Effect of Frequency and Tidal Volume on Pleural Pressure in Rabbits during High Frequency Ventilation

作者: M. I. Hernaiz , P. Fernandez , P. Houtz , B. R. Boynton , S. J. Lai-Fook

DOI: 10.1007/PL00007624

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摘要: Regional effects of the chest wall on airway pressure transmission were studied during high frequency ventilation in anesthetized rabbits. We measured (Paw), esophageal (Pes), and costal pleural (Ppl) by a rib capsule flow volume with calibrated pneumotachograph. Using closed circuit, pressures at varying frequencies (2–80 Hz) tidal volumes (2–20 ml). Mean Pes Ppl increased amplitude above 100–250 ml/s, whereas mean Paw decreased, consistent air trapping. Paw, Pes, amplitudes monotonically except 400–500 where decreased suddenly. The latter occurring simultaneously sudden fall indicated limitation regions. Flow instabilities large increase phase difference between its variability, frequency. By contrast, variability relatively small. These differences from responses might be caused impedance airway-mediastinum pathway or direct tracheal oscillations to esophagus. former suggests that constraints offered mediastinum cage resulted nonuniform ventilation.

参考文章(25)
N. Gavriely, K. B. Kelly, J. B. Grotberg, S. H. Loring, Forced expiratory wheezes are a manifestation of airway flow limitation. Journal of Applied Physiology. ,vol. 62, pp. 2398- 2403 ,(1987) , 10.1152/JAPPL.1987.62.6.2398
J. G. Venegas, K. Tsuzaki, B. J. Fox, B. A. Simon, C. A. Hales, Regional coupling between chest wall and lung expansion during HFV: a positron imaging study. Journal of Applied Physiology. ,vol. 74, pp. 2242- 2252 ,(1993) , 10.1152/JAPPL.1993.74.5.2242
A. C. Jackson, A. Vinegar, A technique for measuring frequency response of pressure, volume, and flow transducers Journal of Applied Physiology. ,vol. 47, pp. 462- 467 ,(1979) , 10.1152/JAPPL.1979.47.2.462
B. A. Simon, G. G. Weinmann, W. Mitzner, Mean airway pressure and alveolar pressure during high-frequency ventilation. Journal of Applied Physiology. ,vol. 57, pp. 1069- 1078 ,(1984) , 10.1152/JAPPL.1984.57.4.1069
P.R. Fletcher, R.A. Epstein, Constancy of physiological dead space during high-frequency ventilation Respiration Physiology. ,vol. 47, pp. 39- 49 ,(1982) , 10.1016/0034-5687(82)90091-3
E. H. Bush, D. R. Spahn, P. F. Niederer, E. R. Schmid, Flow separation, an important mechanism in the formation of mean pulmonary pressure during high-frequency oscillation. Journal of Biomechanical Engineering-transactions of The Asme. ,vol. 111, pp. 17- 23 ,(1989) , 10.1115/1.3168333
J L Allen, I D Frantz, J J Fredberg, Regional alveolar pressure during periodic flow. Dual manifestations of gas inertia. Journal of Clinical Investigation. ,vol. 76, pp. 620- 629 ,(1985) , 10.1172/JCI112014
J. G. Venegas, Y. Yamada, C. Burnham, C. A. Hales, Local gas transport in eucapnic ventilation: effects of gravity and breathing frequency. Journal of Applied Physiology. ,vol. 68, pp. 2287- 2295 ,(1990) , 10.1152/JAPPL.1990.68.6.2287
J. M. Petit, G. Milic-Emili, Measurement of Endoesophageal Pressure Journal of Applied Physiology. ,vol. 13, pp. 481- 485 ,(1958) , 10.1152/JAPPL.1958.13.3.481