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Sections of Respiratory Diseases and Critical Care Medicine, University of Manitoba, Winnipeg, Manitoba, Canada R3E-OZ3
Received 28 September 1995; accepted in final form 30 September 1996.
Mink, S. N. Mechanism of lobar alveolar pressure
decline during forced deflation in canine regional emphysema.
J. Appl. Physiol. 82(2): 632-643, 1997.
A canine model of unilobar papain-induced emphysema was used to
examine the extent to which differences in alveolar pressures
(PA) would develop between an
emphysematous right lower lobe (RLL) and normal left lower lobe (LLL)
during forced vital capacity (FVC) deflation. RLL and LLL
PA
(PARLL and PALLL,
respectively) were measured by the alveolar capsule technique. During
forced deflation, PA and lobar
flows were determined between 95 and 20% FVC. A choke point common to
both lower lobes was observed at >40% FVC. The results showed that
deflation compliance (C) was altered for the RLL such that <90%
lobar vital capacity, CRLL > CLLL, whereas >90% lobar vital
capacity, CRLL < CLLL. At 95 and 90% FVC, the
initial RLL PA decline was
greater than that for the LLL (P < 0.05). However, large differences in
PA were prevented because of the
effect of interdependence of regional expiratory flow (IREF). IREF
caused a relative decrease in RLL flows and increase in LLL flows that
limited PA differences. Between 80 and 50% FVC, as CRLL became
greater than CLLL, and because of
the initial effect of IREF,
PARLL was
~PALLL.
At
40% FVC, without IREF, lobar differences in
PA widened. These findings indicate that IREF may affect the dynamics of flow limitation in
regional lung disease.
maximum expiratory flow; nonuniform emptying; flow limitation
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D. Ewing-Bui and S. N. Mink Interdependence of flow between lobes reduces maximal emptying postresection in dogs J Appl Physiol, January 1, 2002; 92(1): 100 - 108. [Abstract] [Full Text] [PDF] |
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