclyn A.
Mazzone, Stuart B.
McGarvey, Lorcan
Journal Name Chest
Publication Date 2014
Volume Number 146
Issue Number 6
ISSN 0012-3692   (check CDU catalogue open catalogue search in new window)
Start Page 1633
End Page 1648
Total Pages 16
Place of Publication United States of America
Publisher American College of Chest Physicians
HERDC Category C1 - Journal Article (DIISR)
Abstract Bronchopulmonary C-fibers and a subset of mechanically sensitive, acid-sensitive myelinated sensory nerves play essential roles in regulating cough. These vagal sensory nerves terminate primarily in the larynx, trachea, carina, and large intrapulmonary bronchi. Other bronchopulmonary sensory nerves, sensory nerves innervating other viscera, as well as somatosensory nerves innervating the chest wall, diaphragm, and abdominal musculature regulate cough patterning and cough sensitivity. The responsiveness and morphology of the airway vagal sensory nerve subtypes and the extrapulmonary sensory nerves that regulate coughing are described. The brainstem and higher brain control systems that process this sensory information are complex, but our current understanding of them is considerable and increasing. The relevance of these neural systems to clinical phenomena, such as urge to cough and psychologic methods for treatment of dystussia, is high, and modern imaging methods have revealed potential neural substrates for some features of cough in the human.
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Created: Wed, 19 Aug 2015, 12:35:52 CST