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‘Institution’ Emphysema is an irreversible condition, wherein air spaces in the lungs are enlarged, specifically those beyond the terminal bronchioles and most notably in the alveoli resulting in alveolar wall damage and airflow obstruction. This is most common among chronic smokers. (Braun, 2007) The development of an inflammation in the small airways is mainly the source of obstruction. In moderate to severe emphysema, the primary cause of obstruction is the loss of elastic recoil in the alveoli. Along with the airway obstruction, vascular changes in the lungs can be noted that will make the lining of the arteries and ...