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Department of Physiology, Biomedical Sciences Division, King's College London, London W8 7AH; and Department of Respiratory Medicine, King's College School of Medicine and Dentistry, London SE5 9PJ, United Kingdom
Received 11 July 1995; accepted in final form 23 May 1996.
Rafferty, G. F., and W. N. Gardner. Control of the
respiratory cycle in conscious humans. J. Appl.
Physiol. 81(4): 1744-1753, 1996.
We studied in
conscious humans the relative strength of mechanisms controlling timing
and drive components of the respiratory cycle around their resting set
points. A system of auditory feedback with end-tidal
PCO2 held constant in mild hyperoxia
via an open circuit was used to induce subjects independently to change inspiratory time (TI) and
tidal volume
(VTI)
over a wide range above and below the resting values for every breath
for up to 1 h. Four protocols were studied in various levels of
hypercapnia (1-5% inspired
CO2). We found that
TI (and expiratory time) could be changed over a wide range (1.17-2.86 s,
P < 0.01 for
TI) and VTI
increased by
500 ml (P < 0.01)
without difficulty. However, in no protocol was it possible to decrease
VTI below
the free-breathing resting value in response to reduction of auditory
feedback thresholds by up to 600 ml. This applied at all levels of
chemical drive studied, with resting
VTI values
varying from 1.06 to 1.74 liters. When reduction in
VTI was
forced by the more "programmed" procedure of isocapnic panting,
end-expiratory volume was sacrificed to ensure that peak tidal volume
reached a fixed absolute lung volume. These results suggest that the
imperative for control of resting breathing is to prevent reduction of
VTI below
the level dictated by the prevailing chemical drive, presumably to
sustain metabolic requirements of the body, whereas respiratory timing
is weakly controlled consistent with the needs for speech and other
nonmetabolic functions of breathing.
chemical drive; respiratory pattern; carbon dioxide
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